General Respiratory Clinic
The General Respiratory Clinic can be accessed directly by your GP or from a consultant at CUH or another hospital.
At your first visit appointment with us (usually Monday AM or Friday am clinic) you will meet a Respiratory Specialist who will review your case and may order a series of initial tests and investigations to help us to diagnose your condition and if appropriate, develop a suitable treatment plan for you. Follow up clinic for general conditions is either on a Monday or Friday, however you may be advised to come to a speciality Wednesday clinic for follow-up depending on your diagnosis.
Please bring a list of your medicines with you. A detailed letter will be sent to your GP following your visit.
The tests and investigations may include:
A chest x-ray is routinely performed on all patients presenting to a respiratory clinic. This test may already have been ordered by your GP and may not need to be repeated.
You may undergo a series of blood tests depending on the respiratory symptoms you have. These may look for clues pointing toward any condition that may have damaged your lungs. On occasion, an arterial blood gas sample is required to pinpoint the levels of oxygen and carbon dioxide in your blood.
If your symptoms are suggestive of lung infection, a sputum sample may be required.
Pulmonary Function Tests
Pulmonary Function Tests allow measurements of how your lungs are functioning including the amount of air you can breathe in and out and the ability of your lung to absorb oxygen. Some of these tests (peak flow meter, spirometry) can be performed in the clinic room, whilst others are performed in the pulmonary function lab near the clinic.
Mantoux Skin Test
This test is performed is performed in patients with a suspicion of tuberculosis. A small amount of diagnostic protein is placed just under your skin and marked with ink and covered and the area is reviewed by a health provider 48 hours later to assess for a skin reaction which could be consistent with present or prior infection with TB.
This involves the removal of excess fluid from the pleural space between the lungs and ribcage. It can be performed in clinic with or without ultrasound guidance.
Your chest physician may decide to organise a CT scan of your chest. This is a more detailed test than a chest x-ray and sometimes requires giving intravenous contrast through a peripheral cannula line. This gives a more detailed look at the condition of your lungs.