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Medical Forum / General / General / December 2004Diagnose this injury please
Hey guys I took some skiing lessons yesterday and I must admit I spent more time in the snow than skiing on top of it. I crashed one time pretty hard, after coming down a slope and trying to turn, I pretty much landed forward on my chest and side when my skis went out of control and I slipped and fell. Today I woke up and find that my left side breast area is pretty darn sore, and when I tuck my shirt in, I have obvious soreness and pain when I try to extend or "reach" with my left arm. reaching for the seatbelt also causes the same thing I doubt I am having a heart attack since I am still alive and walking around, BP and pulse are normal (just wanted to throw that out there...) Did I just pull a muscle or bruise my ribs? This sounds weird but the area under my left breast is what is sore, no where else comments wanted thanks Steve schrieb: > Hey guys > [quoted text clipped - 20 lines] > > thanks boobis americanism Diagnosis over the internet is impossible, that is why a history and physical examination in addition to an x-ray should be peformed. Go to your doc or a doc in the box or your local ER, they will do the above I assure you. -- Patrick H. Mason M.Sc. OHST, EMT-I > Steve schrieb: > > Hey guys [quoted text clipped - 23 lines] > > > boobis americanism "Steve" <billpritjr@spamhole.com> wrote in message > I crashed one time pretty hard, after coming down a slope and trying to > turn, I pretty much landed forward on my chest and side when my skis > went out of control and I slipped and fell. Did you catch your fall with your hand? Lotsa boarders dislocate a shoulder this way. But you didn't report any loss of movement only pain. > Today I woke up and find that my left side breast area is pretty darn > sore, and when I tuck my shirt in, I have obvious soreness and pain > when I try to extend or "reach" with my left arm. Is there any swelling? Compare one side to the other. Any point tenderness? When you poke around with your good hand, where does it hurt? Shoulder? ribs? Does it hurt if you take a deep breath? > I doubt I am having a heart attack since I am still alive and walking > around, Hardly conclusive, but I doubt it too. BP and pulse are normal (just wanted to throw that out > there...) > > Did I just pull a muscle or bruise my ribs? Probably. If it gets worse go to a clinic. Monitor your pulse from time to time. Do you know what "normal" pulse is? For your self that is? Its pretty unlikely, but possible to injure your aorta from a direct blow. That injury would likely be showing pretty severe symptoms (potentially, death, so if you don't report back, we'll be wondering...) by now, but anything is possible. > This sounds weird but the > area under my left breast is what is sore, no where else > comments wanted > > thanks Possible chest wall muscle bruise or rib fracture. If pain persists see a doctor and get a simple chest X-ray. this will give plenty of info..........good luck! > Possible chest wall muscle bruise or rib fracture. If pain persists > see a doctor and get a simple chest X-ray. this will give plenty of > info..........good luck! Imposter!!!  Signature-Larry <A buncha stuff and asked for a diagnosis> An internet diagnosis, eh?? OK, I'll bite. You are pregnant!! How did I do? (If you need a "diagnosis", you need a doc, OK?) > <A buncha stuff and asked for a diagnosis> > [quoted text clipped - 7 lines] > > (If you need a "diagnosis", you need a doc, OK?) Sometimes that doesn't work, and if you have no insurance it's a real bitch to spend $10K of your own money on specialists, x-rays, MRI's and god knows what else only to be told by the Chief Orthopedic Guru "Beats me, I can't see anything..." Yeah, eventually (years?) the pain stopped and I regained full movement. Yeah, I had insurance at the time, so I only paid 20% of the bill. It was still money down the drain and the joint still seems subtly wrong. If I'd had internet access then I could have asked here, saved a pile of money and got the same answer and result. We all need to say thank you to our doctors now and again, but medicine is an art, not a science, and even Rembrandt had days when he just couldn't do anything right. SignatureCheers, Bev ========================================================= "If you watch TV news, you know less about the world than if you just drank gin straight from the bottle." - Garrison Keillor >I doubt I am having a heart attack since I am still alive and walking >around, BP and pulse are normal (just wanted to throw that out >there...) I doubt you're having a heart attack too. But just so you know, people have heart attacks and walk around with normal vital signs all the time. >Did I just pull a muscle or bruise my ribs? Probably. Or ruptured your spleen and you'll be in ICU before you read this, but my money is on the muscle or rib thing. >This sounds weird but the >area under my left breast is what is sore, no where else >comments wanted Why is that weird? Boo boo from skiing. Deal with it give up skiing. >>I doubt I am having a heart attack since I am still alive and walking >>around, BP and pulse are normal (just wanted to throw that out [quoted text clipped - 4 lines] >But just so you know, people have heart attacks and walk around with normal >vital signs all the time. I've been curious about this. The father of a friend is a wiry little guy, 68 years old, who runs half marathons. In preparing for the latest one, he noticed a little chest pain, which was slightly worse during the marathon itself. According to my friend, he's one of those stoical types who avoids doctors, but was finally persuaded to see one a few weeks later. His appointment was on a Friday afternoon. He had a quintuple bypass on Monday morning. It was reported that 30% of his heart was dead of ischemia. He had apparently had a series of heart attacks, and kept running during and after. He's recovering well from the surgery. I find this amazing. Was he just lucky that none of the attacks affected the node that controls the heart rhythm? How can someone be walking around with 30% of their heart dead? Did he survive because he had a lot of excess capacity from all that running? Is this something for the literature, or not all that uncommon? Has my friend garbled the story? > >>I doubt I am having a heart attack since I am still alive and walking > >>around, BP and pulse are normal (just wanted to throw that out [quoted text clipped - 24 lines] > for the literature, or not all that