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What Does This Following Lab Report Indicate?

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Posted on Thu, 19 Jan 2017
Question: Test results show expiratory limb of the flow-volume curve shows terminal coving consistent with airflow obstruction. What does this mean?
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Please upload the report

Detailed Answer:
Thanks for asking on Healthcaremagic.

I have gone through your query but would need further details to be able to answer your query. Could you please upload the entire report? That will enable me to comment better on what it actually means.

I would await your response. Based on it I will guide you further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (45 minutes later)
XXXXXXX has a c/o dyspnea, wheezing and productive cough since March,after having bronchitis. . Did pulmonary function lab at local hospital. Interpretation as follows. Severe obstruction based on FEV1/FVC<70% and FEV1 of 30-49% of predicted using GOLD criteria ( Stage3). The expiratory limb of the flow-volume curve shows terminal coving consistent with airflow obstruction. Could you explain what this means. They said c-scan not needed. We would like to get on top of this right away. His next appt not until end of XXXXXXX Should we wait that long? I don't understand why this would be put off if it is as bad as it sounds. Thank you.
doctor
Answered by Dr. Prof. Kunal Saha (6 hours later)
Brief Answer:
Bronchoconstriction is the main problem

Detailed Answer:
Thanks for writing back.

Respiratory diseases can be obstructive or restrictive. Obstructive and restrictive lung disease share the same main symptom: shortness of breath with exertion. Asthma, Bronchiectasis
or Cystic fibrosis are common obstructive diseases. In asthma or other diseases where bronchoconstriction are present, the obstruction occurs in expiratory phase. That is the case as Mike's reports show. Bronchodilators like salbutamol should help in controlling the symptoms. If the symptoms are controlled, waiting ytill the appointment date should not be a problem.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Does This Following Lab Report Indicate?

Brief Answer: Please upload the report Detailed Answer: Thanks for asking on Healthcaremagic. I have gone through your query but would need further details to be able to answer your query. Could you please upload the entire report? That will enable me to comment better on what it actually means. I would await your response. Based on it I will guide you further. Regards