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The patient’s problem list includes trauma and fracture of the lower rib. It is possible there is internal organ injury. The exam will take that into consideration. However, such a rib fracture does not on its own demand a CT scan.
Next steps are pain control and follow-up with the patient’s primary care physician.
Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
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32-year-old patient sustains blow to chest
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