uncommon? Has my friend garbled > the story? Probably not. Heart attacks are blockages of arteries that feed the heart. When heart muscle doesn't get O2 it eventually dies. Your friend had some major blockages. However, the ennervation of heart muscle doesn't depend on the arteries. With the blockage the heart muscle is still being ennervated, but the muscle that is not getting oxygen isn't contracting. Exercise strengthens muscle, including cardiac muscle. Marathoners are also adapted to use oxygen efficiently due to the nature of their sport. So from that perspective your friend's father was well adapted and could withstand the heart attack better than most. It certainly is possible to walk around with 30% of the heart dead. But of course that represents a huge impairment of heart performance. >Probably not. Heart attacks are blockages of arteries that feed the heart. >When heart muscle doesn't get O2 it eventually dies. Your friend had some [quoted text clipped - 8 lines] >walk around with 30% of the heart dead. But of course that represents a >huge impairment of heart performance. Yeah. He was probably really pissed off with his poor time. SignatureBob Mann Help save trees. Wipe your a.s with an owl. >I find this amazing. Was he just lucky that none of the attacks >affected the node that controls the heart rhythm? How can someone be >walking around with 30% of their heart dead? Did he survive because he >had a lot of excess capacity from all that running? Is this something >for the literature, or not all that uncommon? Has my friend garbled >the story? Keith's answer is mainly right. His marathon conditioning probably enabled him to keep running despite the loss of heart tissue. But you're also right that he was lucky none of the attacks affected the conduction circuits. Ischemic damage to those areas makes arrhythmias more likely, and arrhythmias are what cause seemingly healthy people to suddenly fall over dead. It depends a lot on which parts of the heart are affected. 30% of the heart being dead doesn't translate to a 30% reduction in output. It could be much more or much less, depending on where the damage is. In his case, he probably didn't suffer much reduction in output or he would have known he had problems. Definitely not unusual enough for the literature. Like I said, it's common for people to walk around with heart attack damage and feel perfectly fine. In fact, a good friend of mine just discovered he apparently suffered a "silent MI" at some point in the last 12 months. A suspicious change was seen on EKG during a routine physical. He was sent for angiography and that revealed a blockage. He never felt symptoms and feels fine now. Mainly, fiction writers and the media love to dramatize heart attacks. Only a small percentage are the chest clutching, ohmygod, hit the floor sort they always portray. The majority aren't nearly so dramatic. > >I find this amazing. Was he just lucky that none of the attacks > >affected the node that controls the heart rhythm? How can someone be [quoted text clipped - 15 lines] > probably didn't suffer much reduction in output or he would have known he > had problems. Is the chance of arrythmias increased with myocardial infarctions or is that speculative? I'm a lowly undergrad in kinesiology and hadn't run across this possibility yet. It certainly sounds possible, but I haven't run across it yet. Don't need references - simple "yes (documented in literature)" or "no (but probable based on physiology)". >Is the chance of arrythmias increased with myocardial infarctions or is >that speculative? I'm a lowly undergrad in kinesiology and hadn't run [quoted text clipped - 3 lines] >Don't need references - simple "yes (documented in literature)" or "no >(but probable based on physiology)". Yes, documented in literature. Shouldn't be hard to find on medline, any cardiology text, or even google. > >Is the chance of arrythmias increased with myocardial infarctions or is > >that speculative? I'm a lowly undergrad in kinesiology and hadn't run [quoted text clipped - 6 lines] > Yes, documented in literature. Shouldn't be hard to find on medline, any > cardiology text, or even google. Thanks Carey! Any good reason this was posted to rec.skiing.alpine? Removed from followups; please keep it that way. SignatureMary Malmros malmros@bcn.net Some days you're the windshield, other days you're the bug. Piss off > Hey guys > [quoted text clipped - 4 lines] > turn, I pretty much landed forward on my chest and side when my skis > went out of control and I slipped and fell. Watch out for those trees! They can be a killer. > Today I woke up and find that my left side breast area is pretty darn > sore, and when I tuck my shirt in, I have obvious soreness and pain [quoted text clipped - 11 lines] > > thanks > Hey guys > [quoted text clipped - 20 lines] > > thanks Hi, this is Dr. Larry. No need to see anybody else, live or Internet. My rock solid and certain diagnosis is all you need. I'm am completely certain that all you need is to drink rum, and lots of it. That will cure you. Please don't consult anybody else on this...there is no need. umm...that will be $135. I take PayPal... Signature-Dr. Larry <crap snipped> go ask a doctor you moron. Signaturespammage trappage: replace fishies_ with yahoo I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. To jump to the end of the story, as a result of this I need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/ > Hey guys > [quoted text clipped - 18 lines] > > thanks Sounds to me like a separated rib, or pulled rib muscle. Did you have something in a pocket near the pain site? Cellphone, fat wallet, keys? It was a cellphone that did my ribs. Try strapping around the chest. If you really dont want to go to the doctor ( you should ) try 250mg Vitamin C to help rebuild the conective tissue. This is one thing I know for sure, its gonna hurt for weeks. G > > Hey guys > > [quoted text clipped - 16 lines] > > Did I just pull a muscle or bruise my ribs? This sounds weird but the > > area under my left breast is what is sore, no where else comments wanted > Sounds to me like a separated rib, or pulled rib muscle. > Did you have something in a pocket near the pain site? [quoted text clipped - 3 lines] > conective tissue. This is one thing I know for sure, its gonna hurt > for weeks. I once woke with a sore left side breast area and immeditely checked for my fat wallet. After strapping my chest and pounding Vitamin C to help rebuild connective tissue I went hunting for that ho, yo. |
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