macintosh
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A 21-year-old football player is brought to the emergency room complaining of back pain An X-ray shows a fractured 12th rib on the left side. Which of the following structures is most likey to be lacerated by the broken rib?
C A Left kidney
r B. Spleen
0 C Liver
c D Visceral pleura
r E. Pancreas
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| jean robert
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B
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| macintosh
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spleen is covered by ribs 8, 9 and 10. these i think are called the false ribs (correct me if i am wrong)
Rib 12 is a floating rib.
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| Ig F
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spleen is the only closest lying organ...although you are right that spleen is covered by 8.9 and 10th rib....
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| macintosh
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OK how about the left kidney? do you think it can be involved if the fractured 12 rib impinges into it.
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| dr_msk
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i think the answer is kidney
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| new_n_lost
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A Left kidney
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| jean robert
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Correct Answer: A ( Left kidney)
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| jean robert
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Here is info that I find in Kaplan notes:
Left kidney contacts the diaphragm; psoas major,quadratus lumborum and the 11th and 12th rib.
Right kidney contacts the diaphragm; psoas major,quadratus lumborum and 12th rib.
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| new_n_lost
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Yup Spleen could be the answer if they said the 11th rib was involved.
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| jean robert
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yes, sir.
The Spleen is peritoneal organ in the upper left quadrant that is related to the left 9th, 10th and 11th ribs. Fracture of these ribs may lacerate the spleen
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| spinal shock
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left kidney coz its a little bit higher, cant be spleen its intraperitoneal located superior to it
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