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COPD Physical

COPD Physical - sounds are very quiet without adventitious...

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Physical Most patients present with a mixture of both bronchitis and emphysema signs and symptoms. Patients with bronchitis predominant disease appear cyanotic but seem comfortable at rest. Peri- pheral edema is common. Chest sounds are noisy with ronchi invariably present and wheezes are also common. Tachypnea and pursed lipped breathing may also be present. Patients with emphysema predominant disease appear uncomfortable with evident use of access- ory muscles of respiration. Hyperinflation of the lungs leads to barrel chest appearance. Chest
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Unformatted text preview: sounds are very quiet without adventitious breath sounds. Hyperresonance is noted on percus-sion. No peripheral edema is present. Tachypnea and pursed lip breathing with grunting may also be present. Acute exacerbations of COPD result in progressive hypoxemia which include signs such as altered mental status, tachypnea, tachycardia, systemic hypertension, and cyanosis. These exacerbations are commonly precipitated by infection or environmental factors....
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