Hemothorax physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The most common symptoms of hemothorax include severe chest pain, and [[dyspnea]] that can be life threatening when hemodynamic instability and [[hypovolemic shock]] occurs | The most common symptoms of hemothorax include severe chest pain. Patients with hemothorax usually appear dullness to percussion and decreased breath sounds, and [[dyspnea]] that can be life threatening when hemodynamic instability and [[hypovolemic shock]] occurs. Some patients with hemothorax may have reduced concentrations of hemoglobin. On chest x-ray, hemothorax is characterized by [[meniscus]] of fluid blunting the [[costophrenic angle]] or diaphragmatic surface and tracking up the pleural margins of the chest wall. Ultrasonography may be helpful in the diagnosis of hemothorax. Computed Tomographic scan is not indicated in the initial trauma setting to diagnosis of hemothorax. | ||
==Physical Examination== | ==Physical Examination== | ||
Revision as of 20:24, 15 March 2018
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Hemothorax Microchapters |
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Hemothorax physical examination On the Web |
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Risk calculators and risk factors for Hemothorax physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most common symptoms of hemothorax include severe chest pain. Patients with hemothorax usually appear dullness to percussion and decreased breath sounds, and dyspnea that can be life threatening when hemodynamic instability and hypovolemic shock occurs. Some patients with hemothorax may have reduced concentrations of hemoglobin. On chest x-ray, hemothorax is characterized by meniscus of fluid blunting the costophrenic angle or diaphragmatic surface and tracking up the pleural margins of the chest wall. Ultrasonography may be helpful in the diagnosis of hemothorax. Computed Tomographic scan is not indicated in the initial trauma setting to diagnosis of hemothorax.
Physical Examination
Vitals
Pulse
Rate
Blood Pressure
- Hypotension
- Narrowing pulse pressure
Respiratory Rate
Skin
- Pale, cool, clammy skin
Lungs
- Dyspnea
- Cyanosis
- Decreased or absent breath sounds on affected side
- Tracheal deviation
- Dull resonance on percussion
- Unequal chest rise
- Possibly subcutaneous air