EM@3AM: Rib Fractures
An 82-year-old female presents to the ED after falling down a flight of stairs. Patient reports falling onto her chest. She endorses right sided chest pain that began immediately after falling but denies any shortness of breath.
Vital signs: HR 90 bpm, BP 148/100, RR of 20, T of 98.8F, and SPO2 of 97%. Examination shows a frail elderly female, with ecchymosis over the right chest wall. Tenderness to palpation is pinpoint over the 5th and 6th ribs on the right. Breath sounds are equal bilaterally. What is the most likely diagnosis?
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