Pulmonary Function Test

Abdul Hamid Alraiyes

MD. 6/15/2007

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Spirometry: Dynamic Lung Volumes
The factors that affect the Pulmonary Function Test :

 Age
 Height

Used to measure the rate at which the lung changes volume during
forced breathing maneuver. (Flow – Volume Curve)

Factors that affect FVC

1. Lung
2. Pleural effusion
3. Chest wall
4. muscles

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Spirometry: Dynamic Lung Volumes

Q: what is the only disease that cause increase in FVC?

Hint1: this disease written in CMDT page 1134

A: …………………….

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Spirometry: Obstructive findings

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Q: what is the only disease that cause increase in FVC?
Hint2: can increase the incidence of OSA at the same time.

A: …………………….

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Spirometry: Restrictive findings

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Spirometry: Dynamic Lung Volumes

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Variable & Fixed Obstruction

FEF 50% / FIF 50%

Q: what is the only disease that cause increase in FVC?
Hint3: You ask the patient to bring his photo album.

A: …………………….

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Static (Absolute) Lung Volumes

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  Nitrogen Washout test

Bronchodilator & Bronchial Challenge Testing

TEST
Bronchodilator Bronchial Challenge
Substance Used Metered dose inhaler Methacholine
Positive Results An increase of 12% or 200ml A reduction of 20% or
or more in FEV1 or FVC. more in FEV1.

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Diffusing Capacity of the Lungs

DLCO
INCREASED DECREASED
Supine position Emphysema
Exercise Lung Resection
Asthma (Sx free) Bronchial Obstruction
Obesity Multiple Pulmonary Emboli
Polycythemia Anemia
Intra-alveolar hemorrhage Lung Fibrosis
Lt- to – Rt intracardiac Shunts Pregnancy???

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