Thursday, December 9, 2010

Asbestosis: How good Is It?

U.S. studies have shown that asbestosis deaths have been increasing. This is in contrast to trends in mortality linked by other forms of pneumoconiosis, who have been in a steady decline. Worse yet, it is expected that these mortality figures increase even more in the coming years. The four - year period (from 2001 to 2005), U.S. studies have set the estimated life years lost before age 65 that is attributable to asbestosis to be 7,267. With the above-mentioned figures of sad, immediate recognition of the symptoms asbestosis and subsequent treatment institution are very desirable.

Research on potential exposure to asbestos in the past the patient is relevant. Asbestosis symptoms usually appear after a period of 20 years latency. Dyspnea effort is the most common and prominent symptom exhibited by patients. Patients also report a non-productive cough, wheezing, and chest pain unspecified. Fatigue and weight loss are common complaints. As the disease progresses, dyspnoea worsens as well.

Rales or listened Crackle final-inspiratorio during physical examination are the telltale signs of asbestosis. Rales sounds so fine as hair rubbing against each other, or thick as adjusting a Velcro open. Using a stethoscope, these rales are better listen on the bases of lungs, postero-lateral chest wall. Doctors should maintain a high degree of suspicion once rales are documented on physical examination, as these normally precede features pleural plaques seen on x-ray of chest and abnormalities in pulmonary function tests. However, a third of patients with asbestosis cannot make rales. As the disease progresses, the finger clubbing, as well as the expansion of restricted chest are also evident. As it gets worse asbestosis, now you can hear rales of inspiratory phase all.

Typical findings of asbestosis seen on chest x-rays include diffuse reticulonodular infiltrated in the lungs that obscure the heart border databases. Pleural thickening can also be seen, usually from mid lung fields. Calcified pleural plaques are also and are commonly found in the lungs, including the diaphragmatic pleura databases. Linear interstitial brands are commonly seen in the early stages of asbestosis. At more advanced stages, honeycombing consisting cystic spaces surrounded by fields of lung and interstitial infiltrators, is to find the feature more. In cases where on chest x-ray findings are not diagnostic, a high-resolution estimated CT scan maybe used to help detect consistent with asbestosis structural abnormalities. The typical CT scan results include linear opacities of subpleural that are parallel to the pleura and fibrosis.

Patient pulmonary function tests should also be investigated. The first anomaly seen with asbestosis is those hypoxemia. Reduces the ability to spread the lung. They are also a reduction of total capacity and vital capacity of the lungs, which are consistent with other restrictive lung disease patterns. However, the proportion of FEV1/FVC remains unchanged. Monitoring of patient's oxygenation State of can also be done using pulse oximetry readings during cardiopulmonary stress and punctures arterial blood timely arterial blood gas analysis testing. Invasive biopsy and broncheoalveolar washing procedures are not necessary for the diagnosis of asbestosis.

Asbestosis diagnosis is mainly clinical. A higher rate of suspected armed with the knowledge of the characteristic physical, laboratory tests and studies of medical images to go a long way to help save the lives of people finds.

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