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Report Interpretation -Spirometry

Report Interpretation -Spirometry. RET 2414L Pulmonary Function Testing Module 2.1. SPIROMETRY. Severity Classification (ATS 2005) Degree of Severity FEV1 %Predicted Mild 70 – 79 Moderate 60 – 69 Moderately Severe 50 – 59 Severe 35 – 49 Very Severe <35.

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Report Interpretation -Spirometry

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  1. Report Interpretation -Spirometry RET 2414L Pulmonary Function Testing Module 2.1

  2. SPIROMETRY Severity Classification (ATS 2005) Degree of Severity FEV1 %Predicted Mild 70 – 79 Moderate 60 – 69 Moderately Severe 50 – 59 Severe 35 – 49 Very Severe <35

  3. SPIROMETRY Case Study 2.1 L. L. is a 21-year-old male in good health who plays college football. His chief complaint is shortness of breath after wind sprints and similar vigorous exercises. L. L. denies any other symptoms, including cough or sputum production. He has never smoked. His grandfather had lung problems, but their is no other history of pulmonary disease involving the family. He states that his brothers and sister have hay fever. There is no history of exposure to environmental pollutants.

  4. SPIROMETRY Case Study 2.1 Predrug Pred %Pred Postdrug %Pred Δ (%) FVC (L) 6.85 6.04 113 6.73 111 -2 FEV1 (L) 4.65 5.03 92 5.45 108 17 FEV1% 68 84 - 81 - FEF 25%-75% 3.9 5.0 78 4.88 97 25 MVV (L/M) 218 166 131 215 130 -1 Raw 2.1 0.6-2.4 - 1.6 - -24 SGaw 0.14 0.20 - 0.22 - 57

  5. SPIROMETRY Case Study 2.2 R. Z. is a 47-year-old carpenter whose chief complaint is shortness of breath on exertion. His dyspnea, although worse recently, has been present for several years. He smoked 1.5 packs of cigarettes per day for 32 years (48 pack years). He has a cough in the morning. He says that he produces a “small amount of grayish sputum.” R. Z.’s father had tuberculosis. A sister had asthma as a child and now as an adult. He denies extraordinary exposure to environmental dusts or fumes.

  6. SPIROMETRY Case Study 2.2 Predrug Pred %Pred Postdrug %Pred Δ (%) FVC (L) 4.01 5.15 78 4.49 87 12% FEV1 (L) 2.05 4.03 51 2.20 55 7% FEV1% 51 78 - 49 - -4% FEF 25%-75% 1.2 3.69 33 1.3 35 8% VMax50 1.35 5.54 24 2.67 30 98% VMax25 0.55 2.58 21 1.02 40 85% MVV (L/M) 81 146 55 97 67 20% Raw 3.1 0.6-2.4 - 2.9 - -6 SGaw 0.07 0.20 - 0.11 - 57%

  7. SPIROMETRY Case Study 2.3 P. W. is a 27-year-old mechanic referred to the pulmonary function laboratory by his private physician. His chief complain is “breathing problems.” He describes breathlessness that occurs suddenly and then subsides. He has no other symptoms and no history of lung disease. None of his immediate family has any lung disease. He has smoked one pack of cigarettes per day for the past 10 years (10- pack years). He has no unusual environmental exposure. He claims that gasoline fumes sometimes bring on the episodes of shortness of breath.

  8. SPIROMETRY Case Study 2.3 Predrug Pred %Pred FVC (L) 3.80 5.21 73 FEV1 (L) 3.70 4.30 86 FEV1% 97 83 - FEF 25%-75% 4.62 4.49 103 FEF 50% 4.81 6.01 80 FEF 75% 3.12 3.33 94 MVV (L/M) 77 146 53 MIP 118 128 92 MEP 57 240 24

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