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INTERPRETATION OF PULMONARY FUNCTION TESTS (PFTS)

INTERPRETATION OF PULMONARY FUNCTION TESTS (PFTS)Anna Neumeier, MDAssistant Professor, Department of PULMONARY Sciences and Critical Care MedicineACPF ebruary 2020 LEARNING the clinical indications for PULMONARY FUNCTION the physiology of the core PULMONARY FUNCTION TESTS : spirometry, lung volumes and an organized approach to interpreting PULMONARY FUNCTION obstructive, restrictive, mixed obstructive-restrictive and PULMONARY vascular patterns of abnormalities on PULMONARY FUNCTION FOR PFTS Evaluation of patients presenting with dyspnea Evaluating disease severity and monitoring response to treatment Determine fitness for surgery *thoracic surgery/lung resectionPFTS: AVAILABLE MEASURES Spirometry Airflow (how much air, how fast) (Static) Lung volumes Volume (how much air) Diffusing Capacity/DLCO Gas exchange (how effective) Other testing: Airway responsiveness Respiratory muscle strength testing Compliance of the lungsA PHYSIOLOGY REFRESHER:LUNG VOLUMES AND CAPACITIESAl-Askhar.

Based on these lung function tests, your suspicion that this patient has asthma is: a. Decreased, normal lung function test rules out asthma b. Unchanged, her clinical history is suggestive and many patients with asthma have normal spirometry c. I …

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