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January 2020

A SIMPLE OFFICE VENTILATORY TEST IN THE MANAGEMENT OF BRONCHIAL ASTHMA*

Journal/Book: Reprinted from The American Journal of the Medical Sciences Vol. 249 No. 5 1965. 1965;

Abstract: LEONARD S. GIRSH M.D. † ASSISTANT IN MEDICINE AND LOUIS TUFT M.D.CLINICAL PROFESSOR OF MEDICINE (From the Department of Allergy and Applied Immunology Temple University Medical Center Philadelphia Pennsylvania and the Department of Pediatric Allergy St. Christopher's Hospital for Children Philadelphia Pennsylvania (The Pediatrics Department Temple University Medical Center) *Presented in part as a Scientific Exhibit American Medical Association 17th Clinical Meeting Portland Oregon December 1 1964. (Reprint resquests should be addressed to Dr. Leonard S. Girsh 3701 North Broad Street Philadelphia Summary A simple useful office ventilatory test consisting in the elicitation of a wheeze upon auscultation of the chest after forced expiratory effort with the patient both in the erect and in the recumbent postures has been utilized in comparative studies performed in 72 asthmatic patients and in 100 normal controls. These graded auscultatory findings correlate well with the results of pulmonary function studies. This was true both after change in the position and after bronchodilator therapy. The increase in wheezing and decrease in pulmonary function observed when asthmatic patients changed from the erect or sitting to the recumbent position offer a possible explanation for the long-recognized aggravation of asthma at night. . . . .


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