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The patient is a 9-year-old girl who fell and received a blow to her right chest.
A few hours later, she presented to urgent care complaining of pain on deep breathing.
On exam, you find a pulse of 103, and SAT of 96. She is not in respiratory distress; her chest exam was clear and she has an abrasion over her right chest. She is generally healthy, is on no medica- tions, and has no significant past medical history.
Clinical Challenge: February, 2008
Nahum Kovalski, BSc, MDCM
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