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Interpret · PFTs

Flow-volume loop lab

Numbers can be normal while the loop carries the diagnosis. Learn the six silhouettes and what feature gives each away.

VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Normal

What gives it away: Fast rise to peak, straight descent, rounded inspiratory limb.

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VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Obstructive

What gives it away: The scooped, concave expiratory descent: flows collapse at low lung volumes.

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VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Restrictive

What gives it away: A miniature but normally-shaped loop shifted toward smaller volumes.

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VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Variable extrathoracic

What gives it away: Flattened inspiratory limb: the upper airway collapses inward on inspiration.

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VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Fixed obstruction

What gives it away: Both limbs capped: the loop becomes a box.

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VolumeFlow
Expiration solid · inspiration dashedSynthetic illustration

Mixed

What gives it away: Small volumes AND a scooped descent: two problems at once.