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Bronchial challenge test

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The bronchial challenge test is physically demanding, and the results can be affected by muscular weakness or exhaustion. The inhaled drug can stimulate the upper airway sufficiently to cause violent coughing. This can make spirometry difficult or impossible. This test is contraindicated in patients
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with severe airway obstruction due to the obvious worsening of the obstruction. Also contraindicated by the presence of an aortic aneurysm, as spirometry will increase blood pressure, in proportion to both the patient's effort and the degree of obstruction in the lungs.
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False positives and negatives are possible in the bronchial challenge test. In addition, asthma may be temporary due to an exposure to noxious stimuli or exercise.
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is administered to counteract the effects of the bronchoconstrictor before repeating the spirometry tests. This is commonly referred to as a
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can be used to distinguish asthma (normal to high DLCO) from COPD (reduced DLCO).
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for bronchoconstriction. The degree of narrowing can then be quantified by
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Sometimes, to assess the reversibility of a particular condition, a
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Medical test used to assist in the diagnosis of asthma
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The patient breathes in 788: 741: 721: 693: 650: 627: 589: 582: 489: 395: 284: 275: 224:American Thoracic Society 174:Dixon C (February 1983). 52: 40: 26: 21: 1002:Respiratory system stubs 997:Medical diagnostic stubs 874:diagnostic article is a 843:Pulmonary rehabilitation 670:Bronchial challenge test 637:Pneumonia severity index 629:Clinical prediction rule 139:post bronchodilator test 99:histamine challenge test 68:bronchial challenge test 22:Bronchial challenge test 833:Hyperinflation therapy 798:Artificial respiration 768:Mechanical ventilation 703:Bronchoalveolar lavage 604:CT pulmonary angiogram 119:airway hyperreactivity 74:used to assist in the 813:Decompression chamber 481:Heart–lung transplant 992:Veterinary diagnosis 685:Impulse oscillometry 660:Body plethysmography 808:Hyperbaric medicine 790:Respiratory therapy 708:Nasopharyngeal swab 333:Acoustic rhinometry 103:bronchoconstriction 680:Diffusion capacity 652:Lung function test 269:respiratory system 134:reversibility test 944: 943: 887: 886: 855: 854: 851: 850: 838:Pulmonary hygiene 828:Postural drainage 737: 736: 578: 577: 64: 63: 1009: 965: 958: 951: 923: 916: 908: 901: 894: 866: 859: 746: 745: 742:Other procedures 587: 586: 282: 281: 261: 254: 247: 238: 237: 233: 231: 230: 206: 205: 195: 180:J Natl Med Assoc 171: 36: 19: 18: 1017: 1016: 1012: 1011: 1010: 1008: 1007: 1006: 972: 971: 970: 969: 913: 912: 856: 847: 784: 733: 717: 689: 646: 623: 591:Medical imaging 574: 563:Mediastinoscopy 503: 498: 485: 471:Transplantation 466:Wedge resection 391: 271: 265: 228: 226: 218: 215: 210: 209: 172: 168: 163: 32: 17: 12: 11: 5: 1015: 1005: 1004: 999: 994: 989: 984: 968: 967: 960: 953: 945: 942: 941: 924: 911: 910: 903: 896: 888: 885: 884: 867: 853: 852: 849: 848: 846: 845: 840: 835: 830: 825: 820: 815: 810: 805: 800: 794: 792: 786: 785: 783: 782: 781: 780: 775: 765: 760: 754: 752: 750:Oxygen therapy 743: 739: 738: 735: 734: 732: 731: 729:Blood gas test 725: 723: 719: 718: 716: 715: 713:Sputum culture 710: 705: 699: 697: 691: 690: 688: 687: 682: 677: 672: 667: 662: 656: 654: 648: 647: 645: 644: 639: 633: 631: 625: 624: 622: 621: 616: 611: 606: 601: 595: 593: 584: 580: 579: 576: 575: 573: 572: 570:Nuss procedure 566: 565: 560: 558: 550: 549: 544: 539: 534: 529: 524: 522: 519:pleural cavity 510: 508: 487: 486: 484: 483: 478: 473: 468: 463: 458: 453: 451: 443: 442: 437: 435: 427: 426: 421: 416: 414:Cricothyrotomy 411: 409: 401: 399: 393: 392: 390: 389: 384: 383: 382: 372: 367: 362: 360: 352: 351: 346: 344: 336: 335: 330: 328:Rhinomanometry 325: 320: 315: 310: 305: 300: 298: 290: 288: 279: 273: 272: 264: 263: 256: 249: 241: 235: 234: 214: 213:External links 211: 208: 207: 186:(2): 199–204. 