Pneumoconiosis differential diagnosis: Difference between revisions
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|↑ FEV1/FVC | |↑ FEV1/FVC | ||
| | |Wheezing, rhonchi, crackles | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↓Vt, ↑RV | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Wheezing, crackles | ||
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| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" |Restrictive, obstructive, or mixed | |||
| style="background: #F5F5F5; padding: 5px;" |Wheezing, rhonchi, crackles | |||
| 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;" |↓O2, ↑CO2 | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Patchy consolidation, nodular opacities | ||
| style="background: #F5F5F5; padding: 5px;" |IFN-y assay and acid fast stain | | style="background: #F5F5F5; padding: 5px;" |IFN-y assay and acid fast stain | ||
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| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |↓ FEV1/FVC | |||
| style="background: #F5F5F5; padding: 5px;" |Wheezing | |||
| 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;" |Respiratory alkalosis, Metabolic acidosis | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry | | style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry | ||
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| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |↓ FEV1/FVC | |||
| style="background: #F5F5F5; padding: 5px;" |Wheezing | |||
| 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;" |Respiratory alkalosis, Metabolic acidosis | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry before and after brondchodilator | | style="background: #F5F5F5; padding: 5px;" |Physical exam, spirometry before and after brondchodilator | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑ FEV1/FVC | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Wheezing, rhonchi, crackles | ||
| 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;" |↑ FEV1/FVC | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Crackles | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Normal | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Wheezing, rhonchi, crackles | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Revision as of 21:04, 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 chronic cough and dyspnea.
Differentiating Pneumoconiosis from other Diseases
Pneumoconiosis must be differentiated from other diseases that cause cough and dyspnea.
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 | Wheezing, rhonchi, crackles | HRCT | ||||
| Lung Malignancy | + | + | - | ↓Vt, ↑RV | Wheezing, crackles | Bronchoscopy | ||||
| Tuberculosis | + | + | + | Restrictive, obstructive, or mixed | Wheezing, rhonchi, crackles | ↓O2, ↑CO2 | Patchy consolidation, nodular opacities | IFN-y assay and acid fast stain | ||
| Emphysema | + | + | - | ↓ FEV1/FVC | Wheezing | Respiratory alkalosis, Metabolic acidosis | Physical exam, spirometry | |||
| Asthma | + | + | - | ↓ FEV1/FVC | Wheezing | Respiratory alkalosis, Metabolic acidosis | Physical exam, spirometry before and after brondchodilator | |||
| Interstitial lung diseases | + | + | - | ↑ FEV1/FVC | Wheezing, rhonchi, crackles | HRCT | ||||
| Sarcoidosis | + | + | - | ↑ FEV1/FVC | Crackles | HRCT | ||||
| Pneumonia | + | + | + | Normal | Wheezing, rhonchi, crackles | CXR, CT Scan | ||||