<p>Cher Consoeur</p>
<p>J'ai vu ce jour M. FENELON Charlemagne n&eacute; le 18/07/1937.</p>
<p>L'auscultation pulmonaire retrouve un assourdissement des bruits pulmonaires sthetacoustiques.</p>
<p>L'EFR retrouve un trouble ventimlatoire obstructif Gold IV avec un VEMS &agrave; 0.76 soit 26% non r&eacute;versible sous b2agonistes.Il existe un trouble du transfert avec TLCO &agrave; 40%.</p>
<p>Il poursuivra:ULTIBRO 1B/j,OLD; &nbsp; A&eacute;rosolth&eacute;rapie(Bricanyl-Atrovent)X2/j + PULMICORTX2 &nbsp;et Kin&eacute;siettt respiratoire &nbsp;Le patient prend de la VENTOLINE &agrave; chaque effort.</p>
<p>Avec mes remerciements, veuillez agr&eacute;er, cher Consoeur, l'assurance des mes sentiments distingu&eacute;s,</p>
<p>Dr. B. TANGUY.</p>
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