18-year-old man with a mild blow to his chest

Diagnosis: This x-ray shows a sternum fracture (arrows). While the patient history reflects a “mild blow to the chest,” sternum fractures are usually the result of high-energy trauma. In the urgent care setting, this patient should have an EKG and a chest x-ray and then be referred for CT to rule out cardiopulmonary or vascular injury.

Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

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Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services