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A 27-Year-Old Man Was Brought to the Emergency Department After

Question 177

Multiple Choice

A 27-year-old man was brought to the emergency department after he had a motor vehicle accident. The patient's car was struck forcefully at the rear side. The patient was able to ambulate after the injury but has since had severe pain worsened by deep breaths. His blood pressure is 100/60 mm Hg, his pulse is 120/min, and respirations are 19/min. On examination, there is bruising and tenderness over the left posterior chest wall. There is a normal spinal range of motion and no midline tenderness. Gait and lower extremity neurologic examination are normal. The CT scan shows a fracture in the left 12th rib. Which of the following structures would be affected by this injury?


A) Left hepatic lobe
B) Left kidney
C) Pancreas
D) Spleen
E) Visceral pleura

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