Hemothorax history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Irfan Dotani

Overview

The most common symptoms of hemothorax include severe chest pain and shortness of breath. Orthopnea can be another symptom of hemothorax. [1][2][3]

PMID: 25922734

PMID: 20060125

PMID: 24507452

Physical Examination: PMID: 10755695

Tachypnea oxygen desaturation:  PMID: 27804245 PMID: 24839567

Tachycardia  cold sweating : PMID: 16921070  PMID: 24839567

signs of occupation by pleural fluid  PMID: 24698396

dependent dark zone free of echo  PMID: 25023524

shortness of breath  PMID: 21034516

PMID:28329116   Radiological examination is the key for accurate identification of the source of bleeding. Enhanced chest CT in combination with CT angiography of the aorta can reveal the bleeding site and the severity of the haemothorax.

PMID: 26448354 y of the chest demonstrates bilateral pleural effusion

History and Symptoms

  • Severe chest pain
  • Orthopnea
  • Shortness of breath

References

  1. Patrini D, Panagiotopoulos N, Pararajasingham J, Gvinianidze L, Iqbal Y, Lawrence DR (March 2015). "Etiology and management of spontaneous haemothorax". J Thorac Dis. 7 (3): 520–6. doi:10.3978/j.issn.2072-1439.2014.12.50. PMC 4387396. PMID 25922734.
  2. Kuo SM, Chen KC, Diau GY, Hua YM (May 2010). "Dangerous costal exostosis: hemothorax mimicking empyema in a child". J. Pediatr. 156 (5): 853, 853.e1. doi:10.1016/j.jpeds.2009.09.053. PMID 20060125.
  3. Chen CL, Cheng YL (July 2014). "Delayed massive hemothorax complicating simple rib fracture associated with diaphragmatic injury". Am J Emerg Med. 32 (7): 818.e3–4. doi:10.1016/j.ajem.2013.12.060. PMID 24507452.