Pulmonary Evaluation (Adult) You have been referred for a pulmonary consultation with a physician who specializes in the diagnosis and treatment of lung disease. Your visit to the Center will include a detailed medical history, physical exam, and possible testing to determine a diagnosis. Please plan on spending a minimum of 1 hour at the Center. Conditions Alpha-1 Antitrypsin Deficiency An inherited disorder that results in low or no production of a protein called alpha-1 antitrypsin. This deficiency leads to damage of the lungs. Symptoms can surface at a very early age or in adulthood and relate to the lungs (with shortness of breath). There are several options for treatment of the lung disease, including replacement of the missing protein. AlphaNet: Alphas Serving Alphas Alpha-1 Association Asthma COPD (Chronic Obstructive Pulmonary Disease) The two main diseases that make up COPD are Emphysema and Chronic Bronchitis. Both cause chronic obstruction of air flowing through the airways and in and out of the lungs. COPD Foundation Chronic Bronchitis Chronic bronchitis is a chronic inflammatory condition in the lungs that causes the respiratory passages to be swollen and irritated, increases the mucus production and may damage the lungs. The symptoms are coughing and breathlessness, which will get worse over the years. The definition of chronic bronchitis is chronic cough or mucus reproduction for at least three months in two successive years when other causes have been excluded. COPD Foundation Emphysema Emphysema is a lung disease that involves damage to the air sacs (alveoli) in the lungs. Cigarette smoking is the most common cause of emphysema. Tobacco smoke and other pollutants are thought to cause the release of chemicals from within the lungs that damage the walls of the air sacs. This damage becomes worse over time. Persons with this disease have air sacs in the lungs that are unable to fill with fresh air. This affects the oxygen supply to the body. National Emphysema Foundation COPD Foundation Interstitial Lung Disease (ILD) ILD is characterized by scarring of the lungs which makes it hard to take a full breath. There are different types of ILD. The most common types are Pulmonary Fibrosis and Sarcoidosis. Pulmonary Fibrosis Pulmonary Fibrosis symptoms include shortness of breath, coughing and diminished exercise tolerance. The goal of treatment is to decrease lung inflammation and subsequent scarring. Sarcoidosis Sarcoidosis involves the entire body causing small growths or lumps. It is a disease that produces inflammation or swelling of the tissues in any part of the body including the lungs. Foundation for Sarcoidosis Research National Heart Lung and Blood Institute Obstructive Sleep Apnea (OSA) Sleep apnea is a condition in which breathing stops for more than 10 seconds during sleep. Sleep apnea is a major, though often unrecognized, cause of daytime sleepiness. OSA affects more than 20 million adult men and women in the U.S. Breathing stops because of airway collapse. Airway collapse may be due to extra tissue in the airway, large tongue, or decreased muscle tone holding the airway open. Air is then prevented from getting into the lungs. Most people who suffer from OSA do not realize they have the condition, it is someone else who witnesses the signs. Some of the signs of OSA include snoring, daytime sleepiness, and obesity. American Sleep Apnea Association Pulmonary Hypertension Pulmonary Hypertension Association Abnormal Imaging Studies (Chest X Ray or Cat Scan) Chest X-ray Abnormal findings on chest x rays are used in conjunction with a physician's physical exam findings, patient medical history and other diagnostic tests to reach a final diagnosis. For many diseases, chest x rays are more effective when compared to previous chest studies. CT Scan A CAT scan of the lung may be ordered to further evaluate an abnormal chest x-ray. It is vital that we have your films (both chest x-rays and cat scans) at the time of your visit.