Tension Pneumothorax Quiz

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Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Eisaku Kamakura

Eisaku Kamakura, MD (Respiratory medicine)

Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.

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Learn more about Tension pneumothorax

Content updated on Sep 20, 2022

What is tension pneumothorax?

A pneumothorax is leaking of air from the lungs, into the space around the lungs and heart. In tension pneumothorax, this pressure builds up and can cause life threatening blood flow problems in the heart and lungs. Risk factors include smoking, emphysema and genetic diseases.

Symptoms of tension pneumothorax

  • Feeling breathless

  • Chest pain

  • Pain across my entire chest

  • Back pain

  • Cold sweats

  • Left-sided chest pain

Questions your doctor may ask to check for tension pneumothorax

Your doctor may ask these questions to diagnose tension pneumothorax

  • Are you breathless or having hard time breathing?

  • Do you have any chest pain?

  • Do you have pain over your entire chest?

  • Do you have back pain?

  • Do you have cold sweats?

Treatment for tension pneumothorax

This requires emergency medical care. A needle or tube is placed in the chest to let the excess air and pressure out. In repeated cases, a procedure or surgery may be done to seal the air leak permanently.

View the symptoms of Tension pneumothorax

References

  • Roberts DJ, Leigh-Smith S, Faris PD, Blackmore C, Ball CG, Robertson HL, Dixon E, James MT, Kirkpatrick AW, Kortbeek JB, Stelfox HT. Clinical Presentation of Patients With Tension Pneumothorax: A Systematic Review. Ann Surg. 2015 Jun;261(6):1068-78. doi: 10.1097/SLA.0000000000001073. PMID: 25563887.

    https://journals.lww.com/annalsofsurgery/Fulltext/2015/06000/Clinical_Presentation_of_Patients_With_Tension.9.aspx

  • Bethel J. Tension pneumothorax. Emerg Nurse. 2008 Jul;16(4):26-9. doi: 10.7748/en2008.07.16.4.26.c6606. PMID: 18672788.

    https://rcnpublishing.com/doi/abs/10.7748/en2008.07.16.4.26.c6606

  • Barton ED. Tension pneumothorax. Curr Opin Pulm Med. 1999 Jul;5(4):269-74. doi: 10.1097/00063198-199907000-00016. PMID: 10407699.

    https://journals.lww.com/co-pulmonarymedicine/Abstract/1999/07000/Tension_pneumothorax.16.aspx

  • Sukumar SM. An atypical tension pneumothorax. Clin Med (Lond). 2020 Mar;20(Suppl 2):s52. doi: 10.7861/clinmed.20-2-s52. PMID: 32409372; PMCID: PMC7243505.

    https://www.rcpjournals.org/content/clinmedicine/20/Suppl_2/s52

Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Eisaku Kamakura

Eisaku Kamakura, MD (Respiratory medicine)

Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.

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