Cryptogenic organizing pneumonia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
- Physical examination of a patient with cryptogenic organizing pneumonia demonstrates signs of bronchospasm, consolidation, and fluid accumulation.
- The prevalence and severity of these findings depends on the extent of parenchymal involvement and the subtype of organizing pneumonia.[1]
| Sign | Cryptogenic Organizing Pneumonia | Secondary Organizing Pneumonia | Focal Organizing Pneumonia |
|---|---|---|---|
| Tachypnea | 65% | 70% | - |
| Crackles | 85% | 95% | 10% |
| Wheezing | 10% | 10% | 10% |
| Clubbing | - | 5% | - |
| Cyanosis | 5% | 5% | - |
Appearance of the Patient
- Patients with cryptogenic organizing pneumonia usually appear in mild distress.[2]
Vital Signs
- Low-grade fever
- Tachycardia with regular pulse
- Tachypnea
- Normal blood pressure with normal pulse pressure
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
- Fine/coarse crackles upon auscultation of the lung bases/apices bilaterally depending upon the consolidation.
- Vesicular breath sounds
- Wheezing may be present
Heart
- Cardiovascular examination of patients with cryptogenic organizing pneumonia is usually normal.
References
- ↑ Lohr RH, Boland BJ, Douglas WW, Dockrell DH, Colby TV, Swensen SJ; et al. (1997). "Organizing pneumonia. Features and prognosis of cryptogenic, secondary, and focal variants". Arch Intern Med. 157 (12): 1323–9. PMID 9201006.
- ↑ 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.