Clinical features of COPD Flashcards

1
Q

what is the general definition of COPD

A

slowly progressive disorder characterized by airflow obstruction that does not change over several months.

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2
Q

what can be a few of the symptoms of COPD

A

Goblet cell hypoplasia
narrowing of the airways
excessive mucus

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3
Q

in the UK how many people are diagnosed with COPD

A

900,000

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4
Q

typically who gets COPD

A

disease of “poverty” as people who get COPD usually have a worse diet

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5
Q

What is the mortality of COPD in the uk and worldwide

A

uk it is the 6th most common cause of death

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6
Q

what are risk factors that cause COPD and are not due to smoking (these account for 15% of cases)

A
chronic asthma
passive smoking
maternal smoking
air pollution
occupation
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7
Q

where is a-1 antitrypsin normally found

A

blood stream

lungs

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8
Q

What is the function of A-1 antitrypsin

A

it is a protease inhibitor and regulates elastase

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9
Q

people that have a-1 antitrypsin deficiency are more likely to develop COPD why

A

without a-1-antitripsin elastase will be unregulated and will break down too much elastin in the lungs which can lead to COPD

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10
Q

define Fibrosing Alveolitis

A

progressive thickening of the walls of the air sacs of the lungs, as a result it is difficult for oxygen to pass into the bloodstream

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11
Q

If no cause is found for fibrosing alveolitis what is it know as

A

IPF

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12
Q

What does Cushingoid syndrome refer to

A

constellation of symptoms and signs caused by an excess of cortisol hormone

While facial puffiness and weight gain are typical features of aCushingoid appearance

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13
Q

what is Ascites

A

accumulation of fluid in the peritoneal cavity, causing abdominal swelling

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14
Q

define hepatomegaly

A

abnormal enlargement of the liver

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15
Q

define cyanosis

A

bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood

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16
Q

if a patient has COPD due to a-1-antitripsin deficiency what age will they usually present with it

A

around 40

17
Q

what are the 2 causes for COPD in never smokers

A

chronic asthma

a-1-antitripsin deficiency

18
Q

what is a pack year defined as

A

1 pack a day for a year

19
Q

what is Bronchiectasis

A

abnormal widening of the bronchi or their branches, causing a risk of infection

20
Q

what are the main symptoms of COPD

A
  1. breathlessness-gradual onset, little variation
  2. cough and sputum- long history of smokers cough
  3. wheeze- OE
  4. weight loss -indicates severe
  5. peripheral oedema- Cor pulmonale, severe disease, resp failure
21
Q

what are the signs of COPD that you may look for

A
breathless walking 
CO2 flap
effects of steroid use on skin
barrel chest
prolonged expiration w/ wheeze
22
Q

what do full pulmonary function tests look at

A

lung volumes

CO2 transfer

23
Q

what is aminophylline

A

a bronchodilator , its a compound of the bronchodilator theophylline

24
Q

what is the management of acute asthma

A

give oxygen
high dosed nebulized SABA and prednisolone daily
iv aminophylline
antibiotics only if infection