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A 26-year-old male is complaining of shortness of breath. The following data are obtained:Found% Predicted Ratio

TLCPL5.7986
RV 1.1684
FVC 4.3881
FEV 13.598182
DLCO 35.298
MIP-4334
MEP+8545
What do the test results most likely represent?
1. Neuromuscular weakness
2. Mild restriction with concomitant reduction in respiratory pressures
3. Asthma
4. Poor effort

1 Answer

4 votes

Final answer:

The spirometry results, specifically the normal FEV1/FVC ratio alongside reduced FEV1, FVC, DLC, MIP, and MEP values, suggest mild restriction with concomitant reduction in respiratory pressures, likely indicating neuromuscular weakness rather than obstructive lung disease like asthma or poor effort. Option 1 is correct.

Step-by-step explanation:

The test results provided suggest that the 26-year-old male may be experiencing lung functional issues. To determine what the test results most likely represent, we can analyze the FEV1/FVC ratio. According to the provided data, the FEV1/FVC ratio is 82 (calculated from FEV1 = 3.59 and FVC = 4.38).

This would typically be considered within the normal range, as restrictive lung disease would show a ratio closer to between 88 to 90 percent, and obstructive lung disease would show a ratio less than 69 percent. However, despite this normal ratio, there still appears to be a reduction in lung function since the FEV1, FVC, and DLCO (Diffusing Capacity of the Lungs for Carbon Monoxide) values are all reduced to approximately 81-85% of predicted values.

The maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) being below normal indicates a reduction in respiratory muscle strength, which may suggest neuromuscular weakness. Overall, these results may be indicative of mild restriction with concomitant reduction in respiratory pressures, taking into account the reduced lung volumes and respiratory pressures.

User Braunmagrin
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