Medicine Notes - Clinical Examination - Apical Pulmonary Fibrosis
Apical pulmonary fibrosis
Apical pulmonary fibrosis occur due to tuberculosis, histiocytosis, radiation, extrinsic allergic alveolitis, ankylosing spondylitis, gold / drugs, silicosis and sarcoidosis.
Apical pulmonary fibrosis’ patient may appear cushingoid in nature due to steroid therapy or present with question mark posture due to ankylosing spondylitis. There will be fingers clubbing and easy bruising or thin skin due to increase intake of steroid. Patient with apical pulmonary fibrosis may present with fine end inspiratory crackles heard on the apex of the lung.
The common complications of apical pulmonary fibrosis are cor pulmonale and restrictive lung disease. Chest x ray may shows reticulo nodular shadowing and honey combing pattern.
Apical pulmonary fibrosis occur due to tuberculosis, histiocytosis, radiation, extrinsic allergic alveolitis, ankylosing spondylitis, gold / drugs, silicosis and sarcoidosis.
Apical pulmonary fibrosis’ patient may appear cushingoid in nature due to steroid therapy or present with question mark posture due to ankylosing spondylitis. There will be fingers clubbing and easy bruising or thin skin due to increase intake of steroid. Patient with apical pulmonary fibrosis may present with fine end inspiratory crackles heard on the apex of the lung.
The common complications of apical pulmonary fibrosis are cor pulmonale and restrictive lung disease. Chest x ray may shows reticulo nodular shadowing and honey combing pattern.
