Clinical Quiz

A 45 year old woman presents to you. She has a height of 155 cm and a long history of smoking (35 pack years). She has a recent history of chest tightness especially on the left side, and weight loss is starting to occur. A chest X-ray of the patient is within normal limits.

Spirometry is requested as is a bronchoscopy.

	Pre-Bronchodilator Chart
	Post-Bronchodilator Chart
	Spirometry Review

Which of the following clinical conditions best fits the case history and results?

• Fixed large airway obstruction?

• Normal ventilatory function?

• Diaphragmatic weakness?

• Asthma?

• Carcinoma of the left main bronchus

Send your answer to lesley@globalfamilydoctor.com.

The first correct answer received will be awarded a copy of the Spirometry CD produced by medi+WORLD International.

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