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Flail chest is a life-threatening medical condition that occurs when a segment of the rib cage breaks due to trauma and becomes detached from the rest of the chest wall.Two of the symptoms of flail chest are chest pain and shortness of breath.
[2] [1] Coughing or metastatic cancer may also result in a broken rib. [1] The middle ribs are most commonly fractured. [5] [1] Fractures of the first or second ribs are more likely to be associated with complications. [6] Diagnosis can be made based on symptoms and supported by medical imaging. [3] Pain control is an important part of ...
Signs and symptoms include crepitus (a crunching sound made when broken bone ends rub together), [1] pain, tenderness, bruising, and swelling over the fracture site. [4] The fracture may visibly move when the person breathes, and it may be bent or deformed, [4] potentially forming a "step" at the junction of the broken bone ends that is detectable by palpation. [3]
Diaphragmatic injuries are present in 1–7% of people with significant blunt trauma [6] and an average of 3% of abdominal injuries. [9] A high body mass index may be associated with a higher risk of diaphragmatic rupture in people involved in vehicle accidents. [6] Over 90% occur due to trauma from vehicle accidents.
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [61]
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Falls in older adults are a significant cause of morbidity and mortality and are a major class of preventable injuries.Falling is one of the most common accidents that cause a loss in the quality of life for older adults, and is usually precipitated by a loss of balance and weakness in the legs.
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