Hemothorax physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hemothorax}} | {{Hemothorax}} | ||
{{CMG}}; {{AE}} [[User:Irfan Dotani|Irfan Dotani]] | {{CMG}}; {{AE}} [[User:Irfan Dotani|Irfan Dotani]] {{JE}} | ||
==Overview== | ==Overview== | ||
Patients with hemothorax usually appear dullness to percussion, decreased breath sounds, tracheal deviation, and [[dyspnea]] that can be life-threatening when hemodynamic instability and [[hypovolemic shock]] occurs. | Patients with hemothorax usually appear dullness to [[percussion]], decreased [[breath sounds]], [[tracheal deviation]], and [[dyspnea]] that can be life-threatening when hemodynamic instability and [[hypovolemic shock]] occurs.<ref name="pmid10755695">{{cite journal |vauthors=Sohara N, Takagi H, Yamada T, Abe T, Mori M |title=Hepatocellular carcinoma complicated by hemothorax |journal=J. Gastroenterol. |volume=35 |issue=3 |pages=240–4 |date=2000 |pmid=10755695 |doi= |url=}}</ref><ref name="pmid27804245">{{cite journal |vauthors=Shiokawa N, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Mukai M, Yoshioka T, Kawano Y |title=Conservative treatment of massive hemothorax in a girl with neuroblastoma |journal=Pediatr Int |volume=58 |issue=10 |pages=1090–1092 |date=October 2016 |pmid=27804245 |doi=10.1111/ped.13094 |url=}}</ref><ref name="pmid24839567">{{cite journal |vauthors=Ota H, Kawai H, Togashi S, Matsuo T |title=Video-assisted minithoracotomy for pulmonary laceration with a massive hemothorax |journal=Case Rep Emerg Med |volume=2014 |issue= |pages=454970 |date=2014 |pmid=24839567 |doi=10.1155/2014/454970 |url=}}</ref><ref name="pmid16921070">{{cite journal |vauthors=Ke HY, Lee SC, Tzao C, Chang H, Liao GS, Cheng YL |title=Spontaneous massive haemothorax caused by rupture of an intercostal vein |journal=Emerg Med J |volume=23 |issue=9 |pages=e49 |date=September 2006 |pmid=16921070 |pmc=2564237 |doi=10.1136/emj.2006.036087 |url=}}</ref><ref name="pmid24839567">{{cite journal |vauthors=Ota H, Kawai H, Togashi S, Matsuo T |title=Video-assisted minithoracotomy for pulmonary laceration with a massive hemothorax |journal=Case Rep Emerg Med |volume=2014 |issue= |pages=454970 |date=2014 |pmid=24839567 |pmc=4006568 |doi=10.1155/2014/454970 |url=}}</ref><ref name="pmid25023524">{{cite journal |vauthors=Leblanc D, Bouvet C, Degiovanni F, Nedelcu C, Bouhours G, Rineau E, Ridereau-Zins C, Beydon L, Lasocki S |title=Early lung ultrasonography predicts the occurrence of acute respiratory distress syndrome in blunt trauma patients |journal=Intensive Care Med |volume=40 |issue=10 |pages=1468–74 |date=October 2014 |pmid=25023524 |doi=10.1007/s00134-014-3382-9 |url=}}</ref><ref name="pmid21034516">{{cite journal |vauthors=Zhao Y, Li GY, Yang Z, Zhang P, Zhang K, Shao G |title=Bilateral heterochronic spontaneous hemothorax caused by pulmonary arteriovenous malformation in a gravid: a case report |journal=J Cardiothorac Surg |volume=5 |issue= |pages=96 |date=October 2010 |pmid=21034516 |pmc=2987927 |doi=10.1186/1749-8090-5-96 |url=}}</ref> | ||
==Physical Examination== | ==Physical Examination== | ||
<ref name="pmid10755695">{{cite journal |vauthors=Sohara N, Takagi H, Yamada T, Abe T, Mori M |title=Hepatocellular carcinoma complicated by hemothorax |journal=J. Gastroenterol. |volume=35 |issue=3 |pages=240–4 |date=2000 |pmid=10755695 |doi= |url=}}</ref><ref name="pmid27804245">{{cite journal |vauthors=Shiokawa N, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Mukai M, Yoshioka T, Kawano Y |title=Conservative treatment of massive hemothorax in a girl with neuroblastoma |journal=Pediatr Int |volume=58 |issue=10 |pages=1090–1092 |date=October 2016 |pmid=27804245 |doi=10.1111/ped.13094 |url=}}</ref><ref name="pmid24839567">{{cite journal |vauthors=Ota H, Kawai H, Togashi S, Matsuo T |title=Video-assisted minithoracotomy for pulmonary laceration with a massive hemothorax |journal=Case Rep Emerg Med |volume=2014 |issue= |pages=454970 |date=2014 |pmid=24839567 |doi=10.1155/2014/454970 |url=}}</ref><ref name="pmid16921070">{{cite journal |vauthors=Ke HY, Lee SC, Tzao C, Chang H, Liao GS, Cheng YL |title=Spontaneous massive haemothorax caused by rupture of an intercostal vein |journal=Emerg Med J |volume=23 |issue=9 |pages=e49 |date=September 2006 |pmid=16921070 |pmc=2564237 |doi=10.1136/emj.2006.036087 |url=}}</ref><ref name="pmid24839567">{{cite journal |vauthors=Ota H, Kawai H, Togashi S, Matsuo T |title=Video-assisted minithoracotomy for pulmonary laceration with a massive hemothorax |journal=Case Rep Emerg Med |volume=2014 |issue= |pages=454970 |date=2014 |pmid=24839567 |pmc=4006568 |doi=10.1155/2014/454970 |url=}}</ref><ref name="pmid25023524">{{cite journal |vauthors=Leblanc D, Bouvet C, Degiovanni F, Nedelcu C, Bouhours G, Rineau E, Ridereau-Zins C, Beydon L, Lasocki S |title=Early lung ultrasonography predicts the occurrence of acute respiratory distress syndrome in blunt trauma patients |journal=Intensive Care Med |volume=40 |issue=10 |pages=1468–74 |date=October 2014 |pmid=25023524 |doi=10.1007/s00134-014-3382-9 |url=}}</ref><ref name="pmid21034516">{{cite journal |vauthors=Zhao Y, Li GY, Yang Z, Zhang P, Zhang K, Shao G |title=Bilateral heterochronic spontaneous hemothorax caused by pulmonary arteriovenous malformation in a gravid: a case report |journal=J Cardiothorac Surg |volume=5 |issue= |pages=96 |date=October 2010 |pmid=21034516 |pmc=2987927 |doi=10.1186/1749-8090-5-96 |url=}}</ref> | |||
===Vitals=== | ===Vitals=== | ||
| Line 45: | Line 21: | ||
===Skin=== | ===Skin=== | ||
* | *[[Diaphoresis|Cold sweating]] | ||
===Lungs=== | ===Lungs=== | ||
*[[Dyspnea]] | *[[Dyspnea]] | ||
*Trachea deviation | *[[Trachea deviation]] | ||
* [[Percussion of the lungs|Dullness to percussion]] | * [[Percussion of the lungs|Dullness to percussion]] | ||
* Decreased breath sounds | * Decreased [[breath sounds]] | ||
* jugular venous distention | * [[Jugular venous pressure|jugular venous distention]] | ||
==References== | ==References== | ||
Latest revision as of 01:42, 22 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Irfan Dotani Joanna Ekabua, M.D. [2]
Overview
Patients with hemothorax usually appear dullness to percussion, decreased breath sounds, tracheal deviation, and dyspnea that can be life-threatening when hemodynamic instability and hypovolemic shock occurs.[1][2][3][4][3][5][6]
Physical Examination
Vitals
Pulse Rate
Blood Pressure
Respiratory Rate
- Tachypnea and oxygen desaturation
Skin
Lungs
References
- ↑ 1.0 1.1 Sohara N, Takagi H, Yamada T, Abe T, Mori M (2000). "Hepatocellular carcinoma complicated by hemothorax". J. Gastroenterol. 35 (3): 240–4. PMID 10755695.
- ↑ 2.0 2.1 Shiokawa N, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Mukai M, Yoshioka T, Kawano Y (October 2016). "Conservative treatment of massive hemothorax in a girl with neuroblastoma". Pediatr Int. 58 (10): 1090–1092. doi:10.1111/ped.13094. PMID 27804245.
- ↑ 3.0 3.1 3.2 3.3 Ota H, Kawai H, Togashi S, Matsuo T (2014). "Video-assisted minithoracotomy for pulmonary laceration with a massive hemothorax". Case Rep Emerg Med. 2014: 454970. doi:10.1155/2014/454970. PMID 24839567.
- ↑ 4.0 4.1 Ke HY, Lee SC, Tzao C, Chang H, Liao GS, Cheng YL (September 2006). "Spontaneous massive haemothorax caused by rupture of an intercostal vein". Emerg Med J. 23 (9): e49. doi:10.1136/emj.2006.036087. PMC 2564237. PMID 16921070.
- ↑ 5.0 5.1 Leblanc D, Bouvet C, Degiovanni F, Nedelcu C, Bouhours G, Rineau E, Ridereau-Zins C, Beydon L, Lasocki S (October 2014). "Early lung ultrasonography predicts the occurrence of acute respiratory distress syndrome in blunt trauma patients". Intensive Care Med. 40 (10): 1468–74. doi:10.1007/s00134-014-3382-9. PMID 25023524.
- ↑ 6.0 6.1 Zhao Y, Li GY, Yang Z, Zhang P, Zhang K, Shao G (October 2010). "Bilateral heterochronic spontaneous hemothorax caused by pulmonary arteriovenous malformation in a gravid: a case report". J Cardiothorac Surg. 5: 96. doi:10.1186/1749-8090-5-96. PMC 2987927. PMID 21034516.