Chest Deformities

Question 1

congenital deformity where the sternum and anterior ribs grow inward

Answer 1

pectus excavatum

Question 2

what is the most common chest deformity?

Answer 2

pectus excavatum

Question 3

what are 3 abnormalities that are associated with pectus excavatum?

Answer 3

marfan syndrome
rickets
scoliosis

Question 4

a patient presents with fatigue, decreased exercise tolerance, recurrent resp infections, SOB, chest pain, and tachycardia. Dx?

Answer 4

pectus excavatum

Question 5

how is pectus excavatum diagnosed? (2)

Answer 5

physical exam
chest xray

Question 6

what is the treatment for pectus excavatum? (2)

Answer 6

orthotic bracing
physical therapy

Question 7

a congenital disorder in which the chest wall flares outward

Answer 7

pectus carinatum

Question 8

what are 4 abnormalities that are associated with pectus carinatum?

Answer 8

marfans
down syndrome
osteogenesis imperfecta
dwarfism

Question 9

what is the treatment for pectus carinatum?

Answer 9

bracing x 6 months

Question 10

what is the most common blunt thoracic injury?

Answer 10

rib fractures

Question 11

which ribs are most frequently involved in rib fractures?

Answer 11

4-10

Question 12

a patient presents with inspiratory chest pain, +/- SOB, is unable to sleep. On physical exam, local tenderness and crepitus is felt on chest. Dx?

Answer 12

rib fractures

Question 13

what is the treatment for rib fractures?

Answer 13

incentive spirometry

Question 14

what are 2 possible rib fracture complications?

Answer 14

pneumothorax
flail chest

Question 15

complication caused by rib penetrating the lung parenchyma

Answer 15

pneumothorax

Question 16

complication that involves 3 or more consecutive rib fractures and produces a free-floating, unstable chest wall that causes paradoxical movement

Answer 16

flail chest