Pneumothorax physical examination

Pneumothorax Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

The common signs of pneumothorax include:

• Tracheal deviation
• Chest expansion decreased
• Percussion note increased
• Breath sounds decreased
• Neck veins distended

Video

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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

• Jugular venous distension

Lungs

• Decreased chest expansion
• Lungs are hyperresonant
• Egophony present

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

• Cyanosis