Difference Between Obstructive And Restrictive Lung Disease Pdf

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Written and peer-reviewed by physicians—but use at your own risk. Read our disclaimer. Pulmonary function tests PFTs measure different lung volumes and other functional metrics of pulmonary function.

A Stepwise Approach to the Interpretation of Pulmonary Function Tests

If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Please consult the latest official manual style if you have any questions regarding the format accuracy. Diseases of the lung can be classified into four general categories: 1 obstructive lung disease; 2 restrictive lung disease; 3 infectious disease; and 4 neoplastic disease Table The key clinical difference between obstructive and restrictive lung disease is the forced expiratory volume at one second FEV 1 and the forced vital capacity FVC ratio, which is decreased in obstructive lung disease and normal in restrictive lung disease. In obstructive lung disease, air is trapped within the parenchyma; in restrictive lung disease, airway filling is impaired due to fibrosis of alveolar septae. The four main types of obstructive lung disease are emphysema, asthma, bronchiectasis, and chronic bronchitis.

In these cases, a greater pressure P than normal is required to give the same increase in volume V. Common causes of decreased lung compliance are pulmonary fibrosis, pneumonia and pulmonary edema. In an obstructive lung disease , airway obstruction causes an increase in resistance. During normal breathing, the pressure volume relationship is no different from in a normal lung. However, when breathing rapidly, greater pressure is needed to overcome the resistance to flow, and the volume of each breath gets smaller. Common obstructive diseases include asthma, bronchitis, and emphysema.

A more recent article on spirometry is available. Office-based pulmonary function testing, also known as spirometry, is a powerful tool for primary care physicians to diagnose and manage respiratory problems. If an obstructive defect is present, the physician should determine if the disease is reversible based on the increase in FEV 1 or FVC after bronchodilator treatment i. Asthma is typically reversible, whereas chronic obstructive pulmonary disease is not. If a restrictive pattern is present, full pulmonary function tests with diffusing capacity of the lung for carbon monoxide testing should be ordered to confirm restrictive lung disease and form a differential diagnosis.

An Overview of Obstructive vs. Restrictive Lung Diseases

Most cases of restrictive lung diseases are not curable, but they are often manageable with medication and exercise regimes. These categories are either obstructive or restrictive. A third category, called mixed lung disease, is smaller and has characteristics of both obstructive and restrictive lung diseases. Mixed lung disease most commonly occurs in people with chronic obstructive pulmonary disease COPD , who also have congestive heart failure. In cases of obstructive lung diseases, such as asthma , bronchiectasis, COPD, and emphysema , the lungs are unable to expel air properly during exhalation.

One of the first steps in diagnosing lung diseases is differentiating between obstructive lung disease and restrictive lung disease. There are many different obstructive and restrictive lung diseases, some of which have shared causes, others that don't. Obstruction can occur when inflammation and swelling cause the airways to become narrowed or blocked, making it difficult to expel air from the lungs. This results in an abnormally high volume of air being left in the lungs i. This leads to both the trapping of air and hyperinflation of the lungs—changes that contribute to a worsening of respiratory symptoms. The following lung diseases are categorized as obstructive:. Restrictive lung diseases are characterized by a reduced total lung capacity or the sum of residual volume combined with the forced vital capacity the amount of air that can be exhaled forcefully after taking a deep breath.

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While both types can cause shortness of breath.


Spirometry Interpretation

Part of the process of assessing patients who present with breathlessness, cough or other respiratory symptoms involves undertaking breathing tests to determine how well the lungs are functioning. At its most basic, this involves measuring the amount of air that can be forcefully exhaled from a full breath through a device called a spirometer. These measurements are compared to values that would be expected for someone of similar height, age and gender to achieve called predicted values and, together with clinical history and examination, help to judge whether symptoms are the result of an obstructive or restrictive process. This may be temporary, such as in acute asthma, when the airways can rapidly constrict in response to a trigger e.

As sleep centers receive increasingly sick patients that have much more than Obstructive Sleep Apnea OSA , it becomes even more essential for sleep technologists to gain improved knowledge of their patients and their illnesses. This includes distinguishing between various lung conditions, such as obstructive lung disease and restrictive lung disease. On the other hand, individuals with restrictive lung diseases have a difficult time fully expanding their lungs.

Pulmonary function testing

Doctors classify lung disease as either obstructive or restrictive. Those with restrictive lung disease experience difficulty fully expanding their lungs. Obstructive and restrictive lung disease share one main symptom—shortness of breath with any sort of physical exertion.

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The Difference Between Obstructive and Restrictive Lung Disease. by mpatino | May 24, | Disease Education, Lung Disease, Medical. The Difference.


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