Chronic Obstructive Pulmonary Disease (COPD) | Clinical Medicine
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 Published On Mar 11, 2024

Premium Member Resources: https://www.ninjanerd.org/lectures/copd

Ninja Nerds!
This lecture by Professor Zach Murphy will lecture on Chronic Obstructive Pulmonary Disease (COPD). We will discuss the following primary objectives:

1. Introduction to COPD
- Understand the epidemiology and public health significance of COPD.
- Familiarize yourself with the basic pathophysiology involving airflow obstruction and inflammation.

2. Types and Classification
- Distinguish between the two main types of COPD: Chronic Bronchitis and Emphysema.
- Learn about the GOLD classification system and how it integrates spirometry, symptoms like mMRC scores, and exacerbation history for classification.

3. Clinical Manifestations
- Recognize the hallmark symptoms of COPD, such as dyspnea, chronic cough, and sputum production.
- Learn how to utilize the mMRC Dyspnea Scale to assess symptom severity and guide management.

4. Diagnostic Criteria and Tools
- Become proficient in interpreting spirometry results, particularly the FEV1/FVC ratio.
- Understand how the mMRC scale and spirometry contribute to diagnosing and staging COPD.
- Examine the role of imaging studies like chest X-rays and CT scans.

5. Management Strategies
- Gain insights into pharmacologic treatments, including bronchodilators and anti-inflammatory agents.
- Understand how mMRC scores can influence treatment choices, such as the initiation of pulmonary rehabilitation or long-acting bronchodilators.

6. Acute Exacerbations of COPD
- Learn about managing acute exacerbations, including using corticosteroids, antibiotics, and hospitalization criteria.
- Discuss how frequent exacerbations, as indicated by a high mMRC score, may require modifications in treatment strategies.

7. Complications and Co-morbidities
- Discuss complications like respiratory failure, pneumonia, and cardiovascular diseases.
- Understand the significance of managing co-morbidities such as depression and osteoporosis in COPD patients.

We hope this lecture helps you master COPD! Don't forget to show your support below, and become a member on our website — https://ninjanerd.org/membership

Table of Contents:
0:00 Lab
0:07 COPD Introduction
0:33 Chronic Bronchitis History & Physical Exam Findings
1:51 Pathophysiology | Chronic Bronchitis
8:16 Emphysema History & Physical Exam Findings
10:21 Pathophysiology | Emphysema
18:27 Complications | Pneumonia
20:22 Complications | Respiratory Failure
24:55 Complications | Cor Pulmonale
27:42 Complications | Polycythemia
33:17 Complications | Pneumothorax
35:02 Diagnostic Approach
38:54 Treatment
46:01 Comment, Like, SUBSCRIBE!

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