Pneumothorax physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

The common signs of pneumothorax include:[1]

  • Tracheal deviation
  • Chest expansion decreased
  • Percussion note increased
  • Breath sounds decreased
  • Neck veins distended

Video

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Appearance of the Patient

  • Patients with primary spontaneous pneumothorax usually appear normal.
  • Patients with secondary spontaneous pneumothorax usually appear in dyspnic and in distress.
  • Patients with tension pneumothorax usually appear distressed.

Vital Signs

Skin

  • Skin examination of patients with primary spontaneous pneumothorax is usually normal.

HEENT

  • HEENT examination of patients with primary spontaneous pneumothorax is usually normal.

Neck

Lungs

  • Decreased chest expansion
  • Lungs are hyperresonant
  • Egophony present

Heart

  • Cardiovascular examination of patients with pneumothorax is usually normal.

Abdomen

Abdominal examination of patients with pneumothorax is usually normal.

Back

  • Back examination of patients with pneumothorax is usually normal.

Genitourinary

  • Genitourinary examination of patients with pneumothorax is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with pneumothorax is usually normal.

Extremities

References

  1. Sharma, Anita; Jindal, Parul (2008). "Principles of diagnosis and management of traumatic pneumothorax". Journal of Emergencies, Trauma and Shock. 1 (1): 34. doi:10.4103/0974-2700.41789. ISSN 0974-2700.

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