Tension Pneumothorax Quiz

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Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

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, MD

Eisaku Kamakura, MD (Pulmonology)

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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Content updated on Mar 31, 2024

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Crackling sensation when pressing the skin over the neck

  • Chest skin feels like bubble wrap

  • Shortness of breath when lying down

  • Air under the skin on the neck

  • Fine crunching sound when pressing on the skin of the chest

  • Breathing out is easy but breathing in is difficult

  • Neck skin feels like bubble wrap

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What is Tension Pneumothorax?

A pneumothorax is the leakage of air from the lungs into the space around the lungs and heart. In a 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.

Typical Symptoms of Tension Pneumothorax

  • Subcutaneous crepitus

  • Feeling breathless

  • Pain across my entire chest

  • Tachycardia

  • History of recent injury to the chest

  • Systolic pressure is 80 mmHg or below, or unreadable

  • Chest pain

  • Left-sided chest pain

Doctor's Diagnostic Questionson Tension Pneumothorax

Your doctor may ask these questions to check for this disease:

  • Are you having difficulty breathing?

  • Do you have pain over your entire chest?

  • Did you injure your chest in the past month?

  • Is your systolic blood pressure 80 mmHg or below, or unreadable?

  • Do you have chest pain?

Treatmentof Tension Pneumothorax

Emergency medical care is required. A needle or tube is placed in the chest to release the excess air and pressure. In recurrent cases, a procedure or surgery may be performed to permanently seal the air leak.

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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

User Testimonials

Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

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, MD

Eisaku Kamakura, MD (Pulmonology)

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.

From our team of 50+ doctors

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