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Pulmonary Function test

Dr Muhammad Ali
• Mild obstruction :
• FVC Preserved
• PEFR Mildly Reduced
• Coving
• Reduced FeF 25-75
Severe Obstruction
• FVC Reduced
• PEFR Reduced
• Coving
Restriction
• FVC Reduced
• PEFR Remains Normal or Mildly Reduced
• No Coving
Variable Extra Thoracic Airway
Obstruction
Exp Pt > Patm
Inspiration Pt < Patm
Expiratory Limb N
Inspiratory Blunted

Ex Vocal Cord Paralysis


Variable Intra Thoracic Airway
Obstruction

• Inspiratory Limb is Normal

• Ex is Tracheomalacia/ Airway tumor


V/Q Ratio
• The Ratio Between Alveolar Ventilation (V) to
Pulmonary Blood Flow (Q)

• VQ Match is required for ideal exchange of


Oxygen and Carbondioxide

• VQ Ratio is Approximately 0.8


• V/Q is different in different Parts of Lungs
• Blood flow is lowest at apex and highest at
base
• Ventilation is highest at apex and lowest at
base
• V/Q is highest at Apex and lowest at Base

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