Patient presents with complaints of left-sided chest pain following a [mechanism of injury - e.g., fall, motor vehicle accident, blunt trauma].  Pain is localized to the [specific rib number(s) if known, otherwise describe location - e.g., left lateral rib cage, left anterior chest] and exacerbated by deep inspiration, coughing, and palpation.  Patient denies shortness of breath but reports pain with movement and tenderness to the touch.  Physical examination reveals [describe physical findings - e.g., point tenderness over the affected rib(s), crepitus, ecchymosis, chest wall deformity].  Pulmonary auscultation reveals [describe breath sounds - e.g., clear breath sounds bilaterally, equal air entry].  No signs of respiratory distress.  Mechanism of injury, physical exam findings, and localized pain are consistent with a left rib fracture.  Differential diagnosis includes costochondritis, intercostal muscle strain, and pneumothorax.  Chest x-ray [ordered, performed, reviewed - specify] to confirm the diagnosis and evaluate for associated injuries such as pneumothorax or hemothorax.  Initial treatment includes pain management with [specify medication and dosage - e.g., ibuprofen 600mg every 6 hours as needed for pain], ice packs to the affected area, and patient education on splinting the chest during coughing and deep breathing exercises.  Patient advised to avoid strenuous activity and follow up with primary care physician within [ timeframe - e.g., one week] for reassessment.  ICD-10 code [appropriate ICD-10 code - e.g., S22.42XA] for closed fracture of the left rib.  Patient advised on potential complications, including pneumonia and flail chest.  Instructions provided for return precautions such as worsening pain, shortness of breath, or fever.