Pneumothorax physical examination

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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 dsypnea, chest pain, and neck vein distension. Patients with tension pneumothorax usually appear dsypnic 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

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