Possible Causes for hyperresonance 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 Asthma is defined as a chronic inflammatory disorder of the airways with bronchial hyperresponsiveness and variable bronchoconstriction, and is one of the most common diseases in childhood and adolescence. Exercise-induced asthma-like symptoms and asthma are also frequently seen in highly trained athletes.[…] [ncbi.nlm.nih.gov] 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] 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] Traumatic Pneumothorax Breath sounds may be diminished and the affected hemithorax hyperresonant to percussion—mainly with larger pneumothoraces. [msdmanuals.com] […] on lung in COPD or Congenital (present from birth -Dyspnea (labored breathing) -Dry hacking cough -Asymmetric chest movement -Diminished or absent BS over affected side -Hyperresonance [quizlet.com] Hyperactive Airway Disease Hyperresonance of the lungs – Hyperresonance may indicate lung consolidation because of accumulation of pulmonary secretions. [healthfoxx.com] 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] Iatrogenic Pneumothorax Clinical signs of tension pneumothorax include tracheal deviation, hyperresonance, and hypotension. [aneskey.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] Patients with pneumothorax present with sudden-onset dyspnea, ipsilateral chest pain, diminished breath sounds, and hyperresonant percussion on the affected side. [amboss.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 Silicosis, a disease of historical importance, continues to occur cryptically today. Its pathogenesis is under ongoing study as new concepts of pathobiology evolve. In this article, the gross and microscopic features of the disease in the lungs and the lesions in lymph nodes and other viscera are described. These[…] [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] 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] 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] 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] Familial Spontaneous Pneumothorax If the sounds are hyperresonant, what is the most likely cause? [knowledge.statpearls.com] There is hyperresonance (higher pitched sounds than normal) with percussion of the chest wall which is suggestive of pneumothorax diagnosis. [physio-pedia.com] Patients with a small pneumothorax (involving Large pneumothorax can cause decreased movement of the chest wall, a hyperresonant percussion note, diminished tactile focal [razianesth.freeservers.com] Ileus Signs: 1) Abdominal distention. 2) Absent peristaltic sounds (silent abdomen). 3) Hyperresonance to percussion. 4) Signs of peritonitis (if this is the cause): Abdominal guarding [empendium.com] Pulmonary Emphysema Similarly, hyperresonant notes are perceived via percussion, and auscultation reveals diminished or distant breath sounds. [rtmagazine.com] Thoracic examination reveals the following: Hyperinflation (barrel chest) Wheezing – Frequently heard on forced and unforced expiration Diffusely decreased breath sounds Hyperresonance [emedicine.com] […] 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.com] Psychogenic Hyperventilation #7 If we review only barrel shaped chest, hyperresonant percussion sound, CXR: hyperinflated lung. Patient is ex-smoker. [forums.studentdoctor.net] Pneumonia Patients with pneumothorax present with sudden-onset dyspnea, ipsilateral chest pain, diminished breath sounds, and hyperresonant percussion on the affected side. [amboss.com] Physical findings classically consist of absent tactile fremitus, hyperresonance to percussion, and decreased breath sounds on the affected side. [merckmanuals.com] […] and hemodynamic instability; (tachycardia, hypotension, pulsus paradoxus) Secondary injuries (e.g., open or closed wounds) P-THORAX: Pleuritic pain, Tracheal deviation, Hyperresonance [amboss.com] Pulmonary Consolidation […] pushes mediastinum to opposite side) breath sounds Emphysema Hyperresonant Reduced -- breath sounds wheezing Asthma Hyperresonant Reduced -- breath sounds wheezing Atelectasis [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] Congenital Malformation of the Lung Mediastinal shift may be present, with hyperresonance and decreased breath sounds on the involved side. [emedicine.medscape.com] […] 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] […] 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] 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] 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] Acidosis During thoracic examination, patients with obstructive lung disease may have diffuse wheezing, hyperinflation (ie, barrel chest), decreased breath sounds, hyperresonance on [web.archive.org] 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] Cor Pulmonale Right ventricular failure Increased chest diameter Labored respirations with retractions Distended neck veins Cyanosis On auscultation wheezes and crackles On percussion hyperresonance [symptoma.com] On percussion, hyperresonance of the lungs may be a sign of underlying COPD. [emedicine.medscape.com] Hemothorax Percussion over the hyperinflated pleura will produce a tympanic or hollow sound known as hyperresonance. [emsworld.com] […] is life threatening as it causes the heart to be compressed as it shifts Clinical manifestations for pneumothorax increase HR & RR Decreased lung volumes Pain & anxiety Hyperresonant [quizlet.com] A pneumothorax would be hyperresonant on percussion. [knowledgeplus.nejm.org] Pleurisy […] cases Pneumonia Anorexia, cough, dyspnea, fatigue, myalgia Crackles, egophony, fremitus Infiltrate Typically not indicated Pneumothorax Sudden pain and dyspnea Tachycardia, hyperresonance [aafp.org] […] with underlying pneumonia. 9 Other physical examination findings that raise clinical suspicion for certain conditions include the pericardial rub of pericarditis 5 and the hyperresonance [aafp.org] Intestinal Obstruction Distended bowel results in hyperresonance or tympany to abdominal percussion, but fluid-filled loops can result in dullness. [intechopen.com] Beside the abdominal distension, the physical examination can point out hyperresonance, obstructive gut sounds, and visible peristalsis. [intechopen.com] Clinical features are obvious abdominal distension as earliest sign, no tenderness, hyperresonance, or tympany to percussion throughout the abdomen, and no peristalsis and [intechopen.com] Coronary Atherosclerosis Physical examination revealed absent breath sounds and hyperresonance on the affected side of the chest. [en.wikipedia.org] Hypercapnic Respiratory Failure Thoracic examination Upon thoracic examination, patients with obstructive lung disease have diffuse wheezing, hyperinflation (barrel chest), diffusely decreased breath sounds, hyperresonance [emedicine.medscape.com] […] examination Upon thoracic examination, patients with obstructive lung disease generally have Diffuse wheezing, hyperinflation (barrel chest), Diffusely decreased breath sounds, Hyperresonance [rjjaramillo.wordpress.com]
