FMCSA Medical Examiner Handbook

Low DLCO, normal spiro: vascular disease (PE, PH), extrapulmonary defect (pleural effusion, neuromuscular weakness, kyphoscoliosis), smoking, anaemia, pneumonia. ... with cor pulmonale, right heart failure, or erythrocytosis. BTS pneumothorax guidelines. ... (>10%) with an IgM monoclonal gammopathy in the blood. Symptoms may be due to bone ... ................
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