A 62-year-old patient has been hospitalized with complaints of pain in the thorax on the right during breathing, dyspnea, and dry cough. Ten days ago he slipped and fell hitting his right side. On examination: the patient lies on the left side. The right side of the thorax lags during breathing. On the right there is crepitation and pain in the III-IV ribs. Dullness of percussion sound and sharply diminished breath sounds can be observed. On X-ray: signs of exudate, fracture of the IIIIV ribs. On pleurocentesis: blood is detected. Choose the further tactics.

Answer options

1. Apply a fixation bandage to the rib cage
2. Transfer to a thoracic surgery department
3. Prescribe conservative therapy
4. Refer to a traumatologist
5. Perform repeated pleural taps

Explanation

A 62-year-old patient has been hospitalized with complaints of pain in the thorax on the right during breathing, dyspnea, dry cough. Ten days ago he slipped and fell hitting his right side. On examintaion: the patient lies on the left side. The right side of the thorax lags during breathing. On the right there are crepitation and pain in the III-IV ribs. Dullness of percussion sound and sharply diminished breath sounds can be observed. On X-ray: signs of exudate, fracture of the III-IV ribs. On pleurocentesis: blood is detected. Choose the further tactics: