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Pulmonary function testing is a diagnostic and management tool used for a variety of reasons, such as: Diagnose lung disease. Monitor the effect of chronic diseases like asthma, chronic obstructive lung disease, or cystic fibrosis. Detect early changes in lung function. Identify narrowing in the airways. Evaluate airway bronchodilator reactivity.
Doing spirometry. Spirometry (meaning the measuring of breath) is the most common of the pulmonary function tests (PFTs). It measures lung function, specifically the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled.
Pulmonary function: increased residual volume, increased total lung capacity, fixed obstruction, low diffusing capacity of the lung for carbon monoxide that corrects with alveolar volume; High-resolution CT scan: diffuse pulmonary nodules 4–10 mm, greater than 20 nodules, mosaic attenuation or air trapping in greater than 50% of the lung
Clinical trials have looked at whether tailoring asthma therapy based on eNO values is better than conventional care, in which therapy is gauged by symptoms and the results of lung function tests. [ 8 ] [ 9 ] [ 10 ] To date, the results in both adults and children have been modest and this technique can not be universally recommended.
Patients who develop BOS post lung transplant vary in disease latency and severity. [6] Patients often initially have normal lung function on pulmonary function testing and have normal chest radiographs. [6] As the disease progresses they begin to have symptoms of shortness of breath, cough, and wheezing as their lung function declines.
Pulmonary function testing in people with organizing pneumonia, either cryptogenic or due to secondary causes, shows a restrictive defect with a decrease in the gas absorptive capacity of the lungs (seen as a decrease in the diffusion capacity of carbon monoxide). [9] Airflow obstruction is usually not seen on pulmonary function testing. [9]