Silicosis physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Silicosis}} | {{Silicosis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AV}} | ||
==Overview== | ==Overview== | ||
*Physical examination of the chest in silicosis is often unremarkable, although a variety of abnormal breath sounds, including [[crackles]], [[rhonchi]], and/or [[wheezes]], occur as the disease progress. | *Physical examination of the chest in silicosis is often unremarkable, although a variety of abnormal breath sounds, including [[crackles]], [[rhonchi]], and/or [[wheezes]], occur as the disease progress. | ||
==Physical Examination== | ==Physical Examination== | ||
*Physical examination of the chest is often unremarkable in simple silicosis, although a variety of abnormal breath sounds, including [[crackles| | *Physical examination of the chest is often unremarkable in simple silicosis, although a variety of abnormal breath sounds, including | ||
:*[[crackles|Fine crackles]], | |||
:*[[crackles|Coarse crackles]] (often at end inspiration), | |||
:*[[Rhonchi]], and/or | |||
:*[[Wheeze|Wheezes]], have been reported to occur in approximately 25 percent of affected individuals <ref name="pmid4059668">{{cite journal| author=Munakata M, Homma Y, Matsuzaki M, Ogasawara H, Sasaki Y, Kawakami Y| title=Rales in silicosis. A correlative study with physiological and radiological abnormalities. | journal=Respiration | year= 1985 | volume= 48 | issue= 2 | pages= 140-4 | pmid=4059668 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4059668 }} </ref>. | |||
*Patients with [[PMF|Progressive massive fibrosis]] frequently have | *Patients with [[PMF|Progressive massive fibrosis]] frequently have | ||
:*[[Decreased breath sounds]]. | |||
:*[[Crackles]] are less common in [[PMF]] than in simple silicosis, but other adventitial sounds may be present. | |||
:*Look for other associated etiology if | |||
::*[[Digital clubbing]] | |||
::*Signs of chronic [[respiratory failure]] and | |||
::*[[cor pulmonale]] are present. | |||
==References== | ==References== | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 15:29, 8 June 2016
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Silicosis Microchapters |
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Silicosis physical examination On the Web |
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American Roentgen Ray Society Images of Silicosis physical examination |
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Risk calculators and risk factors for Silicosis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aparna Vuppala, M.B.B.S. [2]
Overview
- Physical examination of the chest in silicosis is often unremarkable, although a variety of abnormal breath sounds, including crackles, rhonchi, and/or wheezes, occur as the disease progress.
Physical Examination
- Physical examination of the chest is often unremarkable in simple silicosis, although a variety of abnormal breath sounds, including
- Fine crackles,
- Coarse crackles (often at end inspiration),
- Rhonchi, and/or
- Wheezes, have been reported to occur in approximately 25 percent of affected individuals [1].
- Patients with Progressive massive fibrosis frequently have
- Decreased breath sounds.
- Crackles are less common in PMF than in simple silicosis, but other adventitial sounds may be present.
- Look for other associated etiology if
- Digital clubbing
- Signs of chronic respiratory failure and
- cor pulmonale are present.
References
- ↑ Munakata M, Homma Y, Matsuzaki M, Ogasawara H, Sasaki Y, Kawakami Y (1985). "Rales in silicosis. A correlative study with physiological and radiological abnormalities". Respiration. 48 (2): 140–4. PMID 4059668.