Hamman-Rich syndrome physical examination

Patients with acute interstitial pneumonitis usually appear ill. Physical examination shows tachypnea, tachycardia, crackles, wheezing and signs of hypoxemia.

• Physical examination of patients with acute interstitial pneumonitis will show tachypnea, tachycardia, cyanosis, crackles, and wheezes on auscultation.

• Patients with acute interstitial pneumonitis usually appear ill.

• Fever
• Tachycardia
• Tachypnea

• Cyanosis because of hypoxemia.

• Flared nares

• Neck examination of patients with acute interstitial pneumonitis is usually normal.

• Tachycardia
• Examine heart for findings of congestive heart failure to exclude the diagnosis.

• Diffuse  crackles upon auscultation of the lungs bilaterally^[1]
• Wheezing may be present
• Prolonged expiration
• Persistent scattered rhonchi

• Clubbing is not usually present in acute interstitial pneumonitis. Presence of clubbing indicates exacerbation of preexisting fibrotic lung disease.
• Cyanosis due to hypoxemia

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