Copd - Chronic Obstructive Pulmonary Disease

By Author: Ibrahim Machiwala
Total Articles: 463
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- Progressive airflow limitation
Partially reversible
- Chronic Bronchitis
Emphysema
- Etiology: Cigarette smoking
-60 yrs old Mrs. X, ex smoker, hypertensive
-Hx of productive cough - 2 months
SOB -1 month
-Excerbation - food intake, exertion etc

History:
SOB
Productive cough
Recurrent acute chest illnesses
Exerbation - cold air, foggy weather, atmospheric pollution etc

Smoking:
Previous episodes
Details of previous admissions
Current treatment

Precipitating factor in this case:
P/E
Tachypnea
Prolonged expiratory time
Expiratory wheezes
Increased AP diameter of chest
Decreased breath sounds (especially upper lung fields)
Distant heart sounds
End stage: accessory muscles, cyanosis, enlarged liver

Stage 0: N Spirometry with symptoms
Stage 1: Mild COPD FEV1>/= 80%
Stage 2: Mod COPD FEV1 30% to 80%
Stage 3:Severe COPD FEV1