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Summary Respiratory Condition - DEARSIM Format

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A thoroughly summarised revision tool to understand cardiovascular medicine. Key features include: 1. Most common conditions such as COPD, asthma, pneumonia, upper and lower respiratory tract infections and more. 2. Pathophysiology and clinical presentation including buzzwords tailored for ex...

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  • August 3, 2024
  • 26
  • 2023/2024
  • Summary
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Respiratory Conditions




Obstructive
= airflow illimitation during exhalation
Respiratory conditions

Restrictive
= reduced lung volume and limited expansion
during inhalation
Spirometry – used to classify

,Forced vital capacity is measured when exhaled as hard and fast as possible
- FEV1: forced expiratory volume in 1 second
- FEV1/FVC = (should be) 0.8 – indicates how well lungs are functioning

Obstructive = <0.8 as only FEV1
is reduced
- COPD
- Asthma
- Bronchiectasis
- Cystic fibrosis

Restrictive = same ratio, both
FEV1 and FVC are reduced
- Interstitial lung diseases
- Chest wall diseases
- Drugs
- Neuromuscular disorders

, Chronic Conditions
OBSTRUCTIVE

COPD
Chronic Obstructive Pulmonary Disease
Definition Bronchitis: long-term inflammation of the airways
- Must present with productive cough for at least three months in
two consecutive years
Emphysema: damage to the air sacs in the lungs

Epidemiology 28000 deaths per year

*Prognosis:
FEV1 linked to risk of exacerbation/mortality
Smoking status – reduction in rate of lung function decline
Severity of symptoms/frequency of exacerbations
Chronic hypoxia
Co-morbidities like BMI

Aetiology
Risk Factors - 90% cases caused by smoking – shisha, weed, passive smoking
- 20% cases originate from occupation – farms, mines
- Genetics (<40)

Symptoms




Signs - Cyanosis – due to hypoxia

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