Manifestations

Question 1

What is the first symptom to develop

Answer 1

Chronic intermittent cough

In the morning

Question 2

Dyspnea

Answer 2

Progressive, occurs with exertion and present everyday

Question 3

Nutritional meta

Answer 3

Anorexia

Weight loss or gain

Question 4

Activity exercise

Answer 4

Increasing dyspnea
Increasing sputum Volume
Increasing sputum purulence
( signs of exacerbation )

Fatigue
Swelling feet
Sputum production -morning.
Orthopnea

Question 5

Elimination

Answer 5

Constipation
Gas
Bloating

Question 6

Sleep rest

Answer 6

Insomnia
Sitting up for sleeping
PND

Question 7

Cog percept

Answer 7

Headache

Chest abdominal soreness

Question 8

Coping

Answer 8

Anxiety

Depression

Question 9

how does it develop and in considered in whom?

Answer 9

Develops slowly

Considered in all pts over age 40 - with 10 or more pack years

Question 10

Integumentary

Answer 10

Pallor or ruddy
Poor skin tutor
Thin skin
Digital clubbing 
Easy brushing 
Peripheral Edema , Cor pulmonae

Question 11

Resp

Answer 11

Rapid, shallow breathing 
Inability to speak 
Prolonged exp phase
Pursed lip breathing 
Wheezing 
Rhonchi 
Crackles
Diminished or bronchial sounds 
Decreased excursion and diaphragm movement 
Use of accessory muscles
Hyper resonant of dull chest sounds

Question 12

Cardio

Answer 12

Tachycardia 
Dysrhythmias 
JVD
Distant heart sounds
Right side s3
Edema feet

Question 13

Musculoskeletal

Answer 13

Muscle atrophy

Increased anteroposterior diameter -barrel chest

Question 14

Diagnostic findings

Answer 14

Polycythemia
Flattened diaphragm
Hyperinflation or infiltrates