Fast Five Quiz: Diagnosing Idiopathic Pulmonary Fibrosis

Guy W. Soo Hoo, MD, MPH


February 04, 2021

Fine bibasilar rales, fixed split S2, holosystolic tricuspid regurgitation murmur, clubbing, and pedal edema are physical exam findings in patients with IPF, with the latter findings more frequent in patients with advanced disease. Patients, typically men older than age 60 years, often report gradually worsening exertional dyspnea and cough with no apparent precipitating event or exposure.

Normal breath sounds, chest pain on inspiration, chest pain that increases when in the supine position but improves when leaning forward, and normal vital signs are physical exam findings consistent with pleuritic chest pain or pleurisy.

Fever, normal breath sounds, chest pain that worsens when in the supine position but improves when leaning forward, and tachycardia with pericardial friction rub auscultated at the left sternal border are all physical exam findings indicative of pericarditis.

Fever, left-sided rales, scattered rhonchi, decreased oxygen saturation, and absence of pedal edema are physical exam findings typically present in pneumonia.

Learn more about the presentation and physical exam findings associated with IPF.


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