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Pulmonary Function Tests Measuring the Capacity for Life
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
What do the lungs do? ,[object Object],[object Object],[object Object]
How do the lungs do this? ,[object Object],[object Object]
Conducting Airways ,[object Object]
How do the lungs do this? (cont) ,[object Object],[object Object]
How do the lungs do this? (cont) ,[object Object],[object Object]
From Netter  Atlas of Human Anatomy , 1989
How does gas exchange occur? ,[object Object],[object Object],[object Object]
Gas Exchange From Netter  Atlas of Human Anatomy , 1989
What exactly are PFTs? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why do I care about PFTs? ,[object Object],[object Object],[object Object],[object Object]
Yes, PFTs are really wonderful but… ,[object Object],[object Object],[object Object]
Where would I perform PFTs? ,[object Object],[object Object],[object Object]
When would I order PFTs? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When would I order PFTs (cont)? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spirometry ,[object Object]
A Brief Aside on History ,[object Object],[object Object],[object Object],[object Object]
A Brief Aside on History ,[object Object],[object Object],[object Object],[object Object]
Silhouette of Hutchinson Performing   Spirometry From Chest,  2002
Lung Volumes and Capacities ,[object Object],[object Object],[object Object]
Lung Volumes ,[object Object],[object Object],[object Object]
Lung Volumes ,[object Object],[object Object],[object Object]
Lung Capacities ,[object Object],[object Object],[object Object]
Lung Capacities (cont.) ,[object Object],[object Object],[object Object]
What information does a spirometer yield? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Forced Expiratory Vital Capacity ,[object Object],[object Object],[object Object]
Performance of FVC maneuver ,[object Object],[object Object],[object Object],[object Object],[object Object]
Performance of FVC maneuver (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Performance of FVC maneuver (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special Considerations in Pediatric Patients ,[object Object],[object Object],[object Object]
Flow-Volume Curves and Spirograms ,[object Object],[object Object],[object Object]
Normal Flow-Volume Curve and Spirogram
Spirometry Interpretation: So what constitutes normal? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acceptable and Unacceptable  Spirograms  (from ATS, 1994)
Measurements Obtained from the FVC Curve ,[object Object],[object Object],[object Object]
Spirometry Interpretation: Obstructive vs. Restrictive Defect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal vs. Obstructive vs. Restrictive (Hyatt, 2003)
Spirometry Interpretation: Obstructive vs. Restrictive Defect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spirometry Interpretation: What do the numbers mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spirometry Interpretation: What do the numbers mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What about lung volumes and obstructive and restrictive disease? (From Ruppel, 2003)
Maximal Inspiratory Flow ,[object Object],[object Object],[object Object]
Flow-Volume Loops (Rudolph and Rudolph, 2003)
How is a flow-volume loop helpful? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spirometry Pre and Post Bronchodilator  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case #1
Case #2
Case #3
Case #4
Case #5
References ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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