Your patient is a 17-year-old male driver of a vehicle that received a lateral impact at the driver's side door. There are no side-impact airbags, and there is about 8 inches of intrusion into the passenger compartment at the left door. Your patient is complaining of left shoulder pain and pain "in his left side." He has a contusion on the left shoulder and deformity of the left clavicle. He has erythema over the left lateral thorax from ribs 6 through 12 with crepitus on palpation. Which of the following injuries should you suspect?
1. Blunt trauma to the spleen
2. Blunt trauma to the liver
3. Penetrating trauma to the spleen
4. Penetrating trauma to the liver
5. Left pneumothorax
6. Fracture of the left clavicle
A) 1, 2, 6
B) 2, 4, 6
C) 1, 5, 6
D) 2, 5, 6
C
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