Pneumothorax physical examination

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 dyspnea, chest pain, and neck vein distension. Patients with tension pneumothorax usually appear dyspnic 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.

Important physical exam findings in a patient with pneumothorax include::^[1][2]

• 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.

• Tachycardia with regular pulse

• Skin examination of patients with primary spontaneous pneumothorax is usually normal.

• HEENT examination of patients with primary spontaneous pneumothorax is usually normal.

• Jugular venous distension

• Decreased chest expansion
• Lungs are hyperresonant
• Egophony present

• Cardiovascular examination of patients with pneumothorax is usually normal.

• Abdominal examination of patients with pneumothorax is usually normal.

• Back examination of patients with pneumothorax is usually normal.

• Genitourinary examination of patients with pneumothorax is usually normal.

• Neuromuscular examination of patients with pneumothorax is usually normal.

• Cyanosis

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