Answers
Direct inguinal hernia
25 year old patient is brought the the ER following a MVA.
While waiting at a stop light, the cat was rear ended from
a distracted driver who failed to see the stopped car. He
is complaining of significant pain in his left chest and
shortness of breath. What is your diagnosis?
First rib fracture
An elderly couple are brought into the ER after a MVA, the
78 year old woman is complaining of pain along her left
side, and shortness of breath. What is your diagnosis?
"Flail chest"
Paradoxical breathing
pediatric inguinal hernia
Indirect inguinal hernia
, *Flail Chest*
- requires multiple fractures in atleast 3 consecutive ribs
- isolated segment behaves independent of remainder of
Based on a radio-graph, fracture of the first rib
chest cavity
fractured rib segments move in opposite direction during
breathing
- relatively rare
- most commonly found in subclavian groove - protrusion of intestinal tissue into inguinal canal, scro-
- suggest significant blunt force trauma or avulsion tum
- indicators of increased morbidity/mortality in - common pediatric condition in boys
traumasituations when present - most common
- tissue enters inguinal canal through deep inguinal ring,
Based on a radiograph, fracture of multiple rib segments progresses through inguinal canal and through superficial
inguinal ring
- most common rib fractures occur between 5 and 9 tissue pushes through weakening
- multiple fractures common
Hesselbach's triangle