Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive exertional dyspnea and non-productive cough. History significant for fatigue and unintentional weight loss. No history of occupational dust exposure or immunosuppression. Symptoms are chronic and insidious in onset.
Clinical Examination Findings
General: Patient appears comfortable at rest, tachypneic on exertion. HEENT: No cyanosis or clubbing noted. Chest: Bilateral fine end-inspiratory crackles (velcro-like) on auscultation. Cardiac: Regular rate and rhythm, no murmurs or peripheral edema.
Treatment Protocol
Plan: Whole Lung Lavage (WLL) scheduled for symptomatic management. Monitor oxygen saturation levels. Consider GM-CSF therapy if refractory. Serial pulmonary function tests (PFTs) and high-resolution CT (HRCT) to monitor disease progression.