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Case 28
fam med cases
7
Medical
Graduate
01/26/2011

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Cards

Term
Complications of COPD
Definition
1) COPD exacerbation--usually caused by infection
2) Heart failure--Chronic hypoxia causes pulm vasoconstriction-->right heart failure
Term
Distinguishing CHF from COPD
Definition
-S3, diffuse PMI, periph edema, elev JVP
-Parox nocturnal dyspnea is most closely assoc w CHF
Term
classic findings in COPD
Definition
inc AP diameter, wheezing, decreased diaphragmatic excursion, prolonged expiratory phase, dyspnea on exertion, insidious onset, smoking is a major risk factor
Term
Pulm Embolism is associated with _________ sputum
Definition
pink, frothy
Term
Staging of COPD
Definition
FEV1/FVC <.7=COPD
Mild FEV1 %>80
Moderate FEV1%: 50-80
Severe FEV1% <50
Very severe FEV1%<30
Term
Management of COPD
Definition
1) Albuterol as needed
2) Anticholinergic or long-acting bronchodilator
3) if FEV1%<50, add inhaled glucocorticosteroid (+long acting beta2 agonist)
4) smoking cessation
5) Update Immunizations (influenza >50yo. pneumococcal>65yo)
Term
When do you give antibiotics in COPD exacerbation?
Definition
have 3 symptoms: increased dyspnea, increased sputum volume, increased sputum purulence

if only 2, they must have inc purulence

or if they need mechanical ventilation
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