Pleural empyema physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pleural empyema}} | {{Pleural empyema}} | ||
{{CMG}} | {{CMG}} {{AE}} {{PTD}} | ||
==Overview== | ==Overview== | ||
== Physical Examination == | |||
On examination, the following findings may be seen:<ref name="pmid27180228">{{cite journal| author=Atay S, Banki F, Floyd C| title=Empyema necessitans caused by actinomycosis: A case report. | journal=Int J Surg Case Rep | year= 2016 | volume= 23 | issue= | pages= 182-5 | pmid=27180228 | doi=10.1016/j.ijscr.2016.04.005 | pmc=5022073 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27180228 }} </ref><ref name="pmid24326441">{{cite journal| author=Gomes MM, Alves M, Correia JB, Santos L| title=Empyema necessitans: very late complication of pulmonary tuberculosis. | journal=BMJ Case Rep | year= 2013 | volume= 2013 | issue= | pages= | pmid=24326441 | doi=10.1136/bcr-2013-202072 | pmc=3863066 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24326441 }} </ref><ref name="pmid21619994">{{cite journal| author=Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR| title=Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings. | journal=Ann Thorac Surg | year= 2011 | volume= 91 | issue= 6 | pages= 1969-71 | pmid=21619994 | doi=10.1016/j.athoracsur.2010.11.075 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21619994 }} </ref> lateral chest wall swelling and tenderness, [[clubbing]] of the fingernails, dull percussion note, reduced breath sounds on the affected side of the chest, egophony, coarse crackles, increased fremitus, mediastinal shift to opposite side with large empyema | |||
==Physical Examination== | |||
On examination, the following findings may be seen:<ref name="pmid27180228">{{cite journal| author=Atay S, Banki F, Floyd C| title=Empyema necessitans caused by actinomycosis: A case report. | journal=Int J Surg Case Rep | year= 2016 | volume= 23 | issue= | pages= 182-5 | pmid=27180228 | doi=10.1016/j.ijscr.2016.04.005 | pmc=5022073 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27180228 }} </ref><ref name="pmid24326441">{{cite journal| author=Gomes MM, Alves M, Correia JB, Santos L| title=Empyema necessitans: very late complication of pulmonary tuberculosis. | journal=BMJ Case Rep | year= 2013 | volume= 2013 | issue= | pages= | pmid=24326441 | doi=10.1136/bcr-2013-202072 | pmc=3863066 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24326441 }} </ref><ref name="pmid21619994">{{cite journal| author=Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR| title=Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings. | journal=Ann Thorac Surg | year= 2011 | volume= 91 | issue= 6 | pages= 1969-71 | pmid=21619994 | doi=10.1016/j.athoracsur.2010.11.075 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21619994 }} </ref> | |||
*Lateral chest wall swelling and tenderness. | |||
*[[Clubbing]] of the fingernails | |||
*Dull percussion note | |||
*Reduced breath sounds on the affected side of the chest. | |||
*Egophony | |||
*Coarse crackles | |||
*Increased fremitus | |||
*Mediastinal shift to opposite side with large empyema | |||
The above physical examination findings may be absent in some cases making the use of imaging studies an important component of diagnosis. | |||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 17:50, 16 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
On examination, the following findings may be seen:[1][2][3] lateral chest wall swelling and tenderness, clubbing of the fingernails, dull percussion note, reduced breath sounds on the affected side of the chest, egophony, coarse crackles, increased fremitus, mediastinal shift to opposite side with large empyema
Physical Examination
On examination, the following findings may be seen:[1][2][3]
- Lateral chest wall swelling and tenderness.
- Clubbing of the fingernails
- Dull percussion note
- Reduced breath sounds on the affected side of the chest.
- Egophony
- Coarse crackles
- Increased fremitus
- Mediastinal shift to opposite side with large empyema
The above physical examination findings may be absent in some cases making the use of imaging studies an important component of diagnosis.
References
- ↑ 1.0 1.1 Atay S, Banki F, Floyd C (2016). "Empyema necessitans caused by actinomycosis: A case report". Int J Surg Case Rep. 23: 182–5. doi:10.1016/j.ijscr.2016.04.005. PMC 5022073. PMID 27180228.
- ↑ 2.0 2.1 Gomes MM, Alves M, Correia JB, Santos L (2013). "Empyema necessitans: very late complication of pulmonary tuberculosis". BMJ Case Rep. 2013. doi:10.1136/bcr-2013-202072. PMC 3863066. PMID 24326441.
- ↑ 3.0 3.1 Kuan YC, How SH, Yeen WC, Ng TH, Fauzi AR (2011). "Empyema thoracis complicated by pneumothorax necessitans manifesting as lobulated, localized subcutaneous emphysematous swellings". Ann Thorac Surg. 91 (6): 1969–71. doi:10.1016/j.athoracsur.2010.11.075. PMID 21619994.