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