1
Q
COPD- Eti
A
- Cigarette exposure
- 14 million americans, men in 5-6th decade
- Progressive airflow obstruction Chronic bronchitis or emphysema
2
Q
Emphysema- Sx
A
- Severe dyspnea, accessory muscle use
- cough rare, scant sputum
- AKA pink puffer
- Thin, no peripheral edema
- No adventitious breath sounds
3
Q
Emphysema- Eti
A
Present in 50th decade
Lung capacity increased
4
Q
Bronchitis- Eti
A
Presents in 30s - 40s
Normal total lung capacity
5
Q
Bronchitis- Sx
A
- Chronic cough
- Mucopurulent sputum & chest infections
- Mild dyspnea
- Overweight, cyanotic- Blue bloater
- peripheral edema
- Noisy ronchi & wheezes
6
Q
COPD- Tx
A
Bronchodilators (long acting first line), anticholinergis,
Steroids, O2, smoking cessation
7
Q
Alpha 1 antitrypsin deficiency
A
- Hereditary disorder- emphysema dx early in life
- Cirrhosis, ascites,
- Tx with replacement therapy
8
Q
COPD- Dx
A
- CT or CXR
- Spirometry
- ECG- cor pumlonale, sinus tachy
