med 610 clinical respiratory diseases & critcare med

Pulmonary Function Testing

Case 9

A 35 year-old previously healthy man presents with dyspnea, fevers, chills and night sweats for the past 2 months. He is a non-smoker with no concerning habits or occupational exposures. His pulmonary function tests are as follows:

Her pulmonary function testing is as follows:

  Pre-Bronchodilator (BD)
Test Actual Predicted % Predicted
FVC (L) 1.66 4.48 37
FEV1 (L) 0.94 3.67 26
FEV1/FVC (%) 57 82  
RV (L) 1.39 1.66 84
TLC (L) 3.06 5.96 51
RV/TLC (%) 45 29  
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His flow volume loops is as follows:

flow volume loop graph

 

Describe the pattern of abnormality, if one is present.

Grade the severity of the abnormality.

Generate a differential diagnosis for the observed abnormality.

 

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