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Asked by kjocolby1986
The patient is a 54-year-old white male who was a passenger in a car his son was driving. Apparently, the boy fell asleep at the wheel; the car was totaled. Patient was brought to the emergency room by ambulance. He is not sure whether he had any head trauma but complains primarily of pain in his left anterior chest and left shoulder. He was seen in the emergency room, which revealed that he had displaced fracture of his left fourth anterior rib. The physician did not see any fracture of the left shoulder but thought that there might be an acromioclavicular separation. The patient was admitted for observation and treatment of his pain. He had tenderness over the left third and fourth anterior ribs and very little use of his left shoulder. He also had tenderness to palpation over the acromioclavicular joint. The patient was admitted and started on analgesics. He did not have much movement of his left shoulder, although this gradually improved during his hospital stay. On the second hospital day, it was noted that he had very little movement of air in the left upper lobe; repeat chest x-ray was obtained, which showed a small pleural effusion
SCIENCE
HEALTH SCIENCE
NURSING

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