Hyperresonance: Causes & Reasons

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Possible Causes for Hyperresonance

Traumatic Pneumothorax

On lung examination, hyperresonance to percussion, decreased tactile fremitus, and diminished breath sounds are present on the affected side. [journals.lww.com]

Breath sounds may be diminished and the affected hemithorax hyperresonant to percussion—mainly with larger pneumothoraces. [merckmanuals.com]

Decreased breath sounds on the affected side Answer: c Explanation: When air leaks into the pleural space, the lung recoils from the chest wall and the increased air creates a hyperresonant [journals.lww.com]

Pneumothorax

On lung examination, hyperresonance to percussion, decreased tactile fremitus, and diminished breath sounds are present on the affected side. [journals.lww.com]

Patients with pneumothorax present with sudden-onset dyspnea, ipsilateral chest pain, diminished breath sounds, and hyperresonant percussion on the affected side. [amboss.com]

[…] coughing can also cause Presentation Symptoms sudden-onset, unilateral, pleuritic chest pain dyspnea acute respiratory distress Physical exam decreased or absent breath sounds hyperresonance [step2.medbullets.com]

Iatrogenic Pneumothorax

Clinical signs of tension pneumothorax include tracheal deviation, hyperresonance, and hypotension. [aneskey.com]

Patients with pneumothorax present with sudden-onset dyspnea, ipsilateral chest pain, diminished breath sounds, and hyperresonant percussion on the affected side. [amboss.com]

[…] pain that may radiate to neck, back, and shoulder hemodynamic instability tachycardia tachypnea dyspnea hypoxemia ipsilateral decreased or absent breath sounds ipsilateral hyperresonance [journals.lww.com]

Spontaneous Pneumothorax

There will be decreased breath sounds on the affected side and hyperresonance to percussion. What is the most likely cause for a spontaneous pneumothorax? [quizlet.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]

Tachycardia is the most common finding and, depending on the amount of lung involved, other physical findings include decreased chest wall movement, a hyperresonant percussion [aafp.org]

Catamenial Pneumothorax

Physical examination was remarkable for decreased breath sounds and hyperresonance over the right hemithorax. Her labs were unremarkable. [amjmed.org]

Physical findings classically consist of absent tactile fremitus, hyperresonance to percussion, and decreased breath sounds on the affected side. [merckmanuals.com]

[…] clinical finding (single most common finding) Keep high index of suspicion COPD patients Tall, thin males Changes on affected side Unilateral absent or decreased breath sounds Hyperresonance [fpnotebook.com]

Tension Pneumothorax

The affected hemithorax is hyperresonant to percussion and often feels somewhat distended, tense, and poorly compressible to palpation. [merckmanuals.com]

On the affected side, there is hyperresonance to percussion and decreased or absent breath sounds. [medcomic.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]

Hyperactive Airway Disease

Hyperresonance of the lungs – Hyperresonance may indicate lung consolidation because of accumulation of pulmonary secretions. [healthfoxx.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]

Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard on forced and unforced expiration Diffusely decreased breath sounds Hyperresonance [emedicine.medscape.com]

Bronchial Asthma

History A detailed assessment of the medical history should address the following: Whether symptoms are attributable to asthma Whether findings support the likelihood of asthma (eg, family history) Asthma severity Identification of possible precipitating factors Family history may be pertinent for asthma, allergy,[…] [emedicine.medscape.com]

Artificial Pneumothorax

Abstract Systemic air embolism occurred in a patient during general anaesthesia, with positive pressure ventilation, following induction of artificial pneumothorax to assist in the diagnosis of a mediastinal mass. A sudden change in vital signs together with neurological abnormalities suggested involvement of both[…] [ncbi.nlm.nih.gov]

Silicosis

Inhalation of crystalline silica is known to result in silicosis: an irreversible, disabling and potentially fatal occupational lung disease, which is associated with a variety of pulmonary and non-pulmonary complications including autoimmunity. A potential link between silicosis and systemic lupus erythematosus (SLE) is[…] [ncbi.nlm.nih.gov]

