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A patient experienced blunt chest trauma and has asymmetrical chest wall movement. This MOST likely indicates:

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Final answer:

Asymmetrical chest wall movement after blunt chest trauma suggests a traumatic condition such as a pneumothorax or flail chest, which can disturb the symmetry of the chest during breathing.

Step-by-step explanation:

Asymmetrical chest wall movement after blunt chest trauma is indicative of a traumatic injury such as a pneumothorax or flail chest. When a patient experiences a blunt injury, the chest wall's symmetry during breathing movements can be disturbed due to the below reasons:

  • Spontaneous pneumothorax occurs when there's the presence of air in the pleural space leading to lung collapse, which can result from trauma or occur spontaneously due to abnormalities in connective tissue.
  • Flail chest is a serious condition where multiple adjacent ribs are fractured in multiple places, allowing for a segment of the chest wall to move independently from the rest of the thoracic cage, known as paradoxical movement.

This may be more accurately determined with imaging techniques, but broadly, asymmetric chest movement is most suggestive of conditions that impact the normal mechanics of the chest wall like pneumothorax or flail chest.

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