Hamman-Rich syndrome physical examination: Difference between revisions

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==Overview==
==Overview==
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
Patients with [[Hamman-Rich syndrome|acute interstitial pneumonitis]] usually appear ill. Physical examination shows [[tachypnea]], [[tachycardia]], [[Rales|crackles]], [[Wheeze|wheezing]] and signs of [[hypoxemia]].  
 
OR
 
Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].
 
OR
 
The presence of [finding(s)] on physical examination is diagnostic of [disease name].
 
OR
 
The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


==Physical Examination==
==Physical Examination==
* Physical examination of patients with [disease name] is usually normal.
* Physical examination of patients with acute interstitial pneumonitis will show tachypnea, tachycardia, cyanosis, crackles, and wheezes on auscultation.  
OR
*Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
*The presence of [finding(s)] on physical examination is diagnostic of [disease name].
*The presence of [finding(s)] on physical examination is highly suggestive of [disease name].


===Appearance of the Patient===
===Appearance of the Patient===
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===Skin===
===Skin===
*[[Cyanosis]] because of hypoxemia.  
*[[Cyanosis]] because of hypoxemia.


===HEENT===
*Flared nares


'''Neck'''
===Neck===
* Neck examination of patients with [[Hamman-Rich syndrome|acute interstitial pneumonitis]] is usually normal.
* Neck examination of patients with [[Hamman-Rich syndrome|acute interstitial pneumonitis]] is usually normal.
===Heart===
*Tachycardia
*Examine heart for findings of congestive heart failure to exclude the diagnosis.
===Lungs===
===Lungs===
* Diffuse  [[crackles]] upon auscultation of the lungs  bilaterally<ref name="pmid11144035">{{cite journal |vauthors=Vourlekis JS, Brown KK, Cool CD, Young DA, Cherniack RM, King TE, Schwarz MI |title=Acute interstitial pneumonitis. Case series and review of the literature |journal=Medicine (Baltimore) |volume=79 |issue=6 |pages=369–78 |date=November 2000 |pmid=11144035 |doi= |url=}}</ref>
* Diffuse  [[crackles]] upon auscultation of the lungs  bilaterally<ref name="pmid11144035">{{cite journal |vauthors=Vourlekis JS, Brown KK, Cool CD, Young DA, Cherniack RM, King TE, Schwarz MI |title=Acute interstitial pneumonitis. Case series and review of the literature |journal=Medicine (Baltimore) |volume=79 |issue=6 |pages=369–78 |date=November 2000 |pmid=11144035 |doi= |url=}}</ref>
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===Extremities===
===Extremities===
*[[Clubbing]] is not usually present in [[Hamman-Rich syndrome|acute interstitial pneumonitis]]. Presence of [[clubbing]] indicates exacerbation of preexisting fibrotic lung disease.  
*[[Clubbing]] is not usually present in [[Hamman-Rich syndrome|acute interstitial pneumonitis]]. Presence of [[clubbing]] indicates exacerbation of preexisting fibrotic lung disease.  
*[[Cyanosis]] due to hypoxemia  
*[[Cyanosis]] due to hypoxemia


==References==
==References==

Latest revision as of 20:50, 23 March 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [2]

Overview

Patients with acute interstitial pneumonitis usually appear ill. Physical examination shows tachypnea, tachycardia, crackles, wheezing and signs of hypoxemia.

Physical Examination

  • Physical examination of patients with acute interstitial pneumonitis will show tachypnea, tachycardia, cyanosis, crackles, and wheezes on auscultation.

Appearance of the Patient

Vital Signs

Skin

HEENT

  • Flared nares

Neck

Heart

  • Tachycardia
  • Examine heart for findings of congestive heart failure to exclude the diagnosis.

Lungs

  • Diffuse  crackles upon auscultation of the lungs bilaterally[1]
  • Wheezing may be present
  • Prolonged expiration
  • Persistent scattered rhonchi

Extremities

References

  1. ↑ Vourlekis JS, Brown KK, Cool CD, Young DA, Cherniack RM, King TE, Schwarz MI (November 2000). "Acute interstitial pneumonitis. Case series and review of the literature". Medicine (Baltimore). 79 (6): 369–78. PMID 11144035.

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