Pulmonary Fibrosis: Medical History

Medical history (history of illness) represents an important component in the diagnosis of pulmonary fibrosis. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic … Pulmonary Fibrosis: Medical History

Pulmonary Fibrosis: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Hermansky-Pudlak syndrome – genetic disorder with autosomal recessive inheritance associated with albinism, photophobia, and increased bleeding tendency; usually also pulmonary fibrosis and increased bleeding tendency. Neurofibromatosis – genetic disease with autosomal dominant inheritance; belongs to the phakomatoses (diseases of the skin and nervous system); three genetically distinct forms … Pulmonary Fibrosis: Or something else? Differential Diagnosis

Pleuritic Pain (Pleurodynia)

Pleurodynia (Greek. πλευρά “side, flank, rib” and οδύνη “pain,” German. Rippenfellschmerzen; B33.0: Pleurodynia epidemica; R07.3: Other chest pain) refers to pain in the region of the pleura (pleura; pleuritic pain). It occurs in various diseases of the pleura, especially in the context of pleurisy. Pleurodynia can be a symptom of many diseases (see “Differential diagnoses”). … Pleuritic Pain (Pleurodynia)

Pleuritic Pain (Pleurodynia): Medical History

The medical history represents an important component in the diagnosis of pleurodynia (pleural pain). Family history What is the current health status of your family members? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). How quickly did the chest pain* occur? Acute – minutes to hours? Subacute – hours to days? Days to … Pleuritic Pain (Pleurodynia): Medical History

Pleuritic Pain (Pleurodynia): Or something else? Differential Diagnosis

Respiratory System (J00-J99) Bronchial asthma Bronchitis – inflammation of the bronchi. Foreign body aspiration – inhalation of foreign bodies. Mediastinitis – inflammation in the mediastinum (space in the chest located between the lungs). Pleurisy (sicca) (pleurisy). Pneumonia (pneumonia) Pulmonary hypertension (pulmonary hypertension) Pneumothorax – lung collapse further complicated by a valve mechanism. Blood, blood-forming organs … Pleuritic Pain (Pleurodynia): Or something else? Differential Diagnosis

Pleuritic Pain (Pleurodynia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further: Inspection (viewing). Skin and mucous membranes Auscultation (listening) of the heart [to exclude cardiac diseases differential diagnosis; pericarditis: friction sounds over the heart]. Examination of the lungs (due … Pleuritic Pain (Pleurodynia): Examination

Pleuritic Pain (Pleurodynia): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Highly sensitive cardiac troponin T (hs-cTnT) or troponin I (hs-cTnI) – for suspected myocardial infarction (heart attack). D-dimers – for suspected thrombosis or pulmonary embolism. Laboratory parameters 2nd order – depending … Pleuritic Pain (Pleurodynia): Test and Diagnosis

Pleuritic Pain (Pleurodynia): Diagnostic Tests

Obligatory medical device diagnostics. Electrocardiogram (ECG; 12-lead ECG; additional right ventricular leads in unstable patients and if 12-lead ECG is unremarkable)-to confirm cardiac ischemia (reduced blood flow to the heart) [see “Stages of myocardial infarction (heart attack) on ECG” below; if ST elevation is detected on ECG, indication for invasive workup in cardiac catheterization laboratoryNote: … Pleuritic Pain (Pleurodynia): Diagnostic Tests

Pleuritic Pain (Pleurodynia): Symptoms, Complaints, Signs

The following symptoms and complaints may occur together with pleurodynia (pleural pain): Leading symptom Pleurodynia (pleural pain): chest pain that worsens with deep breathing movements and with talking, coughing, or sneezing; pain character: cutting. Associated symptoms Breath-dependent pain Dyspnea, depending on the size of the pleural effusion Irritative cough (without sputum) Occasionally fever

Sarcoidosis: Uses, Effects, Side Effects, Dosage, Interactions, Risks

In sarcoidosis (synonyms: Benign Schaumann lymphogranulomatosis; Besnier-Boeck-Schaumann disease; Besnier-Boeck-Schaumann syndrome; Besnier-Tennesson syndrome; Bilateral hilar lymphoma syndrome [Löfgren syndrome]; Boeck bone disease; Boeck lupoid; Boeck sarcoid; Darier-Roussy sarcoid; early onset sarcoidosis (EOS); Heerfordt disease; Heerfordt-Mylius disease; Heerfordt-Mylius syndrome; Heerfordt syndrome; Hutchinson-Boeck granulomatosis; Hutchinson-Boeck disease; Löfgren syndrome; pulmonary disease associated with sarcoidosis; lupus pernio; lymphogranulomatosis benigna; miliarlupoid … Sarcoidosis: Uses, Effects, Side Effects, Dosage, Interactions, Risks

Pulmonary Edema: Medical History

Medical history (history of illness) represents an important component in the diagnosis of pulmonary edema. Family history What is the general health of your family members? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? Do you suffer from shortness of breath?* How long has … Pulmonary Edema: Medical History

Pulmonary Edema: Or something else? Differential Diagnosis

Respiratory System (J00-J99) ARDS (adult respiratory distress syndrome) – life-threatening acute damage to the lungs; often associated with multiorgan failure in the setting of SIRS (systemic inflammatory response syndrome; clinical picture resembling sepsis). Bronchial asthma Cardiac pulmonary edema – accumulation of water in the lungs due to heart disease. Pulmonary hemorrhage, unspecified Noncardiac pulmonary edema … Pulmonary Edema: Or something else? Differential Diagnosis