COPD Flashcards

1
Q

What are causeS?

A

Smoking

Alpha-1-antitrypsin deficiency

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2
Q

What are main features?

A

cough - productive
dyspnoea
wheeze

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3
Q

What are ix?

A

Post-bronchodilator spirometry
CXR
FBC
BMI

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4
Q

What is seen in CXR ?

A

hyperinflation
bullae
flat hemidiaphragm
exclude lung. cancer

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5
Q

What is FBC used to exclude?

A

secondary polycythaemia

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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
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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.

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