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25 Possible Causes for Diminished Heart Sounds, Hyperresonance, Tension Pneumothorax

  • Pneumothorax

    Patients with pneumothorax present with sudden-onset dyspnea , ipsilateral chest pain , diminished breath sounds, and hyperresonant percussion on the affected side.[amboss.com] The most common cause of tension pneumothorax is penetrating trauma.[acls.com] […] appearances may be normal Sweating, tachypnoea, tachycardia (most common finding) Splinting of the chest wall to relieve pleuritic pain Decreased or absent breath sounds Hyperresonance[rch.org.au]

  • Tension Pneumothorax

    With the pressure gradually decreasing dueto this maneuver, tension pneumothorax slowly turns into simple pneumothorax.[symptoma.com] You hear diminished breath sounds on the right side. His oxygen saturation is dropping. A bedside x-ray is taken and reveals the following in Figure A.[medbullets.com] Clinical features This is a clinican diagnosis History of penetrating trauma, positive pressure ventilation or airways disease Air hunger Hypotension distended neck veins hyperresonant[emed.ie]

  • Cardiac Tamponade

    tension pneumothorax, the most likely diagnosis is cardiac tamponade. [13] Signs of classical cardiac tamponade include three signs, known as Beck's triad .[en.wikipedia.org] , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] […] increase (or absence of decline) in jugular venous pressure with inhalation pericardial knock Tension pneumothorax distinguishing factors decreased or absent breath sounds hyperresonant[medbullets.com]

  • Chronic Obstructive Pulmonary Disease

    […] cough or expectoration Breathing may be assisted by pursed lips and use of accessory respiratory muscles; patients may adopt the tripod sitting position The chest may be hyperresonant[emedicine.medscape.com] Tension pneumothorax in patients with COPD is a rare and often unexpected cause of acute vital threat.[ncbi.nlm.nih.gov] In this case, air trapping resulting from the Valsalva maneuver under inadequate pain control may be the mechanism for fatal tension pneumothorax during colonoscopy.[ncbi.nlm.nih.gov]

  • Distended Neck Veins

    CT of tension pneumothorax The presence of chest tubes does not mean a patient cannot develop a tension pneumothorax.[trauma.org] , and diminished heart sounds) Cold, clammy extremities Anxiety, restlessness Diagnosis Blood tests EKG, Chest X-ray Cardiac ECHO Treatment Oxygen IV fluids Medications to[cardiachealth.org] If the pneumothorax is large, hyperresonance to percussion may be present.[madsci.com]

  • Hemothorax

    Tension Pneumothorax. Tension pneumothorax is a condition in which air enters the pleural cavity outside the lung and becomes trapped.[brooksidepress.org] […] breath sounds displaced heart sounds blunting of costophrenic angle depressed diaphragm possible mediastinal shift to afected side meniscus sign shelf respiratory care treatment[quizlet.com] Percussion over the hyperinflated pleura will produce a tympanic or hollow sound known as hyperresonance.[emsworld.com]

  • Congenital Emphysema

    Cataneo et al. in their 30-year case series of CLE mentioned a case in which CLE was misdiagnosed as tension pneumothorax at birth, and chest tube drainage was done, without[lungindia.com] CLE may be suspected with asymmetrical chest expansion, hyper-resonance to chest percussion, displaced cardiac sounds, and diminished heart and breath sounds.[ispub.com] Preoperative examination revealed a heart rate of 130 bpm, a respiratory rate of 76 breaths/min, presence of intercostal and sternal recession, and hyperresonant percusion[journals.lww.com]

  • Penetrating Chest Trauma

    On auscultation, there was diminished breath sound in left side; heart sounds were clearly audible without any murmur.[jusurgery.com] Percussion over the hyperinflated pleura will produce a tympanic or hollow sound known as hyperresonance.[emsworld.com] pneumothorax) there is definitely a tear in the chest wall & probably the parietal pleura tf any air that enters into the pleural space via the lung and the flap like tear[forums.studentdoctor.net]

  • Chest Trauma

    Obstructive shock and hypoxia are the results of a tension pneumothorax. If a tension pneumothorax worsens, a mediastinal shift will occur.[medictests.com] If the pneumothorax is large, hyperresonance to percussion may be present.[madsci.com] Decreased breath sounds can result from pneumothorax or hemothorax ; percussion over the affected areas is dull with hemothorax and hyperresonant with pneumothorax.[merckmanuals.com]

  • Myocardial Contusion

    A tenderness of the right collarbone and a bilaterally diminished breath sounds were noted.[panafrican-med-journal.com] If the pneumothorax is large, hyperresonance to percussion may be present.[madsci.com] Other signs of tension pneumothorax, tracheal deviation, hypotension, hypoxemia should trigger chest decompression prior to CXR.[trauma.org]