COPD 2 - Presentation Flashcards
1
Q
Presx
- ? ? cough, following many years of a ? cough
- incr freq of ?
- slowly prog SOB with ? - Sx exacerbated in acute infective episodes
- ? failure
- chronic ? ? failure (? ?) occurs late
A
productive morning smokers LRTIs wheezing resp right heart cor pulmonale
2
Q
Signs
mild disease: widespread ?
severe disease:
-obs: ?pnoea, ? and ? tremor of outstretched hands (if >? kPa of CO2)
-inspection: ?inflation, ? ? on inspiration, ? ? on expiration, signs of resp distress (? tug, ? breathing, and ? ? use, may be raised ??? if cor pulmonale, ? is never present in pure COPD)
-palpation: poor ? ?
-percussion: ? resonant throughout, loss of cardiac/hepatic ?
auscultation: decreased ? ?, prolonged ? phase, ? wheeze
A
wheeze tachy flapping 10 hyper IC recession lip pursing tracheal paradoxical acc mm JVP clubbing chest expansion hyper dullness AE exp polyphonic
3
Q
Complx
- acute ?
- ?aemia
- ? failure
- ? ?
- ? - due to ruptured ?
- lung ?
A
exacerbations polycythaemia resp cor pulmonale pneumothorax bullae ca
4
Q
Blue bloaters
- pts with severe ? ?/COPD become insensitive to ? and thus rely on their ? drive to stimulate resp effort
- they’re not particularly ?, but are ? and ? - suggestive of cor pulmonale
- blood gas will show ? ? ? failure (low ?, retaining ?)
- o2 given with care to target of ???
A
chronic bronchitis co2 hypoxic SOB cyanosed oedematous t1RF o2 co2 88-92%
5
Q
Pink puffers
- remain sensitive to ?, thus keep a ? CO2 an a near normal ?
- not ? but are ?, ?pnoeic and ?cardic, using ? ? to incr ventilation
- ? patients as large amounts of ? are used to breat
- can progress to ??? failure
- more of a ? process
A
CO2 low O2 cyanosed breathless tachy tachy acc mm thin calories T1Rf emphysematous
