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ROWSHNE JAHAN
MBBS(DMC), DTCD, MD (Chest Diseases)
Assistant
A - correct answer.
The spirometry of the
patient shows
VC -
FEV6
Inspiratory reserve
volume
Total
lung
capacity
Inspiratory
capacity
Tidal volume
Expiratory reserve
volume
Residual volume
Vital
capacity
defect
Restrictive defect
Volume, L
FVC
4
3
2
1
Time, secs
At first
Restriction
Look for
FVC
> 80%
Normal
< 80%
Restriction
Spirometry in ILD
The aim of doing spirometry in ILD is to quantify disease
severity & to monitor disease progression.
A restrictive defect is the most frequent ventilator
abnormality in patients with pulmonary fibrosis which is a
common consequence of many ILD. The presence of air
flow obstruction may reflect coexistent COPD/ASTHMA.
Lung volume may be relatively preserved in smokers with
IPF due to coexisting emphysema with FEV1/FVC ratio
remaining normal.
Change in FVC has emerged as the serial lung function
measurement most consistently predictive of mortality.
A change in FVC of only 10% is needed to identify a true
change in disease severity.
In
In
All
In
Carcinoid
Conclusion
So spirometry is a powerful tool that can be
used to diagnose, follow & manage patients
with lung diseases when done in appropriate
setting.