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s/p fall from height, ankle, back and abdominal pain, shortness of breath

Presentation

A 21-year-old man presented with ankle and back pain after jumping from a four story building and landing on his feet. There was mild abdominal pain, a question of tenderness, and shortness of breath. The patient may also have lost consciousness for a short period of time. An emergency chest radiograph showed a left pneumothorax. A chest tube was inserted and chest symptoms were relieved. Neurologic exam was normal. Vital signs were stable.

Images

Radiograph of the ankle
Radiograph of the spine
Chest Radiograph after placement of chest tube
CT of the spine
CT of Chest
Thoracic Aortography

Description of Findings

Full case report

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