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50 Possible Causes for Distended Neck Veins, Tension Pneumothorax

  • Tension Pneumothorax

    With the pressure gradually decreasing dueto this maneuver, tension pneumothorax slowly turns into simple pneumothorax.[] However, the classic physical examination findings of tracheal deviation and distended neck veins are poorly sensitive in the diagnosis of tension pneumothorax.[] neck veins, muffled heart sounds) - pulsus paradoxus - Kussmaul's sign - ECHO - IV fluids - pericardiocentesis - open thoracotomy[]

  • Superior Vena Cava Syndrome

    Physical examination can reveal distended neck veins, edema of the upper extremities, while various neurological deficits may be encountered.[] Classic symptoms include edema, plethora, and distended veins of the face, neck, and chest; shortness of breath; cough; headache; and hoarseness.[] […] and distended veins in the upper chest and arms [5] Upper limb edema [5] Lightheadedness [4] Cough [4] Edema (swelling) of the neck, called the collar of Stokes [6] Pemberton's[]

  • Distended Neck Veins

    CT of tension pneumothorax The presence of chest tubes does not mean a patient cannot develop a tension pneumothorax.[] What Causes Distended Neck Veins?[] A tension pneumothorax will have the same features as a simple pneumothorax with a number of additional features, helpful in identifying tension.[]

  • Pneumothorax

    Tension pneumothorax—time for a re-think?[] A tension pneumothorax additionally presents with distended neck veins, tracheal deviation , and hemodynamic instability.[] neck veins Differential diagnosis of a pneumothorax Pleural effusion PE Pneumonia Pericarditis Investigation of a pneumothorax ABG Hypoxia, severity dependent on size of[]

  • 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.[] neck veins, worse with inspiration ( Kussmaul sign ) Diminished heart sounds ( Beck’s Triad : a combination of distended neck veins, hypotension, and diminished heart sounds[] […] symptoms of right heart failure Cardiogenic shock, asystole Beck's triad for cardiac tamponade : hypotension, muffled heart sounds, distended neck veins ![]

  • Central Venous Pressure Increased

    pneumothorax Factors that decrease CVP include: Deep inhalation Distributive shock Hypovolemia See also [ edit ] Jugular venous pressure Pulmonary capillary wedge pressure[] Thus, increase in PEEP will be interpreted as an increase in CVP A tension pneumothorax will also increase CVP by increasing intrathoracic pressure Intrabdominal pressure[] Deviation of the trachea in tension pneumothorax is often a late sign and its absence should not deflect the physician from the diagnosis.[]

  • Chest Trauma

    Assess pulses for quality, rate, regularity Look at neck veins - flat vs. distended-fluid deficit or decreased supply to body from heart due to compression.[] Obstructive shock and hypoxia are the results of a tension pneumothorax. If a tension pneumothorax worsens, a mediastinal shift will occur.[] Neck veins may not be distended if hypovolemia is present, and muffled heart tones are often not present.[]

  • Laceration of the Lung

    Obstructive shock and hypoxia are the results of tension pneumothorax.[] Distended neck veins Cyanosis in the face and neck Hemorrhage into the sclera of the eye, signaling the bursting of small blood vessels.[] Neck veins will become distended with worsening tamponade, and hypotension with a narrowed pulse pressure will be seen. Blunt Abdominal Trauma Figure 3 Figure 3.[]

  • Spontaneous Pneumothorax

    Tension pneumothorax rarely presented as consequence of PSP.[] In patients who have a tension pneumothorax, presentation may be with distended neck veins and tracheal deviation, cardiac arrest and in the most severe cases, death.[] CASE REPORT: A patient presented in the emergency setting with acute chest pain and shortness of breath caused by a tension pneumothorax.[]

  • Traumatic Pneumothorax

    The mediastinal shift that was caused by the tension pneumothorax (Fig. 5 in the Supplementary Appendix ) caused mild circulatory instability (blood pressure, 80/40 mm Hg;[] neck veins Massive hemothorax:High Blood pressure What else could this be?[] In patients who have a tension pneumothorax , presentation may be with distended neck veins and tracheal deviation, cardiac arrest and in the most severe cases, death.[]

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