mjl1717
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When we see tracheal deviation, mediastinal shift, decreased breath sounds and hyper-resonance on the opposite side we know the dx. My q is name at least two other signs or symptoms related with this diagnosis.
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| roopashri
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the diagnosis is tension pneumothorax.. other signs and symptoms would be... dyspnea, tachypnea, tachycardia, hypotension, cyanosis, decreased chest movement.
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| mjl1717
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I didnt ask Dx but its OK that you gave it. Its just that a lot of times what you read in a book(especially a review book) is completely different from what you actually see clinically. I think of compression on the IVC and SVC with jugular venous distension I agree with the hypotension and everything, but somewhat question the cyanosis, on CXR the affected side would be black. One inmate described it as "hearing bubbles" when he attempted respiration Since you have answers how would you treat this??
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| ssrpk
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chest tube intubation would result in drastic improvement.
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| mjl1717
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yes, baby. 
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| msyamp
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my prof said you just insert a 22 bore syringe needle in emergency.we can save him. of cousre later chest tube till the lung gets expanded.
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