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Spirometry - PFT Interpretation Algorithm

- BWH Medicine Chiefs @BrighamChiefs

#Spirometry #PFTs #Interpretation #Algorithm #diagnosis #differential #pulmonary #function
Spirometry - PFT ... Interpretation Algorithm ... #PFTs #Interpretation ... #differential #pulmonary ... #function #testing
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Algorithm Restrictive ... disorders • Interstitial ... #Function #Testing ... #Algorithm #diagnosis
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... Tests (PFTs) - ... Interpretation Algorithm ... Disorders • Interstitial ... Emphysematous COPD
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Ventilation/perfusion ... Disease (Asthma, COPD ... Limitation • Interstitial ... Differential #Diagnosis #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Pericardial • Effusion ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... Interstitium
Pulmonary Function Test (PFT) Interpretation Algorithm

Approach to PFTs:
1) Look at Flow-Volume Loop if available
2) FEV1/FVC <
Pulmonary Function ... Algorithm Approach ... (diffusion defect ... #Function #Test ... #Algorithm #diagnosis
RHEUMATOID LUNG DISEASE:
•	RA-associated interstitial lung disease (RA-ILD).
•	Pleural disease (pleural thickening/effusions).
•	Airway disease (Both upper & lower airway).
•	Rheumatoid
RA-associated interstitial ... pleural thickening/effusions ... RHEUMATOID EFFUSION ... Pulmonary function ... testing in ILD (PFT
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac function ... with presence of pulmonary ... non-congested profile (“Cold ... and congested (“Cold ... #differential #algorithm
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
/EDV Ejection Fraction ... CI/BVI Blood Flow ... DP-PCWP Coronary Perfusion ... Pressure COP ... 5.2561) 19-21 % Fraction