Obstructive Airway Diseases Flashcards
What is the normal FEV1
3.5-4 litres
What is the normal FVC
5 litres
What is the normal ration of FEV1/FVC
0.7-0.8
What is the predicted FVC based on
age, sex and height
Except for FEV1 and FVC how else can obstructive lung disease be demonstrated
PEFR
What is PEFR
How fast an individual can exhale
What is a normal PEFR
400-600 litres/min
Below what percentage is a marked fall of PEFR
<50%
What are the features of Obstructive Lung Disease (5)
Airflow limitation PEFR is reduced FEV1 is reduced FVC may be reduced FEV1 is less than 70% of FVC
What type of hypersensitivity is bronchial asthma
Type 1
Aetiology of Chronic Bronchitis and Emphysema (5)
Smoking Atmospheric pollution Occupation Alpha-1-antitrypsin deficiency Effect of age and susceptibility
Chronic Bronchitis large airways
Mucous glands and goblet cell hyperplasia
Inflammation
Fibrosis (minor component)
Chronic Bronchitis small airways
Goblet cells appear
Inflammation
Fibrosis (long standing disease)
What is Emphysema
Increase of alveolar space distal to terminal bronchiole arising from dilation or destruction and without obvious fibrosis
Forms of Emphysema
Centri-acinar
Pan-acinar
Bulla