Cryptogenic organizing pneumonia physical examination: Difference between revisions
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{{Cryptogenic organizing pneumonia}} | {{Cryptogenic organizing pneumonia}} | ||
{{CMG}} | {{CMG}} {{AE}} {{MKK}} | ||
==Overview== | ==Overview== | ||
Patients with [[cryptogenic organizing pneumonia]] usually appear in mild distress. On examination, the patient is usually febrile, in [[tachypnea]], [[tachycardia]] with the regular [[pulse]]. On lung auscultation there are bilateral vesicular [[breath sounds]], fine [[crackles]] and [[wheezing]] is heard. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with cryptogenic organizing pneumonia usually appear in mild distress. | *Patients with [[cryptogenic organizing pneumonia]] usually appear in mild distress.<ref name="pmid10926343">{{cite journal |vauthors=Cazzato S, Zompatori M, Baruzzi G, Schiattone ML, Burzi M, Rossi A, Ratta L, Terzuolo G, Falcone F, Poletti V |title=Bronchiolitis obliterans-organizing pneumonia: an Italian experience |journal=Respir Med |volume=94 |issue=7 |pages=702–8 |year=2000 |pmid=10926343 |doi=10.1053/rmed.2000.0805 |url=}}</ref><ref name="pmid2805873">{{cite journal |vauthors=Cordier JF, Loire R, Brune J |title=Idiopathic bronchiolitis obliterans organizing pneumonia. Definition of characteristic clinical profiles in a series of 16 patients |journal=Chest |volume=96 |issue=5 |pages=999–1004 |year=1989 |pmid=2805873 |doi= |url=}}</ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Low-grade [[fever]] | |||
* | *[[Tachycardia]] with regular pulse | ||
*[[Tachypnea]] | |||
*[[Tachycardia]] with regular | *Normal [[blood pressure]] with normal [[Pulse pressure|pulse pressure.]]<ref name="pmid3965933">{{cite journal |vauthors=Epler GR, Colby TV, McLoud TC, Carrington CB, Gaensler EA |title=Bronchiolitis obliterans organizing pneumonia |journal=N. Engl. J. Med. |volume=312 |issue=3 |pages=152–8 |date=January 1985 |pmid=3965933 |doi=10.1056/NEJM198501173120304 |url=}}</ref><ref name="pmid8313672">{{cite journal |vauthors=Cordier JF |title=Cryptogenic organizing pneumonitis. Bronchiolitis obliterans organizing pneumonia |journal=Clin. Chest Med. |volume=14 |issue=4 |pages=677–92 |date=December 1993 |pmid=8313672 |doi= |url=}}</ref> | ||
*[[ | |||
* | |||
===Skin=== | ===Skin=== | ||
* Skin examination of patients with [ | *Skin examination of patients with [[cryptogenic organizing pneumonia]] is usually normal. | ||
===HEENT=== | ===HEENT=== | ||
* HEENT examination of patients with | *HEENT examination of patients with [[cryptogenic organizing pneumonia]] is usually normal. | ||
===Neck=== | ===Neck=== | ||
* Neck examination of patients with [ | *Neck examination of patients with [[cryptogenic organizing pneumonia]] is usually normal. | ||
===Lungs=== | ===Lungs=== | ||
* | *On examination patient is in mild [[dyspnea]]. | ||
*Lungs are hyperresonant. | |||
*Coarse [[crackles]] upon auscultation of the lung bases/apices bilaterally depending upon the [[Consolidation (medicine)|consolidation]]. | |||
*Lungs are | *Vesicular breath sounds. | ||
* | *[[Wheezing]] may be present. | ||
* | |||
*[[ | |||
==References== | ==References== | ||
Latest revision as of 22:11, 6 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
Patients with cryptogenic organizing pneumonia usually appear in mild distress. On examination, the patient is usually febrile, in tachypnea, tachycardia with the regular pulse. On lung auscultation there are bilateral vesicular breath sounds, fine crackles and wheezing is heard.
Physical Examination
Appearance of the Patient
- Patients with cryptogenic organizing pneumonia usually appear in mild distress.[1][2]
Vital Signs
- Low-grade fever
- Tachycardia with regular pulse
- Tachypnea
- Normal blood pressure with normal pulse pressure.[3][4]
Skin
- Skin examination of patients with cryptogenic organizing pneumonia is usually normal.
HEENT
- HEENT examination of patients with cryptogenic organizing pneumonia is usually normal.
Neck
- Neck examination of patients with cryptogenic organizing pneumonia is usually normal.
Lungs
- On examination patient is in mild dyspnea.
- Lungs are hyperresonant.
- Coarse crackles upon auscultation of the lung bases/apices bilaterally depending upon the consolidation.
- Vesicular breath sounds.
- Wheezing may be present.
References
- ↑ Cazzato S, Zompatori M, Baruzzi G, Schiattone ML, Burzi M, Rossi A, Ratta L, Terzuolo G, Falcone F, Poletti V (2000). "Bronchiolitis obliterans-organizing pneumonia: an Italian experience". Respir Med. 94 (7): 702–8. doi:10.1053/rmed.2000.0805. PMID 10926343.
- ↑ Cordier JF, Loire R, Brune J (1989). "Idiopathic bronchiolitis obliterans organizing pneumonia. Definition of characteristic clinical profiles in a series of 16 patients". Chest. 96 (5): 999–1004. PMID 2805873.
- ↑ Epler GR, Colby TV, McLoud TC, Carrington CB, Gaensler EA (January 1985). "Bronchiolitis obliterans organizing pneumonia". N. Engl. J. Med. 312 (3): 152–8. doi:10.1056/NEJM198501173120304. PMID 3965933.
- ↑ Cordier JF (December 1993). "Cryptogenic organizing pneumonitis. Bronchiolitis obliterans organizing pneumonia". Clin. Chest Med. 14 (4): 677–92. PMID 8313672.