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This Concept Map, created with IHMC CmapTools, has information related to: 1.18 CBL - Dyspnea II, cytokines and growth factors including Endothelin-1, cytokines and growth factors leading to migration and proliferation into lung tissue, EDITH presents with dyspnea, diagnostic test results include FEV1/FVC ratio is increased (over 0.8), Work for inspiratory muscles inducing dyspnea, physical exam findings include cyanotic lips, Hair dyes/bleach at Patient's workplace, Apoptosis as part of Cellular repair and regrowth, diagnostic test results include 56% for lymphocytes, migration and proliferation into lung tissue of Fibroblasts, FEV1/FVC ratio is increased (over 0.8) due to decreased FVC and decreased FEV1, decreased O2 in blood shown by 54 mm Hg for paO2, Fibroblasts some differentiate into myofibroblasts, physical exam findings include diminished bilateral breath sounds, Injury and damage in IPF, leads to Abberent activation, Exposure to environmental inciting agent including Cigarette smoke, Alveolar epithelial cells which release cytokines and growth factors, physical exam findings include right ribs 3 and 6 stuck in exhalation, Injury and damage to Alveolar epithelial cells, Pulmonary Fibrosis leading to thickening of alveolar walls