Pneumoconiosis differential diagnosis: Difference between revisions
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{| | {| | ||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! rowspan="4" | ! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases | ||
| colspan="6" rowspan="1" | | colspan="6" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations''' | ||
! colspan=" | ! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings | ||
| colspan="1" rowspan="4" | | colspan="1" rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Gold standard''' | ||
|- | |- | ||
| colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Symptoms''' | | colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms''' | ||
! colspan="3" rowspan="2" | ! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical examination | ||
|- | |- | ||
! colspan=" | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | ||
! | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Chronic Dyspnea | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Cough | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Spirometry | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Auscultation | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Tachypnea | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |CBC | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |ABG | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging | ||
|- | |||
|Pneumoconiosis | |||
| + | |||
| + | |||
| | |||
|↑ FEV1/FVC | |||
| | |||
| | |||
| | |||
| | |||
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|HRCT | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Lung Malignancy | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Lung Malignancy | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Bronchoscopy | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Tuberculosis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Tuberculosis | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |IFN-y assay and acid fast stain | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Emphysema | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Emphysema | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Asthma | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Asthma | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry before and after brondchodilator | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Interstitial lung diseases | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Interstitial lung diseases | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |HRCT | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sarcoidosis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Sarcoidosis | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |HRCT | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pneumonia | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Pneumonia | ||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |CXR, CT Scan | ||
|} | |} | ||
Revision as of 20:24, 30 April 2021
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dushka Riaz, MD
Overview
Pneumoconiosis must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
Differentiating [Disease name] from other Diseases
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
OR
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
Differentiating pneumoconiosis from other diseases on the basis of dyspnea and cough
On the basis of cough and chronic dyspnea, pneumoconiosis must be differentiated from lung malignancy, tuberculosis, emphysema, asthma, interstitial lung disease, pneumonia, and sarcoidosis.
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | |||||||||
Lab Findings | Imaging | |||||||||
Chronic Dyspnea | Cough | Fever | Spirometry | Auscultation | Tachypnea | CBC | ABG | Imaging | ||
Pneumoconiosis | + | + | ↑ FEV1/FVC | HRCT | ||||||
Lung Malignancy | + | + | Bronchoscopy | |||||||
Tuberculosis | + | + | IFN-y assay and acid fast stain | |||||||
Emphysema | + | + | Physical exam, spirometry | |||||||
Asthma | + | + | Physical exam, spirometry before and after brondchodilator | |||||||
Interstitial lung diseases | + | + | HRCT | |||||||
Sarcoidosis | + | + | HRCT | |||||||
Pneumonia | + | + | CXR, CT Scan |