Hypersensitivity pneumonitis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

In general, the signs of acute, subacute and chronic forms of the disease are similar except patients with the chronic form may have clubbing, weight loss and muscle wasting.

Physical Examination

Appearance of the Patient

• Weight loss is present in the chronic form of the syndrome.

Vital Signs

• Fever and tachypnea are often present.

Auscultation

• Diffuse fine bibasilar crackles over lower lung fields often are present.

Extremities

• Clubbing is observed in 50% of patients with the chronic form of the syndrome. Muscle wasting is also observed in the chronic form of the syndrome.