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03-18-2009, 10:40 AM
Pulmonary fibrosis
Type
Interstitial pulmonary fibrosis.
parenchyma pulmonary fibrosis.
C/P Of pulmonary fibrosis (parenchymatous)
1- manifestations of the cause Ó T.B
(past history) Ó Abscess Ó Empyema.
2- Dyspnea Ó Bronchiectasis
3- Cyanosis (In advanced stage)
Local examinations
Inspection Ó retraction, » movement.
Palpation Ó TVF » or ­ - » chest expansion,
trachea deviated to the same side.
Percussion Ó Dul1ness.
AuscultationÓ Air entery »» or »» intensity of breath sounds.
Investigation Ó Crowded ribs, trachea shifted to the same side
* X-ray Ó Heterogenous opacity
Ó Tenting of diaphragm
* Pulmonary function Ó restrictive hypoventilation.
Treatment * Cause
* Symptomatic treatment e.g. antitussive for cough
* lung transplantation in advanced cases.

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)