Hemothorax physical examination: Difference between revisions

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Latest revision as of 01:42, 22 August 2020

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

^[1]^[2]^[3]^[4]^[3]^[5]^[6]

Vitals

Pulse Rate

Tachycardia

Blood Pressure

Respiratory Rate

Tachypnea and oxygen desaturation

Skin

Cold sweating

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.

Template:WH Template:WS

[pmid10755695-1] 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.

[pmid27804245-2] 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.

[pmid24839567-3] 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.

[pmid16921070-4] 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.

[pmid25023524-5] 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.

[pmid21034516-6] 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.

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@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Hemothorax}}
-{{CMG}}
+{{CMG}}; {{AE}} [[User:Irfan Dotani|Irfan Dotani]] {{JE}}
 ==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.<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==
+<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===
-*[[Tachypnea]]
+====Pulse Rate====
-*[[Dyspnea]]
-*[[Cyanosis]]
-*Decreased or absent breath sounds on affected side
-*Tracheal deviation
-*Dull resonance on percussion
-*Unequal chest rise
 *[[Tachycardia]]
+====Blood Pressure====
 *[[Hypotension]]
-*Pale, cool, clammy skin
+*[[Hypovolemic shock]]
-*Possibly subcutaneous air
-*Narrowing [[pulse pressure]]
+====Respiratory Rate====
+*[[Tachypnea]] and oxygen desaturation
+===Skin===
+*[[Diaphoresis|Cold sweating]]
+===Lungs===
+*[[Dyspnea]]
+*[[Trachea deviation]]
+* [[Percussion of the lungs|Dullness to percussion]]
+* Decreased [[breath sounds]]
+* [[Jugular venous pressure|jugular venous distention]]
 ==References==
 {{reflist|2}}
+[[Category:Cardiology]]
+[[Category:Pulmonology]]
+[[Category:Surgery]]
+[[Category:Emergency medicine]]
 {{WH}}
 {{WS}}
-[[Category:Chest trauma]]
-[[Category:Diseases involving the fasciae]]
-[[Category:Emergency medicine]]
-[[Category:Pulmonology]