<p>Cher Consoeur</p>
<p>J'ai vu ce jour M. FENELON Charlemagne n&eacute; le 18/07/1937.</p>
<p>Sa SaO2 est &agrave; AA &agrave; 89% avec un pouls &agrave; 79 et une TA &agrave; 9/5.TA &agrave; surveiller.</p>
<p>L'auscultation pulmonaire retrouve des ronchi dans les deux champs pulmonaires.</p>
<p>L'EFR montre un trouble ventilatoire obstructif Gold III/IV avec un VEMS &agrave; 0.91 soit 31% de la norme.Le rapport de Tiffeneau est &agrave; 65%.Il existe des troubles du transfert avec TLCO &agrave; 32%.</p>
<p>Il poursuivra: ONBREZ 300 1B/j,SEEBRI BREEZHALER 1B/j,OLD; &nbsp; A&eacute;rosolth&eacute;rapie(Bricanyl-Atrovent)X2/j + PULMICORTX2 &nbsp;et Kin&eacute;siettt respiratoire .Vaccination antigrippale annuelle et Pneumo 23 tous les 5 ans. 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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