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...
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
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