55-year-old woman comes to the emergency department after she slipped and fell down half a flight of stairs

55-year-old woman comes to the emergency department after she slipped and fell down half a flight of stairs. The patient did not hit

her head or lose consciousness and has no headache or nausea. She reports upper back and right-sided chest pain The patient has

no known medical problems Blood pressure is 138/88 mm Hg, pulse is 88/min, and respirations are 24/min. Physical examination

shows rapid, shall ow breaths, and right chest wall tenderness. Heart sounds are normal. She has no abdominal pain, vertebral

tenderness, or deformity N eurologic examination is normal. Chest x -ray shows a right sixth rib fracture and right basilar atelectasis;

no pneumothorax is present Which of the following is most essential in management of this patient?

  • QA Adequate analgesia
  • 0 B. Physical rehabilitation
  • 0 C. Positive airway pressure
  • 0 D. Prophylactic antibiotics
  • 0 E. Surgical fixation of the fracture

0 voters