<s>[INST] 74 yr old male, slipped and fell on bathroom toilet on 6/13 Saturday around 3-4am suspects he has rib fracture with visible indentation in the rib area. Can he have SBO or Sm Bowel puncture/injury from this fall if Complainting of no BM or Flatus since injury and urinating less than usual? [/INST] kindly get an x ray done and no bowel injury as per your history as bowel injury cant be tolerated more than one day meet a surgeon or orthopaedician to rule out rib injury </s>