Escolar Documentos
Profissional Documentos
Cultura Documentos
Bloaters
And
Pink
Puffers
Dr Ng Kian Seng
IMU Kluang
2014
Blue
Bloaters
And
Pink
Puffers
Pink Puffers
Emphysema
Blue Bloaters
Chronic Bronchitis
Low paO2>Cyanosis
=Blue
Retention Of Fluid
=Bloater
PaO2 Maintained
At Normal Levels
=Pink
Hyperventilate
=Puffer
Chronic
obstructive
pulmonary
disease
(COPD)
Chronic
Bronchitis
Emphysema
Asthma
Venn
Diagram
In
COPD
Ottawa
COPD
Risk
Scale
Cigarette smoking
Most important risk factor. It causes
90% of cases of COPD. Elicits an
inflammatory response and causes
cilia dysfunction and oxidative injury.
Advanced age
The effect of age may be related to a
longer period of cigarette smoking as
well as the normal age-related loss o
FEV1.
Genetic factors
Airway responsiveness to inhaled
insults depends on genetic factors.
Alpha-1 antitrypsin deficiency is a
genetic disorder, mostly encountered
in Northern Europeans, which causes
panacinar emphysema in lower lobes
in young people.
Modes of Presentation
Relatively Asymptomatic
Spirometry
Spirometry is the first test for diagnosis of COPD and for monitoring disease
progress. Patients with COPD have a distinctive pattern seen on spirometry,
with a reduced FEV1 and FEV1/FVC ratio. The presence of airflow limitation
is defined by the Global Initiative for Chronic Obstructive Lung Disease
(GOLD) criteria as a post-bronchodilator FEV1/FVC <0.70.
7 radiological
features
of
COPD