COPD Flashcards

1
Q

COPD- Eti

A
  • Cigarette exposure
  • 14 million americans, men in 5-6th decade
  • Progressive airflow obstruction Chronic bronchitis or emphysema
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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
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3
Q

Emphysema- Eti

A

Present in 50th decade

Lung capacity increased

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4
Q

Bronchitis- Eti

A

Presents in 30s - 40s

Normal total lung capacity

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5
Q

Bronchitis- Sx

A
  • Chronic cough
  • Mucopurulent sputum & chest infections
  • Mild dyspnea
  • Overweight, cyanotic- Blue bloater
  • peripheral edema
  • Noisy ronchi & wheezes
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6
Q

COPD- Tx

A

Bronchodilators (long acting first line), anticholinergis,

Steroids, O2, smoking cessation

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7
Q

Alpha 1 antitrypsin deficiency

A
  • Hereditary disorder- emphysema dx early in life
  • Cirrhosis, ascites,
  • Tx with replacement therapy
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8
Q

COPD- Dx

A
  • CT or CXR
  • Spirometry
  • ECG- cor pumlonale, sinus tachy
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