Pneumoconiosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with pneumoconiosis usually appear breathless. Physical examination of patients with pneumoconiosis is usually remarkable for cough, wheezing and shortness of breath with remote history of occupational exposure to some pathogenic material. <ref name="pmid23708110">{{cite journal| author=Cullinan P, Reid P| title=Pneumoconiosis. | journal=Prim Care Respir J | year= 2013 | volume= 22 | issue= 2 | pages= 249-52 | pmid=23708110 | doi=10.4104/pcrj.2013.00055 | pmc=6442808 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23708110 }} </ref> | Patients with [[pneumoconiosis]] usually appear breathless. Physical examination of patients with [[pneumoconiosis]] is usually remarkable for [[cough]], [[Wheeze|wheezing]] and [[shortness of breath]] with remote history of occupational exposure to some [[Pathogen|pathogenic]] material. <ref name="pmid23708110">{{cite journal| author=Cullinan P, Reid P| title=Pneumoconiosis. | journal=Prim Care Respir J | year= 2013 | volume= 22 | issue= 2 | pages= 249-52 | pmid=23708110 | doi=10.4104/pcrj.2013.00055 | pmc=6442808 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23708110 }} </ref> | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients is usually positive for wheezing on auscultation and tachypnea. | [[Physical examination]] of patients is usually positive for [[Wheeze|wheezing]] on [[auscultation]] and [[tachypnea]]. | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with pneumoconiosis usually appear with shortness of breath and digital clubbing. | *Patients with pneumoconiosis usually appear with shortness of breath and digital clubbing. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Fever | *Fever | ||
*Tachypnea | *Tachypnea | ||
===Lungs=== | ===Lungs=== | ||
*Decreased breath sounds. | *Decreased breath sounds. | ||
*Wheezing with end-inspiratory crackles. | *Wheezing with end-inspiratory crackles. | ||
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===Heart=== | ===Heart=== | ||
*Accentuation of P2 at the left upper sternal border. | |||
*Accentuation of P2 at the left upper sternal border. | |||
*If cor pulmonale develops, the patient will show JVD, hepatojugular reflux and peripheral edema. <ref name="pmid21195893">{{cite journal| author=Yang HY, Wang JD, Chen PC, Lee JJ| title=Pleural plaque related to asbestos mining in Taiwan. | journal=J Formos Med Assoc | year= 2010 | volume= 109 | issue= 12 | pages= 928-33 | pmid=21195893 | doi=10.1016/S0929-6646(10)60142-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21195893 }} </ref> <ref name="pmid28370783">{{cite journal| author=Perret JL, Plush B, Lachapelle P, Hinks TS, Walter C, Clarke P | display-authors=etal| title=Coal mine dust lung disease in the modern era. | journal=Respirology | year= 2017 | volume= 22 | issue= 4 | pages= 662-670 | pmid=28370783 | doi=10.1111/resp.13034 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28370783 }} </ref> <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=10.1159/000194814 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4059668 }} </ref> <ref name="pmid6367573">{{cite journal| author=Murphy RL, Gaensler EA, Holford SK, Del Bono EA, Epler G| title=Crackles in the early detection of asbestosis. | journal=Am Rev Respir Dis | year= 1984 | volume= 129 | issue= 3 | pages= 375-9 | pmid=6367573 | doi=10.1164/arrd.1984.129.3.375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6367573 }} </ref> | *If cor pulmonale develops, the patient will show JVD, hepatojugular reflux and peripheral edema. <ref name="pmid21195893">{{cite journal| author=Yang HY, Wang JD, Chen PC, Lee JJ| title=Pleural plaque related to asbestos mining in Taiwan. | journal=J Formos Med Assoc | year= 2010 | volume= 109 | issue= 12 | pages= 928-33 | pmid=21195893 | doi=10.1016/S0929-6646(10)60142-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21195893 }} </ref> <ref name="pmid28370783">{{cite journal| author=Perret JL, Plush B, Lachapelle P, Hinks TS, Walter C, Clarke P | display-authors=etal| title=Coal mine dust lung disease in the modern era. | journal=Respirology | year= 2017 | volume= 22 | issue= 4 | pages= 662-670 | pmid=28370783 | doi=10.1111/resp.13034 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28370783 }} </ref> <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=10.1159/000194814 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4059668 }} </ref> <ref name="pmid6367573">{{cite journal| author=Murphy RL, Gaensler EA, Holford SK, Del Bono EA, Epler G| title=Crackles in the early detection of asbestosis. | journal=Am Rev Respir Dis | year= 1984 | volume= 129 | issue= 3 | pages= 375-9 | pmid=6367573 | doi=10.1164/arrd.1984.129.3.375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6367573 }} </ref> | ||
Revision as of 20:41, 26 April 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dushka Riaz, MD
Overview
Patients with pneumoconiosis usually appear breathless. Physical examination of patients with pneumoconiosis is usually remarkable for cough, wheezing and shortness of breath with remote history of occupational exposure to some pathogenic material. [1]
Physical Examination
Physical examination of patients is usually positive for wheezing on auscultation and tachypnea.
Appearance of the Patient
- Patients with pneumoconiosis usually appear with shortness of breath and digital clubbing.
Vital Signs
- Fever
- Tachypnea
Lungs
- Decreased breath sounds.
- Wheezing with end-inspiratory crackles.
- PFT with restrictive pattern and decreased FVC.
- Rhonchi can be observed.
Heart
- Accentuation of P2 at the left upper sternal border.
- If cor pulmonale develops, the patient will show JVD, hepatojugular reflux and peripheral edema. [2] [3] [4] [5]
References
- ↑ Cullinan P, Reid P (2013). "Pneumoconiosis". Prim Care Respir J. 22 (2): 249–52. doi:10.4104/pcrj.2013.00055. PMC 6442808. PMID 23708110.
- ↑ Yang HY, Wang JD, Chen PC, Lee JJ (2010). "Pleural plaque related to asbestos mining in Taiwan". J Formos Med Assoc. 109 (12): 928–33. doi:10.1016/S0929-6646(10)60142-8. PMID 21195893.
- ↑ Perret JL, Plush B, Lachapelle P, Hinks TS, Walter C, Clarke P; et al. (2017). "Coal mine dust lung disease in the modern era". Respirology. 22 (4): 662–670. doi:10.1111/resp.13034. PMID 28370783.
- ↑ 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. doi:10.1159/000194814. PMID 4059668.
- ↑ Murphy RL, Gaensler EA, Holford SK, Del Bono EA, Epler G (1984). "Crackles in the early detection of asbestosis". Am Rev Respir Dis. 129 (3): 375–9. doi:10.1164/arrd.1984.129.3.375. PMID 6367573.