×
MedSchool: Ace Your OSCEsThe Medical Company
 
 
 
 
 
GET - On the App Store
View
Respiratory Exam
 
 

Chronic Obstructive Pulmonary Disease

 
 
 
Bookmark

Overview

Several clinical signs allow for the clinical suspicion of chronic obstructive pulmonary disease, which can then be confirmed with pulmonary function testing.
  • Signs of Chronic Obstruction Pulmonary Disease

  • General Signs

  • Respiratory distress - tachypnoea, pursed lip breathing, accessory muscle use, intercostal / subcostal recession
  • Barrel chest (emphysema)
  • Tar-stained fingers (smoking)
  • Asterixis (CO2 retention)
  • Reduced chest expansion
  • Reduced breath sounds
  • Wheeze
  • Signs of Complications

  • Infective exacerbation - fevers, green sputum
  • Cor pulmonale - raised JVP, ascites, pleural effusions, peripheral oedema
  • Pulmonary hypertension - prominent a wave, parasternal heave, loud / palpable P2
  • Polycythaemia - polycythaemic facies
  • Steroid complications - Cushing’s syndrome, oral candidiasis
  • Signs of Management

  • Oxygen
  • Inhalers
  • Lung transplant scar

Pathogenesis

  • Risk Factors for COPD

  • Smoking
  • Occupational exposure - coal, toluene (plastics)
  • Environmental air pollution
  • Alpha-1 antitrypsin deficiency

Complications

  • Complications of COPD

  • Disease-Related

  • Pneumonia
  • Cor pulmonale
  • Pulmonary hypertension
  • Pneumothorax
  • Respiratory failure
  • Polycythaemia
  • Treatment-Related

  • Cushing’s syndrome (steroids)
  • Oral candidiasis (steroids)
  • Tremor (beta agonists)
Next Page
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Want more info like this?
  • Your electronic clinical medicine handbook
  • Guides to help pass your exams
  • Tools every medical student needs
  • Quick diagrams to have the answers, fast
  • Quizzes to test your knowledge
Sign Up Now
   
 
 

Snapshot: Initialising...