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Collapse Vs Fibrosis Fixed

The document outlines the clinical differentiation between lung collapse (atelectasis) and pulmonary fibrosis, highlighting key differences in onset, history, symptoms, and physical examination findings. Lung collapse presents suddenly with acute symptoms and tracheal deviation, while pulmonary fibrosis develops gradually with chronic symptoms and common clubbing. Key diagnostic clues include chest X-ray findings and auscultation results that help distinguish between the two conditions.

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292 views2 pages

Collapse Vs Fibrosis Fixed

The document outlines the clinical differentiation between lung collapse (atelectasis) and pulmonary fibrosis, highlighting key differences in onset, history, symptoms, and physical examination findings. Lung collapse presents suddenly with acute symptoms and tracheal deviation, while pulmonary fibrosis develops gradually with chronic symptoms and common clubbing. Key diagnostic clues include chest X-ray findings and auscultation results that help distinguish between the two conditions.

Uploaded by

Muktadir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Clinical Differentiation Between

Lung Collapse (Atelectasis) vs Pulmonary Fibrosis

Onset:
Collapse (Atelectasis): Sudden
Pulmonary Fibrosis: Gradual and progressive

History:
Collapse: Acute, e.g., post-surgery, airway obstruction.
Fibrosis: Chronic, progressive SOB, dry cough.

Symptoms:
Collapse: Acute dyspnea, chest pain possible.
Fibrosis: Chronic dry cough, progressive dyspnea.

Trachea:
Collapse: Shifted toward the side of collapse.
Fibrosis: Usually midline or slight shift if extensive.

Chest Expansion:
Collapse: Decreased on affected side.
Fibrosis: Decreased over fibrosed area (less marked).

Percussion:
Collapse: Dull (loss of air).
Fibrosis: Dull (dense fibrotic tissue).

Auscultation:
Collapse: Breath sounds decreased or absent.
Fibrosis: Fine end-inspiratory crepitations (Velcro crackles).

Vocal Resonance:
Collapse: Decreased or absent.
Fibrosis: Normal or slightly increased.

Clubbing:
Collapse: Usually absent.
Fibrosis: Commonly present (chronic hypoxia).

Cyanosis:
Collapse: Can occur if massive collapse.
Fibrosis: May be present in advanced stages.

Chest X-ray:
Collapse: Dense opacity, volume loss, tracheal shift toward collapse.
Fibrosis: Reticulonodular shadows, honeycombing (late).

Key Clinical Clues:


- Collapse: Acute onset, tracheal deviation toward affected side, silent chest area, no early clubbing.
- Fibrosis: Chronic course, fine Velcro crackles, clubbing common, trachea midline.

Mnemonic:
"Collapse is sudden, silent, and shifts the trachea; fibrosis is slow, crackling, and clubs the fingers."

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