[27M] With bruised ribs and liquid sensation in chest

Patient Description

A 27-year-old male with a history of a motorcycle accident three months ago and a subsequent injury from jumping out of a moving car approximately 3-4 weeks ago, resulting in bruised ribs on the bottom right side. The patient reports a new onset of a liquid sensation near the bruised area, which radiates to the chest and feels like it is against the right lung. This sensation worsens with movement and deep breathing. The patient also experiences sharp pain when lying on the affected side or breathing deeply, rated as 6/10 in severity. Lying on the left side provides some relief, while lying on the back causes steady chest pain. The patient noticed these symptoms after accidentally falling asleep on their stomach. Additionally, the patient reports a slight restriction in air on the right lung and a difference in breathing sounds. Shortness of breath started about an hour ago, rated as 4/10 in severity. No dizziness, lightheadedness, fever, or chills reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Rib Fracture or Severe Bruising: Given your recent trauma from jumping out of a moving car, it's possible that you have a rib fracture or severe bruising. This can cause sharp pain, especially when moving or breathing deeply.

    • Treatment: Typically, treatment involves rest, pain management with over-the-counter pain relievers, and avoiding activities that worsen the pain. In some cases, a doctor might recommend imaging tests like an X-ray to confirm the diagnosis.
  • Pneumothorax (Collapsed Lung): The sensation of liquid and pain that worsens with deep breaths could indicate a pneumothorax, where air leaks into the space between your lung and chest wall, causing the lung to collapse partially or completely.

    • Treatment: This condition requires immediate medical attention. Treatment may involve inserting a needle or chest tube to remove the excess air.
  • Pleural Effusion: This is a condition where fluid accumulates in the space between the lungs and the chest wall. It can cause pain and a feeling of liquid movement, especially when lying down.

    • Treatment: Treatment depends on the underlying cause and may involve draining the fluid and addressing the root cause of the effusion.

What you can do

  1. Seek Immediate Medical Attention: Given the severity and nature of your symptoms, it's crucial to see a healthcare provider as soon as possible. They can perform the necessary tests to determine the exact cause of your symptoms.
  2. Rest and Avoid Strain: Until you can see a doctor, try to rest and avoid activities that exacerbate your pain.
  3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage your pain temporarily.

What you should look out for

Seek emergency medical care if you experience any of the following:

  • Severe Shortness of Breath: If your breathing becomes significantly more difficult or painful.
  • Worsening Chest Pain: If the pain in your chest becomes more intense or spreads.
  • Dizziness or Fainting: If you start to feel lightheaded or faint.
  • Coughing Up Blood: If you notice blood in your sputum.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please see a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago


People Also Ask


What are the symptoms of a rib fracture or severe bruising?

Symptoms of a rib fracture or severe bruising include sharp pain in the chest area, especially when moving or breathing deeply, tenderness, and sometimes visible bruising or swelling. Pain may worsen with certain positions or activities.


How is a pneumothorax diagnosed and treated?

A pneumothorax is diagnosed through a physical examination and imaging tests like a chest X-ray or CT scan. Treatment involves removing the air from the pleural space, which may require a needle or chest tube insertion. In severe cases, surgery might be necessary.


What causes a pleural effusion and how is it treated?

Pleural effusion is caused by fluid accumulation between the lungs and chest wall, often due to infections, heart failure, or lung diseases. Treatment involves draining the fluid and addressing the underlying cause, which may include medication or surgery.


When should I seek emergency medical care for chest pain and shortness of breath?

Seek emergency medical care if you experience severe shortness of breath, worsening chest pain, dizziness or fainting, or if you cough up blood. These symptoms could indicate a serious condition requiring immediate attention.


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