Smoking history: If you are or have smoked, the likelihood of COPD increases, but with a normal ratio it is less likely. If you have low volumes, then restrictive disease, scarring of the lung following repeated infections is one possible causes. A chest image is suggested and a pre and post bronchodilator challenge, if it has not already been completed. Full report may be reviewed on HT virtual consultation
Answered 11/3/2019
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