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Asthma Testing
Asthma Testing
Pulmonary Function Test (PFT) Spirometry measures how well the lungs exhale. The information gathered during this test is useful in diagnosing certain types of lung disorders, but is most useful when assessing for obstructive lung diseases (especially asthma and chronic obstructive pulmonary disease [COPD]). Lung volume measurement detects restrictive lung diseases. In this set of diseases, a person cannot inhale a normal volume of air. Restrictive lung diseases may be caused by inflammation or scarring of the lung tissue (interstitial lung disease) or by abnormalities of the muscles or skeleton of the chest wall. Spirometry Technology advancements have made spirometry much more reliable and
relatively simple to incorporate into a routine office visit. However,
interpreting spirometry results can be challenging because the quality of the
test is largely dependent on patient effort and cooperation and the
interpreter's knowledge of appropriate reference values. A simplified and
stepwise method is key to interpreting spirometry. The first step is determining
the validity of the test. Next, the determination of an obstructive or
restrictive ventilatory pattern is made. If a ventilatory pattern is identified,
its severity is graded. In some patients, additional tests such as static lung
volumes, diffusing capacity of the lung for carbon monoxide and bronchodilator
challenge testing are needed. The tests can further define lung processes but
require more sophisticated equipment and expertise only in a pulmonary function
laboratory. |
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