What is the order that things should be selected? - Answers 1) visuals
2) bedside
3) basic labs
4) special tests
Visual assessment includes - Answers 1) general appearance
2) appearance of the chest
3) respiratory pattern/rate
4) sensorium
5) posture
6) patient color
7) pulse
Bedside assessment includes - Answers 1) interview/history
2) palpation/ percussion
3) non - invasive monitoring
4) auscultation
5) other bedside assessments
basic lab tests include - Answers 1) abg
2) cbc
3) 12 lead ECG
4) electrolytes
5) chest xray
Special tests include - Answers 1) laboratory
2) pulmonary function
3) imaging studies
, 4) cardiopulmonary testing
5) hemodynamic monitoring
6) other diagnostic tests
Emphysema definition - Answers presence of permanent enlargement of the air spaces distal to the
terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis
Chronic Bronchitis - Answers chronic productive cough for three months in each of two successive years
in a patient for whom other causes of the productive cough have been excluded
What are causes of COPD - Answers 1) tobacco smoke
2) genetic predisposition
3) indoor and outdoor air pollution
Body build of emphysema patient - Answers thin, underweight, pink puffer
Body build of chronic bronchitis patient - Answers stock, overweight, blue bloater
cough of emphysema patient - Answers less common, mucoid secretions
cough of chronic bronchitis patient - Answers productive, copious amounts, purulent secretions
appearance of the chest of emphysema patient - Answers barrel chest, increased AP diameter, hoovers
sign
appearance of the chest of chronic bronchitis patient - Answers occasionally barrel chest
respiratory pattern of emphysema patient - Answers dyspnea, pursed lip breathing, accessory muscle
use, especially during exacerbations
respiratory pattern of chronic bronchitis patient - Answers use of accessory muscles less common
color of emphysema patient - Answers often reddish skin
color of chronic bronchitis patient - Answers cyanotic
clubbing with emphysema patient - Answers late stage
clubbing with chronic bronchitis patient - Answers common
diagnostic chest percussion for emphysema patients - Answers hyperresonant/tympanic note
diagnostic chest percussion for chronic bronchitis patients - Answers normal
breath sounds for emphysema patients - Answers diminished breath sounds, prolonged expiration