Q:

A 30 year old woman has injured her left lower chest in a RTA (road traffic accident). She has BP=80/50mmHg, pulse=120bpm. Auscultation of chest=bowel sounds present. What is the single most likely diagnosis?

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A 30 year old woman has injured her left lower chest in a RTA (road traffic accident). She has BP=80/50mmHg, pulse=120bpm. Auscultation of chest=bowel sounds present. What is the single most likely diagnosis?


  1. Diaphragmatic rupture
  2. Flail chest
  3. Fx ribs
  4. Ruptured esophagus
  5. Tension pneumothorax

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The key is A. Diaphragmatic rupture. [Bowel sound present on auscultation of chest following RTA causing lower chest injury is suggestive of diaphragmatic rupture].

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