COPD Flashcards
1
Q
What are causeS?
A
Smoking
Alpha-1-antitrypsin deficiency
2
Q
What are main features?
A
cough - productive
dyspnoea
wheeze
3
Q
What are ix?
A
Post-bronchodilator spirometry
CXR
FBC
BMI
4
Q
What is seen in CXR ?
A
hyperinflation
bullae
flat hemidiaphragm
exclude lung. cancer
5
Q
What is FBC used to exclude?
A
secondary polycythaemia
6
Q
What is used to grade severity of COPD? What are criteria for each stage ?
A
post-bronchodilator therapy w <0.7 FEV1/FVC ratio stage 1 mild: >80% FEV1 of predicted stage 2 mod: 50-79 3 severe: 30-49 4 v severe: <30
7
Q
when is a diagnosis recommended?
A
patients over 35 years of age who are smokers or ex-smokers and have symptoms such as exertional breathlessness, chronic cough or regular sputum production.