Congenital Emphysema

[…] lobar emphysema has 2 forms: Hypoalveolar (fewer than expected number of alveoli) Polyalveolar (greater than expected number of alveoli) The thorax on the involved side is hyperresonant [emedicine.medscape.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]

Physical examination may reveal asymmetric chest expansion with focal hyperresonance and diminished breath sounds over the affected lobe. [joacp.org]

Congenital Malformation of the Lung

[…] and venous connections • R=L Upper lobes predominate slightly • Majority present in neonatal period • Acute respiratory distress • Decreased breath sounds, cardiac shift, hyperresonance [learningradiology.com]

Mediastinal shift may be present, with hyperresonance and decreased breath sounds on the involved side. [emedicine.medscape.com]

[…] respiratory distress including tachypnea, grunting, retractions and cyanosis.2 Upon physical examination, there may be prominence of the affected side of the chest, ipsilateral hyperresonance [ispub.com]

Pulmonary Consolidation

[…] pushes mediastinum to opposite side) ↓ breath sounds Emphysema Hyperresonant Reduced -- ↓ breath sounds + wheezing Asthma Hyperresonant Reduced -- ↓ breath sounds + wheezing [medbullets.com]

PERCUSSION : Resonance: Normal breath sound Hyperresonance: Increased resonance over thorax. May be found in Emphysema or Pneumothorax. [kumc.edu]

No Toward lesion (diaphram and trachea fill space left behind when lung collapses) ↓ breath sounds Tension pneumothorax Hyperresonant No Away from lesion (increased pressure [medbullets.com]

Lobectomy or Pneumonectomy

Examining a lobectomy: Inspection: Lateral thoracotomy scar, ribs/clavicle may be pulled in over the site of surgery. Palpation: Trachea central (occasionally deviated in upper lobectomies), apex beat may or may not be displaced. Percussion: May be dull over the area excised, but there may also be compensatory[…] [ptpaces.wordpress.com]

Pulmonary Bullous Emphysema

Physical examination revealed cachexia, with decreased apical breath sounds and hyperresonance to percussion in both lungs. [nejm.org]

He was tachypneic and had no breath sounds over his right hemithorax, which was hyperresonant to percussion. [cmaj.ca]

Auscultation reveals poorly discernible breath sounds and hyperresonance to percussion of the thorax. [pulsus.com]

Nonpenetrating Wound

Breath sounds are absent and percussion is hyperresonant over the involved hemithorax. [pocketdentistry.com]

[…] infection, and irritation, and injuries to arteries may cause bruits (a distinctive sound similar to heart murmurs ) to be audible. [2] Percussion of the abdomen may reveal hyperresonance [en.wikipedia.org]

With a pneumothorax, percussion of the chest shows hyperresonance and breath sounds are usually distant or absent. [pocketdentistry.com]

Chest Trauma

Clinical features tacypnoea/dyspnoea distended neck veins hyperresonance absent breath sounds 10. [slideshare.net]

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]

Pleural Adhesions

In addition, in patients with emphysema, physical findings such as hyperresonance and diminished breath sounds may be found over the contralateral lung. [what-when-how.com]

Based on the physical examination, it was further noted that the hyperresonant sounds were reduced, and the breath sounds improved. [copdrp.biomedcentral.com]

Characteristic physical findings on the involved side include expansion of the hemithorax (caused by release of the ipsilateral chest wall from the recoil forces of the lung), hyperresonance [what-when-how.com]

Bronchial Injury

Causes collapse of affected lung, pushes mediastinum in opposite direction Clinical signs include: (a) Dyspnea (b) Anxiety (c) Tachypnea (d) Diminished breath sounds (e) Hyperresonance [medtrng.com]

[…] pneumothorax, or tamponade); tracheal deviation (evidence of tension pneumothorax) major defects in the chest (sucking chest wounds); unilaterally diminished breath sounds or hyperresonance [aic.cuhk.edu.hk]

