Hamman-Rich syndrome physical examination: Difference between revisions
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{{Hamman-Rich syndrome}} | |||
{{CMG}}; {{AE}} {{CK}} | |||
==Overview== | |||
Patients with [[Hamman-Rich syndrome|acute interstitial pneumonitis]] usually appear ill. Physical examination shows [[tachypnea]], [[tachycardia]], [[Rales|crackles]], [[Wheeze|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=== | |||
*Patients with [[Hamman-Rich syndrome|acute interstitial pneumonitis]] usually appear ill. | |||
===Vital Signs=== | |||
*Fever | |||
*[[Tachycardia]] | |||
*[[Tachypnea]] | |||
===Skin=== | |||
*[[Cyanosis]] because of hypoxemia. | |||
===HEENT=== | |||
*Flared nares | |||
===Neck=== | |||
* 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=== | |||
* 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> | |||
*[[Wheezing]] may be present | |||
*Prolonged expiration | |||
*Persistent scattered rhonchi | |||
[[ | ===Extremities=== | ||
*[[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 | |||
==References== | |||
{{Reflist|2}} | |||
[[Category: | {{WH}} | ||
{{WS}} | |||
[[Category: (name of the system)]] | |||
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
- Patients with acute interstitial pneumonitis usually appear ill.
Vital Signs
- Fever
- Tachycardia
- Tachypnea
Skin
- Cyanosis because of hypoxemia.
HEENT
- Flared nares
Neck
- Neck examination of patients with acute interstitial pneumonitis is usually normal.
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
- Clubbing is not usually present in acute interstitial pneumonitis. Presence of clubbing indicates exacerbation of preexisting fibrotic lung disease.
- Cyanosis due to hypoxemia