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The patient is a 9-year-old girl who presents after experiencing a fall and a blow to her right chest. She complains 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 is clear. She has an abrasion over her right chest.

The patient is generally healthy, is on no medications, and has no significant past medical history.
View the x-ray and consider what your diagnosis and next steps would be.

9-year-old girl has painful breathing after falling on chest

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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