Arterial Blood Gases

Jul 8, 2016 by in RESPIRATORY Comments Off on Arterial Blood Gases

Arterial Blood Gases Arterial blood gas analysis is performed to answer various clinical questions: Is gas exchange normal? Is there carbon dioxide retention in the patient with chronic obstructive pulmonary…

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Bronchodilators and Bronchial Challenge Testing

Jul 8, 2016 by in RESPIRATORY Comments Off on Bronchodilators and Bronchial Challenge Testing

Bronchodilators and Bronchial Challenge Testing When a patient undergoes pulmonary function tests for the first time, it is almost always worthwhile to have spirometry performed before and after the administration…

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Diffusing Capacity of the Lungs

Jul 8, 2016 by in RESPIRATORY Comments Off on Diffusing Capacity of the Lungs

Diffusing Capacity of the Lungs An important step in the transfer of oxygen from ambient air to the arterial blood is the process of diffusion, that is, the transfer of…

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Static (Absolute) Lung Volumes

Jul 8, 2016 by in RESPIRATORY Comments Off on Static (Absolute) Lung Volumes

Static (Absolute) Lung Volumes Measures of the so-called static (or absolute) lung volumes are often informative.1 The most important are the vital capacity (VC), residual volume (RV), and total lung…

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Spirometry: Dynamic Lung Volumes

Jul 8, 2016 by in RESPIRATORY Comments Off on Spirometry: Dynamic Lung Volumes

Spirometry: Dynamic Lung Volumes Spirometry is used to measure the rate at which the lung changes volume during forced breathing maneuvers. The most commonly performed test uses the forced expiratory…

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Introduction

Jul 8, 2016 by in RESPIRATORY Comments Off on Introduction

Introduction Pulmonary function tests can provide important clinical information, yet they are vastly underused. They are designed to identify and quantify defects and abnormalities in the function of the respiratory…

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Level 3

Jul 8, 2016 by in CARDIOLOGY Comments Off on Level 3

Level 3 ECG 340 A 77-year-old male who is seen for a comprehensive physical examination. He has a known history of ischemic heart disease including a past myocardial infarction. He…

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Level 2

Jul 8, 2016 by in CARDIOLOGY Comments Off on Level 2

Level 2 ECG 169 A 46-year-old female who presents for an initial cardiac electrophysiology evaluation in the setting of paroxysmal tachycardia and presyncope. She had been previously evaluated by her…

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Level 1

Jul 8, 2016 by in CARDIOLOGY Comments Off on Level 1

Level 1 ECG 1 A 60-year-old female with severe coronary artery disease and severe aortic stenosis who underwent successful multi-vessel coronary artery bypass grafting and bioprosthetic aortic valve replacement. This…

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