In the ED, their vitals/exam are as above. Patient with likely MSK pain due to chest trauma. Doubt myocardial contusion considering lack of significant mechanism, significant findings on exam, and normal EKG. No evidence of rib fracture considering lack of focal rib/costal TTP. Doubt PTX, pulmonary contusion, or hemothorax given availability of clear bilateral breath sounds. No evidence of VSS instability concerning for aortic dissection. No evidence of dermatological nature of patient’s pain given patient without erythema or discharge or rash on exam.
– Labs/Tests: EKG. Consider CBC, BMP, Troponin x2 if concerned for myocardial contusion.
– Imaging: CXR, Low threshold for CTA Chest to rule out aortic injury
– Treatments: NSAIDs, Tylenol, Lidocaine patch
– Consults: None
– Dispo: Likely discharge pending above workup