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Pulmonary laceration is a common result of penetrating trauma but may also be caused by blunt trauma; broken ribs may perforate the lung, or the tissue may be torn due to shearing forces [5] that result from different rates of acceleration or deceleration of different tissues of the lung. [6]
A rib fracture is a break in a rib bone. [1] This typically results in chest pain that is worse with inspiration. [1] Bruising may occur at the site of the break. [3] When several ribs are broken in several places a flail chest results. [4] Potential complications include a pneumothorax, pulmonary contusion, and pneumonia. [2] [1]
The most common mechanism is the penetration of sharp bony points at a new rib fracture, which damages lung tissue. [18] Traumatic pneumothorax may also be observed in those exposed to blasts, even when there is no apparent injury to the chest. [9] Traumatic pneumothoraces may be classified as "open" or "closed".
The constant motion of the ribs in the flail segment at the site of the fracture is extremely painful, and, untreated, the sharp broken edges of the ribs are likely to eventually puncture the pleural sac and lung, possibly causing a pneumothorax.
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When the rib cage moves out, it no longer pulls the lungs with it. Thus the lungs cannot expand, the pressure in the lungs never drops and no air is pulled into the bronchi. Respiration is not possible. The affected lung, which has a great deal of elastic tissue, shrivels in what is referred to as a collapsed lung. [citation needed]
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The only actual test is a lumbar puncture to get the real pressure inside your head. #53 It’s common for people in motor vehicle accidents to sustain a ruptured bladder.