3: COPD Flashcards
Bronchitis or emphysema?
Decreased diaphragmatic excursion
Emphysema
Bronchitis or emphysema?
May have signs of right heart failure (i.e., cor pulmonale), such as edema and cyanosis
Bronchitis
Bronchitis or emphysema?
Pink puffers
Emphysema
Bronchitis or emphysema?
May sit in tripod posture
Emphysema
What are the severity and score on the MMRC Dyspnea Scale?
Troubled by shortness of breath when hurrying or walking up a slight hill.
- Severity: Mild
- Score: 1
What do you look for in the past medical hx of a patient with COPD?
- Family history of COPD
- Pattern of symptom development
- History of exacerbations or hospitalizations for respiratory disorders
- Comorbidities
- Asthma
- Current treatments
- Impact on person’s life and daily function
- Social and family supports
- Person’s willingness to reduce risk factors (smoking)
Bronchitis or emphysema?
Frequent cough and expectoration are typical
Bronchitis
Bronchitis or emphysema?
Blue bloaters
Bronchitis
Bronchitis or emphysema?
Heart sounds may be distant
Emphysema
What are the severity and score on the MMRC Dyspnea Scale?
Not troubled with breathlessness except with strenuous exercise.
- Severity: None
- Score: 0
Bronchitis or emphysema?
Use of accessory muscles is common
Bronchitis
Bronchitis or emphysema?
Patients may be very thin with a barrel chest
Emphysema
What are the severity and score on the MMRC Dyspnea Scale?
Too breathless to leave the house or breathless when dressing or undressing.
- Severity: Very Severe
- Score: 4
What are 3 hallmark symptoms for clinical presentation of COPD?
- Cough
- Exertional dyspnea
- Sputum production
Bronchitis or emphysema?
Prolonged expiratory phase with expiratory wheezing
Emphysema
Bronchitis or emphysema?
Low BMI
Emphysema
Bronchitis or emphysema?
On auscultation, chest may be hyperresonant
Emphysema
What are the severity and score on the MMRC Dyspnea Scale?
Stops for breath after walking approximately 100 meters or after a few minutes on the level.
- Severity: Severe
- Score: 3
Bronchitis or emphysema?
Pursed lip breathing and use of accessory muscles
Emphysema
What are the severity and score on the MMRC Dyspnea Scale?
Walks slower than people of the same age due to breathlessness or has to stop for breath when walking at own pace on the level.
- Severity: Moderate
- Score: 2
Bronchitis or emphysema?
Lower peak flow measure with any exercise
Bronchitis
Bronchitis or emphysema?
Course rhonchi and wheezing may be auscultated
Bronchitis
Bronchitis or emphysema?
Patients may be obese
Bronchitis
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Decreased or normal FVC
Obstructive (COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Always decreased FVC
Restrictive (not COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Always decreased FEV1
Obstructive (COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Decreased or normal FEV1
Restrictive (not COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Decreased FEV1/FVC ratio
Obstructive (COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Normal FEV1/FVC ratio
Restrictive (not COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Normal or increased TLC
Obstructive (COPD)
Obstructive pattern (COPD) or restrictive pattern (not COPD)?
Decreased TLC
Restrictive (not COPD)
