Pain, presumably related to a previous injury, was the patient's main concern, but in fact, she had a serious complication of an as yet undiagnosed disease. A 49-year-old woman presented to the emergency department with persistent chest pain and new back pain. Three months earlier, she had a mechanical fall from standing height that resulted in fractures of her left seventh, eighth, and ninth ribs. Left-sided chest pain persisted, and she developed nontraumatic lower back pain that progressed in severity, prompting her to seek care.
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Published online: March 22, 2018Thomas J. Marrie, MD, Section Editor
Conflicts of Interest: None.
Authorship: Both authors had access to the data and played a role in writing this manuscript.
© 2018 Elsevier Inc. All rights reserved.