Pneumoconiosis physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dushka Riaz, MD

Patients with pneumoconiosis usually appear breathless. Physical examination of patients with pneumoconiosis is usually remarkable for cough, wheezing and shortness of breath with remote history of occupational exposure to some pathogenic material. ^[1]

Physical examination of patients is usually positive for wheezing on auscultation and tachypnea.

• Patients with pneumoconiosis usually appear with shortness of breath and digital clubbing.

• Fever
• Tachypnea

• Decreased breath sounds.
• Wheezing with end-inspiratory crackles.
• PFT with restrictive pattern and decreased FVC.
• Rhonchi can be observed.

• Accentuation of P2 at the left upper sternal border.
• If cor pulmonale develops, the patient will show JVD, hepatojugular reflux and peripheral edema. ^{[2] [3] [4] [5]}

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