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Describe the ventilator defect below:
Variable intrathoracic obstruction.
Flattening of expiratory loop
Example is: Tracheomalacia
Describe the ventilatory defect below:
Restrictive abnormalities
- Defined by reduced TLC
- May have normal or increased FEV1/FVC
- Restrictive lung disease cannot be diagnosed by spirometry alone as FVC and TLC may be poorly correlated
- Lung volume measurement is required for confirmation with plethysmography or other such method
Describe the ventilatory defect below:
Obstructive abnormalities
Reduced FEV1 /FVC
May also see a reduction in mean expiratory flow between 25% and 75% (FEF 25-75)
- Although this is considered a less specific indication of obstruction
Describe the ventilatory defect below:
Fixed upper airway obstruction
Flattening of both inspiratory and expiratory loop
Examples include:
- Tracheal stenosis
- Goiters
Describe the ventilatory defect below:
Normal expiratory flow volume loop
Describe the ventilatory defect below:
Vocal cord dysfunction
A variable extrathoracic obstruction with truncation of inspiratory loop seen when patient is symptomatic
How is a methacholine bronchoprovocation test interpretated (i.e., what do the different levels indicate)?
Hint: There are 5 categories