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<p>[QUOTE="kinghamada, post: 52709"]This article is to discuss <a href="http://www.med4al.com/2025/07/pulmonary-fibrosis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/pulmonary-fibrosis.html" rel="nofollow">lung fibrosis</a> regarding its known types , aetiology, clinical picture (manifestations), investigations and management .</p><p><b> Types of pulmonary fibrosis</b></p><p><br /></p><p> [ATTACH=full]125128[/ATTACH]1• Interstitial pulmonary fibrosis .</p><p>2• Parenchymatous pulmonary fibrosis .</p><p><br /></p><p><b> Etiology ( Causes of pulmonary fibrosis ):</b></p><p><br /></p><p> TB - <a href="http://www.med4al.com/2025/07/lung-abscess.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/lung-abscess.html" rel="nofollow">lung abscess</a> - <a href="http://www.med4al.com/2025/07/bronchiectasis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/bronchiectasis.html" rel="nofollow">Bronchiectasis</a> - <a href="http://www.med4al.com/2025/06/empyema-detailed.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/06/empyema-detailed.html" rel="nofollow">Empyema</a></p><p><br /></p><p><b>Clinical picture </b></p><p>Pulmonary fibrosis (parenchymatous)</p><p>1- Manifestations of the cause or past history of TB -<a href="http://www.med4al.com/2025/07/lung-abscess.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/lung-abscess.html" rel="nofollow"> lung abscess</a> - <a href="http://www.med4al.com/2025/07/bronchiectasis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/bronchiectasis.html" rel="nofollow">Bronchiectasis</a> -<a href="http://www.med4al.com/2025/06/empyema-detailed.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/06/empyema-detailed.html" rel="nofollow"> Empyema</a></p><p>2- Dyspnea, chronic dry cough .</p><p>3- Cyanosis (In advanced stage)</p><p><br /></p><p><b>Local examination</b></p><p><br /></p><p>(The affected side showing multiple negative signs):</p><p>• <b><u>Inspection</u></b> : Diminished movement, retraction.</p><p><br /></p><p>• <b><u>Palpation</u></b> : TVF Low, diminished chest expansion, trachea deviated to the same side of the lesion.</p><p><br /></p><p>TVF is High with Marked tracheal shift to the same side</p><p><br /></p><p>• <b><u>Percussion</u></b> : Dullness, if the fibrosis is left sided it does not affect the traube's area (resonant traube's area), to be differentiated</p><p>from left sided pleural effusion.</p><p><br /></p><p>•<b><u> Auscultation</u></b> : Diminished Air entery - or diminished intensity of breath sounds, coarse non consonating crepitations .</p><p><br /></p><p>Investigations</p><p>* <b><u>X-ray </u></b>shows :</p><p>Crowded ribs, trachea shifted to the same side , Heterogenous opacity, Tenting of diaphragm</p><p>* <b><u>Pulmonary function tests</u></b> showing restrictive hypoventilation.</p><p><b> Treatment of pulmonary fibrosis</b></p><p><br /></p><p><b><b><font size="5"><span style="color: Red">Source</span></font></b> : <a href="http://www.med4al.com/2025/07/pulmonary-fibrosis.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/pulmonary-fibrosis.html" rel="nofollow"><font size="4"><b>Pulmonary fibrosis causes, types, diagnosis and treatment</b></font></a></b></p><p><b></b>[/QUOTE]</p><p><br /></p>
[QUOTE="kinghamada, post: 52709"]This article is to discuss [URL="http://www.med4al.com/2025/07/pulmonary-fibrosis.html"]lung fibrosis[/URL] regarding its known types , aetiology, clinical picture (manifestations), investigations and management . [B] Types of pulmonary fibrosis[/B] [ATTACH=full]125128[/ATTACH]1• Interstitial pulmonary fibrosis . 2• Parenchymatous pulmonary fibrosis . [B] Etiology ( Causes of pulmonary fibrosis ):[/B] TB - [URL="http://www.med4al.com/2025/07/lung-abscess.html"]lung abscess[/URL] - [URL="http://www.med4al.com/2025/07/bronchiectasis.html"]Bronchiectasis[/URL] - [URL="http://www.med4al.com/2025/06/empyema-detailed.html"]Empyema[/URL] [B]Clinical picture [/B] Pulmonary fibrosis (parenchymatous) 1- Manifestations of the cause or past history of TB -[URL="http://www.med4al.com/2025/07/lung-abscess.html"] lung abscess[/URL] - [URL="http://www.med4al.com/2025/07/bronchiectasis.html"]Bronchiectasis[/URL] -[URL="http://www.med4al.com/2025/06/empyema-detailed.html"] Empyema[/URL] 2- Dyspnea, chronic dry cough . 3- Cyanosis (In advanced stage) [B]Local examination[/B] (The affected side showing multiple negative signs): • [B][U]Inspection[/U][/B] : Diminished movement, retraction. • [B][U]Palpation[/U][/B] : TVF Low, diminished chest expansion, trachea deviated to the same side of the lesion. TVF is High with Marked tracheal shift to the same side • [B][U]Percussion[/U][/B] : Dullness, if the fibrosis is left sided it does not affect the traube's area (resonant traube's area), to be differentiated from left sided pleural effusion. •[B][U] Auscultation[/U][/B] : Diminished Air entery - or diminished intensity of breath sounds, coarse non consonating crepitations . Investigations * [B][U]X-ray [/U][/B]shows : Crowded ribs, trachea shifted to the same side , Heterogenous opacity, Tenting of diaphragm * [B][U]Pulmonary function tests[/U][/B] showing restrictive hypoventilation. [B] Treatment of pulmonary fibrosis[/B] [B][B][SIZE=5][COLOR=Red]Source[/COLOR][/SIZE][/B] : [URL="http://www.med4al.com/2025/07/pulmonary-fibrosis.html"][SIZE=4][B]Pulmonary fibrosis causes, types, diagnosis and treatment[/B][/SIZE][/URL] [/B][/QUOTE]
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