Hypersensitivity pneumonitis physical examination: Difference between revisions
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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. | 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. | ||
==Appearance of the Patient== | ==Physical Examination== | ||
===Appearance of the Patient=== | |||
[[Weight loss]] is present in the chronic form of the syndrome. | [[Weight loss]] is present in the chronic form of the syndrome. | ||
==Vital Signs== | ===Vital Signs=== | ||
[[Fever]] and [[tachypnea]] are often present. | [[Fever]] and [[tachypnea]] are often present. | ||
==Auscultation== | ===Auscultation=== | ||
Diffuse fine bibasilar [[crackles]] over lower lung fields often are present. | Diffuse fine bibasilar [[crackles]] over lower lung fields often are present. | ||
==Extremities== | ===Extremities=== | ||
[[Clubbing]] is observed in 50% of patients with the chronic form of the syndrome. | [[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. | Muscle wasting is also observed in the chronic form of the syndrome. | ||
==Other Diagnostic Studies== | ===Other Diagnostic Studies=== | ||
A test to assess for precipitating antibodies to the offending antigen will be positive. | A test to assess for precipitating antibodies to the offending antigen will be positive. | ||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Pulmonology]] | |||
{{ | {{WH}} | ||
{{ | {{WS}} | ||
Revision as of 16:19, 9 June 2016
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Differentiating Hypersensitivity pneumonitis from other Diseases |
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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.
Other Diagnostic Studies
A test to assess for precipitating antibodies to the offending antigen will be positive.