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Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax II: Pathophysiology01:08

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal facet...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

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Related Experiment Video

Updated: Jun 28, 2026

Point-of-Care Lung Ultrasound in Adults: Image Acquisition
09:17

Point-of-Care Lung Ultrasound in Adults: Image Acquisition

Published on: March 3, 2023

[Multiple rib fractures associated with cough].

Martín Bosio1, Pablo Young, Bárbara C Finn

  • 1Servicios de Neumonología, Hospital Británico, Perdriel 74, Buenos Aires, Argentina. marbosio@hotmail.com

Medicina
|November 4, 2008
PubMed
Summary
This summary is machine-generated.

Chronic cough can lead to rare complications like multiple rib fractures. Diagnosis may require scintigraphy when X-rays are inconclusive, highlighting a rare but serious outcome of persistent coughing.

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Area of Science:

  • Medicine
  • Pulmonology
  • Radiology

Background:

  • Cough is a prevalent symptom in outpatient settings, typically not requiring specific intervention.
  • Chronic cough can precipitate serious complications, including syncope, pneumothorax, and, infrequently, rib fractures.

Observation:

  • A case report details a patient experiencing multiple rib fractures attributed to persistent coughing.
  • Initial diagnostic imaging via X-ray failed to reveal the fractures.

Findings:

  • Scintigraphy was instrumental in diagnosing the multiple rib fractures.
  • Follow-up scintigraphy five months later indicated resolution of the increased uptake areas, suggesting fracture healing.

Implications:

  • Multiple rib fractures represent a significant complication of chronic cough that warrants consideration.
  • Persistent patient pain, even without radiographic evidence on X-ray, should prompt further investigation for conditions like cough-induced rib fractures.