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A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. [3] ... (distended neck veins) are not reliable as clinical ...
The signs are low arterial blood pressure, distended neck veins, and distant, muffled heart sounds. [1] Narrowed pulse pressure might also be observed. The concept was developed in 1935 by Claude Beck, a resident and later Professor of Cardiovascular Surgery at Case Western Reserve University. [2] [3]
Traumatic asphyxia is characterized by cyanosis in the upper extremities, neck, and head as well as petechiae in the conjunctiva. Patients can also display jugular venous distention and facial edema. [3] Associated injuries include pulmonary contusion, myocardial contusion, hemo/pneumothorax, and broken ribs. [4] [5]
This patient could also have tension pneumothorax due to trauma to the chest. [22] Vital signs in obstructive shock may show hypotension, tachycardia, and/or hypoxia. A physical exam include be thorough, including jugular vein exam, cardiac and lung exams, and assessing skin tone and temperature. [22] Response to fluids may aid in diagnosis. [3]
With cardiac tamponade, jugular veins are distended and typically show a prominent x descent and an absent y descent as opposed to patients with constrictive pericarditis (prominent x and y descent); see Beck's triad. [1] Other possible causes of Kussmaul's sign include: [2] [citation needed] Right ventricular infarction - low ventricular ...
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
Venous distention in the neck and distended veins in the upper chest and arms [6] Migraines (especially if unusual to normal) Large decrease in lung capacity; Facial swelling after bending/laying down; Upper limb edema [6] Lightheadedness [5] Cough [5] Edema (swelling) of the neck, called the collar of Stokes [7] Pemberton's sign [6]
Penetrating trauma to the neck, distention of the jugular veins, or a break in the tracheal-bronchial tree; Signs of serious chest injuries, including penetrating trauma to the chest, which can cause a sucking chest wound; flail chest; tension pneumothorax; and cardiac tamponade