UOTW #81

A 49-year-old male presents with upper back pain. He describes the pain as sharp, intermittent, and worse with deep breathing or laughing. The pain is very localized, as he points to a specific site on his left upper back. It does not radiate and has been going on since he was in a motor vehicle accident (MVA) one week ago. At that time head CT and chest xray in a local emergency department were normal. He has been prescribed muscle relaxers and NSAIDs, but they do not seem to help. He is concerned that “my spleen is lacerated!” Detailed FAST exam is negative. You then ultrasound his chest where he is hurting…


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