Hemothorax physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Irfan Dotani
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]
The most common symptoms of hemothorax include severe chest pain and shortness of breath. Orthopnea can be another symptom of hemothorax.
PMID: 25922734
PMID: 20060125
PMID: 24507452
Physical Examination: PMID: 10755695
Tachypnea oxygen desaturation: PMID: 27804245 PMID: 24839567
Tachycardia cold sweating : PMID: 16921070 PMID: 24839567
signs of occupation by pleural fluid PMID: 24698396
dependent dark zone free of echo PMID: 25023524
shortness of breath PMID: 21034516
PMID:28329116 Radiological examination is the key for accurate identification of the source of bleeding. Enhanced chest CT in combination with CT angiography of the aorta can reveal the bleeding site and the severity of the haemothorax.
PMID: 26448354 y of the chest demonstrates bilateral pleural effusion
Physical Examination
Vitals
Pulse Rate
Blood Pressure
Respiratory Rate
- Tachypnea and oxygen desaturation
Skin
- cold sweating
Lungs
- Dyspnea
- Trachea deviation
- Dullness to percussion
- Decreased breath sounds
- jugular venous distention