COPD History

COPD History - chronic cough productive mucopurulent sputum...

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History Patients with COPD characteristically present between 40-50 years of age complaining of in- creased cough, sputum production, and dyspnea. Dyspnea is usually noted on heavy exertion, but can also occur with mild activity as disease progresses. In severe disease, dyspnea occurs at rest. Late stage COPD is characterized by hypoxemia, pneumonia, pulmonary hypertension, cor pul- monale, and respiratory failure. Two symptom patterns known as “pink puffers” and “blue bloat- ers” tend to emerge as symptoms progress. In bronchitis predominate disease (“blue bloaters”), patients present with a major complaint of
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Unformatted text preview: chronic cough, productive mucopurulent sputum, and frequent exacerbations due to chest infec-tions. Patients usually present in the late 30s and 40s. Dyspnea is usually mild although patients note limitations to exercise. Patients may report weight gain which is due to edema. In emphysema predominant disease (“pink puffers”), patients present with often severe dyspnea as major complaint usually presenting after age 50. Patients report cough as rare, with scant clear, mucoid sputum. Patients may report recent weight loss....
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