PFT eval vs CV Risk Estimation

PFT eval walks a clinician through a quick simple stepwise approach to analyse Pulmonary Function Tests (PFT's) in order to arrive at ventilation and respiration disorders and diagnostic ideas about patients. It is based upon several evaluation protocols in the medical literature. This tool not only yields answers, but just as importantly teaches the stepwise thinking process to arrive at answers along the way. A clinician or learner will wind up with good information that assists patient care and should wind up a little smarter and more able to do it with less assistance the next time. It is a great support for those of us clinicians who use these tests only occasionally and don't have it memorized. The differential diagnoses are then offered for the various findings of obstructive patterns, restrictive patterns, airway obstruction reversibility, etc. The app addresses such common questions as: •What are the standard cutoffs for mild obstruction, severe restriction, etc.? •How do I assess the quality of the PFT efforts before drawing diagnostic conclusions from them? •What are common causes of acute and chronic restrictive lung disease? •When could one consider methacholine challenge testing? •What's the difference between intrinsic and extrinsic restrictive lung disease and what are typical differentials? This app is written and intended for practicing clinicians like internists, family physicians, and pediatricians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.

This app is for CLINICIANS, not the lay public. The CV Risk app presents clinicians with three valuable 10-year cardiovascular event risk calculators to serve clinicians and learners in primary prevention of cardiovascular disease. It is for clinicians only, not the lay public. The calculators are Framingham 2008, ASCVD 2013, and the revised pooled cohort equations ASCVD of 2018. The app addresses such common questions as: • What is the ASCVD 10-year CV risk for a 57 year old male hypertensive smoker with a given set of lipid and blood pressure numbers? • What’s the magnitude of impact of a patient on their own improving their cholesterol by 11, 27, or 41 points? • For a poorly controlled hypertensive smoker with a 10-year risk of 31.3%, how impactful would improved blood pressure control or smoking cessation be? • How impactful is a cholesterol of 220 on a given patient's risk at 35 vs. 55 vs. 75 years old? • I hear that ASCVD 2013 overestimates risk, particularly for black adults? True? What about the revised pooled cohort equations of 2018? The app explicitly does not include treatment thresholds, LDL targets, estimates of impact of therapy, coronary calcium scoring, etc. I wanted the cleanest simplest tool possible for evaluating and discussing cardiovascular risk with all the other more subjective, controversial stuff out of the way. This app is written and intended for practicing clinicians like internists and family physicians; for resident physician trainees; for medical students; and of course for other clinician colleagues like NP's and PA's. Cardiologists could use this app, but you folks are focused on secondary prevention, which is an entirely different ballgame. As an educator and clinician, I am interested in feedback and I would be grateful for guidance on improving the tool.