Crepitation (f) Paradoxical movement (g) Lung sounds (i) Absent or decreased * Unilateral * Bilateral (ii) Location (iii) Bowel sound in lung area (h) Lung sounds - percussion (i) Hyperresonance [medtrng.com]

Pyopneumothorax

In the majority of cases the collapsed lung is easily discernible by Roentgen ray and can be made out by percussion near the mediastinal border, in contrast to the hyperresonant [jamanetwork.com]

Hyperresonant note was observed in the axillary and right interscapular region with positive succussion splash and shifting dullness. [omjournal.org]

Traumatic Rupture of Pulmonary Vessels

If the pneumothorax is large, hyperresonance to percussion may be present. [madsci.com]

Respiratory distress, shock, unilateral absence of breath sounds, and hyperresonance to percussion indicate tension pneumothorax. [madsci.com]

Chest Wall Injury

Decreased breath sounds can result from pneumothorax or hemothorax ; percussion over the affected areas is dull with hemothorax and hyperresonant with pneumothorax. [merckmanuals.com]

Dyspnea, tachypnea, engorged neck veins, unilateral hyperresonance to percussion, and absence of breath sounds and hypotension are associated with tension pneumothorax. [clinicaladvisor.com]

Penetrating Chest Trauma

Percussion over the hyperinflated pleura will produce a tympanic or hollow sound known as hyperresonance. [emsworld.com]

Signs include hypotension, decreased breath sounds, cyanosis, hyperresonation on percussion of the injured side, tracheal deviation (a late sign), and distant heart sounds [journals.lww.com]

Kidney Contusion

17 Kidney contusions& lacerations PERCUSSION Listen for normal/abnormal sounds such as tympany dullness hyperresonance 18 Kidney contusions& lacerations PERCUSSION Usually [slideplayer.com]

[…] yield informative results, extensive training & practice are required 19 Kidney contusions& lacerations PERCUSSION Listen for normal/abnormal sounds such as tympany dullness hyperresonance [slideplayer.com]

[…] absence of bowel sounds Abnormal bowel sounds Abnormal vascular noises 16 Kidney contusions& lacerations PERCUSSION Listen for normal/abnormal sounds such as tympany dullness Hyperresonance [slideplayer.com]

Accessory Lobe of Lung

Mediastinal shift may be present, with hyperresonance and decreased breath sounds on the involved side. [emedicine.medscape.com]

Hemopneumothorax

Lung exudation reveals reduced or absent breathing sounds of affected lungs and hyperresonance on percussion. [healthgala.info]

Percussion over the hyperinflated pleura will produce a tympanic or hollow sound known as hyperresonance. [emsworld.com]

[…] moves outward contusion of the lungs usually from trauma Signs and Symptoms of PTX From minimal physical findings to ipsilateral pain, dyspnea, decreased tactile fremitus, hyperresonance [quizlet.com]

Compression Atelectasis

The row that says pneumothorax corresponds to spontaneous pneumothorax, and the entries in the rest of the row is correct (decreased bs, hyperresonant, no fremitus) except [forums.studentdoctor.net]

I created a new row for tension pneumothorax, with decreased bs, hyperresonance, no fremitus, tracheal deviation contralateral to lesion, and ipsilateral diaphragm moves down [forums.studentdoctor.net]

Chronic Respiratory Acidosis

Thoracic examination of the patients may reveal the following signs: Wheezing Decreased breath sounds Hyperinflation Hyperresonance on percussion Prolonged expiration Rhonchi [hxbenefit.com]

[…] syndrome, myasthenia gravis, muscular dystrophy, obesity hypoventilation syndrome Clinical Cyanosis, diffuse wheezing, hyperinflation–ie, barrel chest, ↓ breath sounds, hyperresonance [medical-dictionary.thefreedictionary.com]

Breath-Holding Spell

Obstruction of airway by food On examination - abdominal breathing On examination - adventitious sounds present On examination - chest expansion unequal On examination - chest PN hyperresonant [icd9data.com]