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Chronic Obstructive Pulmonary Disease and Emphysema

Dennis Martinez, DO, Aelia Fatima, MD and Amit B. Patel, DO Reviewed 06/2019
 


BASICS

DESCRIPTION

  • The Global Initiative for Chronic Obstructive Lung Disease (GOLD) describes COPD in the following words: COPD is a common, preventable, and treatable disease that is characterized by...

DIAGNOSIS

HISTORY

  • Discuss patient’s use of tobacco and cannabis.

  • Consider indoor pollution and occupational exposures (5).

  • Symptoms: exertional dyspnea, chronic cough, sputum production

  • Review possible ca...

TREATMENT

GENERAL MEASURES

  • Smoking cessation: This is the most important intervention to decrease risk (2),(3)[A].

  • Medications help reduce symptoms and exacerbations (2).

  • Home oxygen: may improve surviva...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • May taper or stop oral steroids as outpatient

  • Pulmonary rehabilitation for exertional dyspnea (2)[A]

Patient Monitoring

Follow-up should be initially within 4-week p...

REFERENCES

1
Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: 2018 report. www.goldcopd.or...

SEE ALSO

Bronchitis, Acute 

CODES

ICD10

  • J44.9 Chronic obstructive pulmonary disease, unspecified

  • J43.9 Emphysema, unspecified

  • J42 Unspecified chronic bronchitis

  • E84.0 Cystic fibrosis with pulmonary manifestations

  • J47.9 Bronchiectasis...

CLINICAL PEARLS

  • Consider screening PFTs on any high-risk patient.

  • Overnight oximetry if daytime SaO2 is borderline

  • Influenza/pneumococcal vaccines should be current.

  • Advance directive before patient is s...

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