I study in Australia, final year of the 3 year degree. Its not a real patient, more or less for studying purposes. The patient is a 38 year old who had a fall at home, suffering fractures to her left 2nd and 4th rib in addition to her femur. No LOC or confusion post-fall and being afebrile. My thoughts on the pathophysiology of fractured ribs:- •an intact chest wall aids in protection of sensitive organs under bone •trauma to the chest (such as a fall) can occur causing a force exceeding tensile or compressive boundaries causing it to break •fractures then cause pain along with disruption to ventilation essential to the supply of oxygen to the blood stream and removal of carbon dioxide •impaired ventilation causes tidal volume to decrease and also a decrease in surface area for oxygenation... Am i on the right track? My brains fried! As for patho of # femur im lost for words lol... my nightshift brain !!