Flail Chest: Rib and Sternal Fractures

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Questions and Answers

What is the primary physiological consequence of a flail chest injury?

  • Impaired lung ventilation due to inward collapse of the chest during inspiration. (correct)
  • Increased lung capacity due to paradoxical chest wall movement.
  • Enhanced oxygen diffusion across the alveolar membrane.
  • Reduced cardiac output from direct compression of the heart.

Which anatomical structures are typically affected in a flail chest injury?

  • The pelvis and hip bones.
  • The ribs and sternum. (correct)
  • The clavicle and scapula.
  • The vertebrae and spinal cord.

During the inspiration phase of breathing, what paradoxical movement is observed in a patient with flail chest?

  • The affected section of the chest expands outwards more than the rest of the chest.
  • The affected section of the chest expands outwards at the same rate as the rest of the chest.
  • The affected section of the chest collapses inwards while the rest of the chest expands. (correct)
  • The affected section of the chest remains stationary while the rest of the chest expands.

How does the paradoxical movement associated with flail chest directly affect respiratory function?

<p>It decreases tidal volume and increases the work of breathing. (B)</p> Signup and view all the answers

In the context of a flail chest, what is the most immediate life-threatening risk associated with impaired lung ventilation?

<p>Hypoxemia and hypercapnia leading to respiratory failure. (A)</p> Signup and view all the answers

Flashcards

What is flail chest?

Multiple rib and sternal fractures causing a segment of the chest wall to detach.

What is inspiration?

The act of breathing in.

Paradoxical movement in flail chest?

During inspiration, the flail segment moves inward.

Lung ventilation in flail chest?

Impaired or prevented due to paradoxical chest movement.

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What injuries cause flail chest?

Rib and sternal fractures.

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Study Notes

  • Multiple rib and sternal fractures can result in a flail chest.
  • Flail chest is a condition where a part of the chest collapses inwards during inspiration.
  • Flail chest impairs or prevents lung ventilation.

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