Mgt/workup: From you description, you may have COPD, CF or another cardio pulmonary condition. In addition, shunting can occur outside the thorax. I would suggest checking total lung capacity, DLCO, a blood count, spirometry with and without a bronchodilator, a CFsweat test and a HRCT of the chest and possibly abdomen. A clotting disorder should also be considered.
Answered 5/10/2015
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