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Pdf Summary

This document outlines a discussion on pulmonary function testing (PFT) and its interpretation in clinical medicine. The discussion involved various experts, including technicians, laboratory directors, physicians, and a pulmonary fellow. The document presents several case scenarios and poses questions to the audience regarding the appropriate next steps in management.<br /><br />One case involves a 60-year-old man being investigated for asthma. After withheld medication, a methacholine challenge test was performed, which showed a slight decrease in FEV1. The audience is asked about the next step in management.<br /><br />Another case involves a 53-year-old man who experienced multiple traumas, including pneumothoraces and fractures. The audience is asked to interpret the pulmonary function test results, which indicate a mixed restriction and obstruction.<br /><br />Other cases involve individuals with various conditions such as bronchospasm, emphysema, and diaphragm paralysis. The document discusses the interpretation of spirometry values, differences between FVC and VCmax, the use of DLco in assessing pulmonary function, and the impact of body posture on spirometric values.<br /><br />The document concludes with the audience's feedback and thoughts on the session. It is presented by the American College of Chest Physicians and aims to improve patient care through education.

Keywords

pulmonary function testing

PFT interpretation

asthma investigation

methacholine challenge test

FEV1 decrease

next step in management

mixed restriction and obstruction

spirometry interpretation

DLco assessment

body posture impact