Term
|
Definition
STUPIDNEPHEW
Smoking
Throat irritation
Ups or downs
Productive
Itching
Duration
Nasal drip, congestion
eating
position
hemoptysis
Weight loss |
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|
Term
| suspect pneumonia when... |
|
Definition
weight loss
hemoptysis
nightsweats |
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Term
|
Definition
| # of packs smoked per day x # years smoked |
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|
Term
|
Definition
| JVD, hepatomegaly, peripheral edema |
|
|
Term
|
Definition
- cigarette smoking
- 2nd hand smoke
- old age
- environment/occupational pollutants
- alpha 1 antitrypsin deficiency, genetic anomaly of chromosome 14
- family history of COPD |
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|
Term
|
Definition
| coughing, sputum, dyspnea |
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|
Term
|
Definition
- systemic inflammation
- muscle wasting, cachexia
- CVS disease
- osteoporosis
- depression, anxiety
- anemia - of chronic disease |
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|
Term
|
Definition
Not sensitive initially
Lung hyperinflation
Widened A-P chest diameter
Hyperresonance on percussion
Cor pulmonale- peripheral edema, JVD, hepatomegaly
Cyanosis, cachexia
Clubbing (rare), looking for cancer,fibrosis, brochectasis |
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|
Term
| COPD diagnostic GOLD STANDARD |
|
Definition
- spirometry GOLD STANDARD - more than 45 years old
look for FEV1 and FVC |
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Term
|
Definition
| the volume of air patient can expire in one second following full inspiration |
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Term
|
Definition
| total maximum volume of air patient can exhale after a full inspiration |
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|
Term
|
Definition
reading/predicted value
then FEV1/FVC |
|
|
Term
|
Definition
FEV1<80% AND FEV1/FVC<70%
POSTBRONCHODILATOR |
|
|
Term
|
Definition
| repeat spirometry test w/ 2 puffs of bronchodilator, if it gets better...may have asthma and not COPD |
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|
Term
|
Definition
1 - mild - FEV1 > or equal to 80%
2 - moderate - 50-80%
3 - severe - 30-50%
4 - very severe - <30% |
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|
Term
| how to assess pt for quality of life? (COPD) |
|
Definition
| mMRC (0-1, or greater than 2) and CAT (less than or greater or equal to 10) |
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|
Term
|
Definition
- >40 yrs
- 10 pk yrs - smoking
- sputum often
- no allergies
- progressive worse
- clinical sx persistent
- airflow partially reversible |
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|
Term
|
Definition
- <40
- usually no smoking
- no sputum
- lots of allergies
- nonprogressive
- variable - sx
- completely reversible |
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|
Term
| When patient comes in w/ pleuritic pain, rule out? |
|
Definition
PPPPM
- pulmonary embolism
- pneumothorax
- pericarditis
- pneumonia
- MI |
|
|
Term
|
Definition
- venous stasis
- vessel wall damage
- increased blood coagulability |
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