Female, age 42 no history of injury or illness prior to fall: I fell off a ladder five days ago. I fell about five feet and landed on my back and also hit the back of my head , landing on a wooden deck. I did not lose consciousness. My lower back is sore and bruised but as of yesterday, my chest has begun to hurt and it hurts to take a deep breath . The motion to remove my shirt is also quite painful. It hurts more now than it did immediately after the fall. The pain is worse today than yesterday.