Pneumothorax physical examination: Difference between revisions
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{{CMG}}; {{AE}} {{HQ}}, {{FT}} | {{CMG}}; {{AE}} {{HQ}}, {{FT}} | ||
==Overview== | ==Overview== | ||
Patients with primary spontaneous pneumothorax usually appear normal. Physical examination of patients with primary spontaneous pneumothorax is usually remarkable normal. Patients with secondary spontaneous pneumothorax usually appear in distress. Physical examination of patients with secondary spontaneous pneumothorax is usually remarkable for | Patients with primary spontaneous pneumothorax usually appear normal. Physical examination of patients with primary spontaneous pneumothorax is usually remarkable normal. Patients with secondary spontaneous pneumothorax usually appear in distress. Physical examination of patients with secondary spontaneous pneumothorax is usually remarkable for [[dyspnea]], [[chest pain]], and [[Jugular venous pressure|neck vein]] distension. Patients with tension pneumothorax usually appear [[Dyspnea|dyspnic]] and distressed. Physical examination of patients with tension pneumothorax is usually remarkable for [[tracheal deviation]], decreased [[Respiratory examination|chest expansion]], increased [[percussion]] note, decreased [[Breathing|breath]] sounds, and [[Jugular venous pressure|neck veins]] distension. | ||
==Physical Examination== | ==Physical Examination== | ||
Important physical exam findings in a patient with pneumothorax include::<ref name="SharmaJindal2008">{{cite journal|last1=Sharma|first1=Anita|last2=Jindal|first2=Parul|title=Principles of diagnosis and management of traumatic pneumothorax|journal=Journal of Emergencies, Trauma and Shock|volume=1|issue=1|year=2008|pages=34|issn=0974-2700|doi=10.4103/0974-2700.41789}}</ref><ref name="pmid12728149">{{cite journal| author=Henry M, Arnold T, Harvey J, Pleural Diseases Group, Standards of Care Committee, British Thoracic Society| title=BTS guidelines for the management of spontaneous pneumothorax. | journal=Thorax | year= 2003 | volume= 58 Suppl 2 | issue= | pages= ii39-52 | pmid=12728149 | doi= | pmc=1766020 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12728149 }} </ref> | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with primary spontaneous pneumothorax usually appear normal. | *Patients with primary spontaneous pneumothorax usually appear normal. | ||
*Patients with secondary spontaneous pneumothorax usually appear in dyspnic and in distress. | *Patients with secondary spontaneous pneumothorax usually appear in [[Dyspnea|dyspnic]] and in distress. | ||
*Patients with tension pneumothorax usually appear distressed. | *Patients with tension pneumothorax usually appear distressed. | ||
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===Lungs=== | ===Lungs=== | ||
*Decreased chest expansion | *Decreased [[chest]] expansion | ||
*Lungs are hyperresonant | *[[Lung|Lungs]] are hyperresonant | ||
*[[Egophony]] present | *[[Egophony]] present | ||
===Heart=== | ===Heart=== | ||
* Cardiovascular examination of patients with pneumothorax is usually normal. | * [[Circulatory system|Cardiovascular]] examination of patients with pneumothorax is usually normal. | ||
===Abdomen=== | ===Abdomen=== | ||
Abdominal examination of patients with pneumothorax is usually normal. | * [[Abdomen|Abdominal]] examination of patients with pneumothorax is usually normal. | ||
===Back=== | ===Back=== | ||
* Back examination of patients with pneumothorax is usually normal. | * [[Human back|Back]] examination of patients with pneumothorax is usually normal. | ||
===Genitourinary=== | ===Genitourinary=== | ||
* Genitourinary examination of patients with pneumothorax is usually normal. | * [[Genitourinary system|Genitourinary]] examination of patients with pneumothorax is usually normal. | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Neuromuscular examination of patients with pneumothorax is usually normal. | * [[Neuromuscular junction|Neuromuscular]] examination of patients with pneumothorax is usually normal. | ||
===Extremities=== | ===Extremities=== | ||
*[[Cyanosis]] | *[[Cyanosis]] | ||
=== Video === | |||
{{#ev:youtube|C2eEPyjxczw}} | |||
== References == | == References == | ||
Latest revision as of 20:14, 2 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Feham Tariq, MD [3]
Overview
Patients with primary spontaneous pneumothorax usually appear normal. Physical examination of patients with primary spontaneous pneumothorax is usually remarkable normal. Patients with secondary spontaneous pneumothorax usually appear in distress. Physical examination of patients with secondary spontaneous pneumothorax is usually remarkable for dyspnea, chest pain, and neck vein distension. Patients with tension pneumothorax usually appear dyspnic and distressed. Physical examination of patients with tension pneumothorax is usually remarkable for tracheal deviation, decreased chest expansion, increased percussion note, decreased breath sounds, and neck veins distension.
Physical Examination
Important physical exam findings in a patient with pneumothorax include::[1][2]
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
- Tachycardia with regular pulse
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
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
Video
{{#ev:youtube|C2eEPyjxczw}}
References
- ↑ 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.
- ↑ Henry M, Arnold T, Harvey J, Pleural Diseases Group, Standards of Care Committee, British Thoracic Society (2003). "BTS guidelines for the management of spontaneous pneumothorax". Thorax. 58 Suppl 2: ii39–52. PMC 1766020. PMID 12728149.