ABSTRACT
In the emergency department, open isolated rib fractures are rarely seen. There is scarce literature related to open isolated first rib comminuted fracture. We report a 33-year-old male who presented with an isolated open first rib comminuted fracture following a road traffic accident. He did not have any neurovascular or major organ injuries and was managed successfully with conservative treatment.
Subject(s)
Analgesics/therapeutic use , Anti-Bacterial Agents/administration & dosage , Fractures, Comminuted/drug therapy , Rib Fractures/drug therapy , Thorax/diagnostic imaging , Accidents, Traffic , Administration, Intravenous , Adult , Analgesics/administration & dosage , Anti-Bacterial Agents/therapeutic use , Humans , Male , Radiography , Treatment OutcomeABSTRACT
Self-harm by consuming yellow oleander seeds has become more frequent in South Asian countries, especially Sri Lanka and in southern parts of India. Yellow oleander poisoning usually presents with gastrointestinal, cardiovascular, and neurological manifestations as well as electrolyte abnormalities. Cardiac effects can manifest as nearly any type of dysrhythmia and sudden death with very few premonitory signs. To our knowledge yellow oleander poisoning related acute myocardial infarction has not yet been reported. We report a 37-year-old man with yellow oleander poisoning who had normal sinus rhythm at presentation but within few hours developed acute ST-segment myocardial infarction.
