Idiopathic pulmonary fibrosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Appearance of the patient

• Patients with pulmonary fibrosis usually appear tired and ill due to difficulty of breathing.

Vital Signs

• Tachypnea
• Shallow breathing

Lungs

• Velcro crackles: Bibasilar inspiratory crackles
• Wheezing
• Rhonchi

Heart

• Patients with pulmonary fibrosis may be complicated with pulmonary hypertension.
• Physical examination findings indclude the following:
  • Loud P2 of S2
  • Fixed split S2
  • New holosystolic tricuspid regurgitation murmur
• Right ventricular hypertrophy
• Jugular vein distension

Extremities

• Clubbing
• Pedal edema in cases of pulmonary hypertension