Clinical Features of COPD Flashcards

1
Q

What is the clinical definition of COPD?

A

Chronic, slowly progressive disorder characterised by airflow obstruction that does not change markedly over several months. Lung function impairment is fixed

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2
Q

What is the prevalence of COPD in the UK?

A

1.2 million diagnosed - total prevalence is approximately 1.5-2 million

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3
Q

Which sex is typically more likely to develop COPD?

A

Men

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4
Q

What is the mortality rate of COPD?

A

6th most common cause of death in UK

30,000 deaths per year

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5
Q

What is the leading cause of COPD?

A

Smoking (comprises 85% of aetiologies)

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6
Q

What components make up the other 15% of causes of COPD?

A
Chronic asthma
Passive smoking
Maternal smoking
Air pollution 
Occupation
Alpha-1 antitrypsin deficiency
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7
Q

What is the rate of FEV1 decline in smokers and non-smokers respectively?

A

Smokers - 50-80ml/year

Non-smokers - 30ml/year

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8
Q

What are the differential diagnoses for COPD?

A
COPD
Asthma
Lung Cancer
Left ventricular failure 
Fibrosing alveolitis 
Brochioectasis 
Rarities: TB recurrent pulmonary emboli
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9
Q

What are signs of severe COPD?

A

Weight loss and peripheral oedema

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