A 35-year-old female was drunk and came to medicine OPD with complaints of chest pain with shoness of breath. Chest x ray film is given below. No history of trauma can be recalled by the patient. She never had a similar episode in the past. No history of smoking or pulmonary TB. Occupational history reveals that she is unemployed from past 6 months and was working in IT firm before that. Which of the following option is true in regards the management of the given pathology?
X ray depicts multiple posterior rib fracture. Intercostal nerve blocks are simple to perform and useful for pain management either as the primary intervention or as adjuncts. They are useful forpain in the chest wall and upper abdomen. Indications include: Incisional pain from thoracic surgery Analgesia for thoracostomy Herpes zoster or post-herpetic neuralgia Rib fractures Breast surgery Upper abdominal surgery Differentiating between visceral and somatic pain Intercostal block is given for management of multiple rib fractures. Block is given below the first rib and then above the rib (for the collateral branches).
X-ray appears normal. Just counsel the patient.
Take the pt. for HRCT and then to OR.
Pt needs a CT guided biopsy.
Block is given below the first rib and then above the rib.
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