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Pulmonary Function Test Interpretation

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Reduced FEV1/FVC ratio

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Indicates an obstructive lung disease. Conditions associated: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Chronic bronchitis, Emphysema.

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Increased FEV1/FVC ratio

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May suggest a restrictive pattern or normal lung function. Conditions associated: Interstitial lung disease, Obesity-related respiratory issues, Pleural diseases like fibrothorax and pneumothorax.

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Reduced Expiratory Reserve Volume (ERV)

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Indicates a reduced capacity to exhale forcefully. Conditions associated: Obesity, Pregnancy, Age-related changes.

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Decreased FVC

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Can suggest either obstructive or restrictive lung disease. Conditions associated: Interstitial lung disease, Neuromuscular disorders, Chest wall deformities.

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Increased Residual Volume (RV)

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Can indicate air trapping or hyperinflation. Conditions associated: COPD, Asthma during exacerbation, Cystic fibrosis.

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Increased DLCO

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May indicate polycythemia or left-to-right cardiac shunt. Conditions associated: Polycythemia vera, Intracardiac shunt, Asthma.

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Normal spirometry with reduced exercise tolerance

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Indicates other factors affecting exercise capacity. Conditions associated: Cardiac conditions, Poor conditioning, Anemia.

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Increased Total Lung Capacity (TLC)

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Suggests hyperinflation or increased lung compliance. Conditions associated: Emphysema, Asthma (chronic), Age-related lung changes.

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Reduced Diffusion Capacity (DLCO)

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Indicates abnormal gas exchange. Conditions associated: Emphysema, Pulmonary hypertension, Anemia.

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Reduced Forced Inspiratory Flow (FIF)

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Impaired inhalation suggests upper airway or tracheal obstruction. Conditions associated: Vocal cord paralysis, Tracheal stenosis, Obstructive sleep apnea.

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Normal FEV1/FVC with reduced volumes

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Indicates a restrictive pattern without obstruction. Conditions associated: Interstitial lung diseases, Extrathoracic restriction like obesity, Neuromuscular weakness.

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Reduced MVV (Maximum Voluntary Ventilation)

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Suggests decreased respiratory muscle function or endurance. Conditions associated: Neuromuscular disorders, Muscular dystrophies, Severe airflow obstruction.

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Reduced Total Lung Capacity (TLC)

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Indicates restrictive lung disease. Conditions associated: Pulmonary fibrosis, Sarcoidosis, Scoliosis.

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Reduced Mid-Expiratory Flow (FEF25-75%)

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Suggests small airways disease. Conditions associated: Bronchiolitis, Early COPD, Cystic fibrosis.

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High RV/TLC ratio

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Suggests air trapping. Conditions associated: Chronic obstructive pulmonary diseases, Severe persistent asthma, Alpha-1 antitrypsin deficiency.

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Decreased FEV1

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Indicates airflow limitation. Conditions associated: Asthma, COPD, Bronchiectasis.

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Reduced FEV1 with normal FVC

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Implies airway obstruction without lung volume reduction. Conditions associated: Early COPD, Asthma, Chronic bronchitis.

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Reduced Inspiratory Capacity (IC)

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May indicate restrictive lung disease or hyperinflation. Conditions associated: Obesity, Pleural effusion, Neuromuscular diseases.

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Reduced Peak Expiratory Flow (PEF)

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Implies limitation in airway patency. Conditions associated: Asthma, COPD, Vocal cord dysfunction.

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Normal TLC with reduced DLCO

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Indicates impaired gas transfer with normal lung volumes. Conditions associated: Pulmonary vascular diseases, Early interstitial lung disease, Emphysema.

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