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Multiple Choice

Which of the following is NOT a typical presentation of a hemothorax?

High fever isn’t part of the usual story with a hemothorax. A hemothorax causes the lung to be compressed by blood in the pleural space, leading to shortness of breath and signs of blood loss such as pale skin and anxiety from hypoxia or shock. You’d also expect the exam to show decreased or absent breath sounds on the affected side and dullness to percussion. Fever signals infection, like pneumonia or empyema, rather than the bleeding and lung compression seen with a hemothorax. So, while dyspnea, pallor, and anxiousness fit the picture of acute hemorrhage and respiratory compromise, high fever does not.

High fever isn’t part of the usual story with a hemothorax. A hemothorax causes the lung to be compressed by blood in the pleural space, leading to shortness of breath and signs of blood loss such as pale skin and anxiety from hypoxia or shock. You’d also expect the exam to show decreased or absent breath sounds on the affected side and dullness to percussion. Fever signals infection, like pneumonia or empyema, rather than the bleeding and lung compression seen with a hemothorax. So, while dyspnea, pallor, and anxiousness fit the picture of acute hemorrhage and respiratory compromise, high fever does not.