165: 164: 162: 159: 130:bronchodilator 62: 61: 56: 50: 49: 44: 38: 37: 30: 24: 23: 15: 9: 6: 4: 3: 2: 1014: 1003: 1000: 998: 995: 993: 990: 988: 985: 983: 982:Medical tests 980: 979: 977: 966: 961: 959: 954: 952: 947: 946: 940: 938: 934: 931:article is a 930: 925: 922: 918: 917: 909: 904: 902: 897: 895: 890: 889: 883: 881: 877: 873: 868: 865: 861: 860: 844: 841: 839: 836: 834: 831: 829: 826: 824: 821: 819: 816: 814: 811: 809: 806: 804: 801: 799: 796: 795: 793: 791: 787: 779: 776: 774: 771: 770: 769: 766: 764: 761: 759: 756: 755: 753: 751: 747: 744: 740: 730: 727: 726: 724: 720: 714: 711: 709: 706: 704: 701: 700: 698: 696: 692: 686: 683: 681: 678: 676: 673: 671: 668: 666: 663: 661: 658: 657: 655: 653: 649: 643: 640: 638: 635: 634: 632: 630: 626: 620: 617: 615: 612: 610: 607: 605: 602: 600: 599:Bronchography 597: 596: 594: 592: 588: 585: 581: 571: 568: 567: 564: 561: 559: 557: 556: 552: 551: 548: 545: 543: 540: 538: 535: 533: 530: 528: 527:Thoracentesis 525: 523: 521: 520: 516: 512: 511: 509: 507: 501: 496: 492: 488: 482: 479: 477: 476:Decortication 474: 472: 469: 467: 464: 462: 459: 457: 456:Pneumonectomy 454: 452: 450: 449: 445: 444: 441: 438: 436: 434: 433: 429: 428: 425: 422: 420: 417: 415: 412: 410: 408: 407: 403: 402: 400: 398: 394: 388: 385: 381: 378: 377: 376: 373: 371: 368: 366: 363: 361: 359: 358: 354: 353: 350: 347: 345: 343: 342: 338: 337: 334: 331: 329: 326: 324: 321: 319: 316: 314: 311: 309: 306: 304: 301: 299: 297: 296: 292: 291: 289: 287: 283: 280: 278: 274: 270: 262: 257: 255: 250: 248: 243: 242: 239: 225: 221: 217: 216: 203: 199: 194: 189: 185: 181: 177: 170: 166: 158: 154: 151: 149: 145: 141: 140: 135: 131: 126: 124: 120: 116: 112: 108: 104: 100: 96: 92: 88: 85: 81: 77: 73: 69: 60: 57: 55: 51: 48: 45: 43: 39: 35: 31: 29: 25: 20: 937:expanding it 926: 880:expanding it 869: 669: 553: 537:Thoracoscopy 513: 446: 440:Bronchoscopy 430: 404: 370:Laryngectomy 365:Laryngoscopy 355: 339: 293: 227:. Retrieved 223: 183: 179: 169: 155: 152: 137: 133: 127: 98: 94: 87:methacholine 72:medical test 67: 65: 42:OPS-301 code 929:pulmonology 675:Capnography 555:mediastinum 542:Thoracotomy 532:Pleurodesis 500:mediastinum 424:Tracheotomy 375:Laryngotomy 313:Somnoplasty 308:Septoplasty 303:Rhinoplasty 111:M3 receptor 107:H1 receptor 976:Categories 758:Intubation 665:Spirometry 547:Chest tube 491:Chest wall 349:Sinusotomy 323:Rhinectomy 318:Alarplasty 229:2020-03-18 161:References 146:. Also, a 123:asthmatics 121:, such as 115:spirometry 823:Nebulizer 614:Spiral CT 506:diaphragm 461:Lobectomy 380:Thyrotomy 148:DLCO test 91:histamine 84:nebulized 76:diagnosis 695:Cytology 432:bronchus 397:Lower RT 286:Upper RT 872:medical 642:CURB-65 406:trachea 277:Surgery 202:6827612 193:2561444 136:, or a 59:65806-2 34:D001985 818:Heliox 515:pleura 495:pleura 357:larynx 200:  190:  80:asthma 927:This 870:This 722:Other 583:Tests 341:sinus 70:is a 54:LOINC 47:1-714 933:stub 876:stub 504:and 448:lung 295:nose 198:PMID 28:MeSH 803:CPR 188:PMC 97:or 89:or 78:of 978:: 493:, 222:. 196:. 184:75 182:. 178:. 66:A 964:e 957:t 950:v 939:. 907:e 900:t 893:v 882:. 517:/ 502:, 497:, 260:e 253:t 246:v 232:. 204:.

Index

MeSH
D001985
OPS-301 code
1-714
LOINC
65806-2
medical test
diagnosis
asthma
nebulized
methacholine
histamine
bronchoconstriction
H1 receptor
M3 receptor
spirometry
airway hyperreactivity
asthmatics
bronchodilator
post bronchodilator test
chronic obstructive pulmonary disease
DLCO test
"The bronchial challenge test: a new direction in asthmatic management"
PMC
2561444
PMID
6827612
"Pulmonary Function Testing"
v
t

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