The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

86. Every Breath You Take - Long Term Management of COPD

May 2, 2021
Exploration of COPD management strategies, inhalers and their benefits, inhaled corticosteroid therapy, long-term treatment options including lung transplants and palliative care. Insights on lung transplant eligibility, palliative care significance, and type A personality's link to smoking and heart disease.
18:38

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Quick takeaways

  • Diagnosing COPD involves spirometry to determine airflow obstruction, with FEV1 to FEC ratio less than 0.7 post-bronchodilator indicating the disease.
  • Effective COPD management includes smoking cessation, vaccinations, inhalers, and other therapies to reduce mortality and alleviate symptoms.

Deep dives

Understanding COPD: Disease Progression and Pathophysiology

COPD is a progressive lung disease resulting from damage to the airways and alveoli, primarily caused by smoking or other inhaled irritants. The disease includes chronic bronchitis characterized by mucous gland hyperplasia and emphysema featuring alveolar damage. COPD patients experience constricted airways and decreased lung compliance, leading to hyperinflation and difficulty exhaling completely. The disease's complexity lies in the irreversible airflow obstruction and the various pathological changes in the airways and lung tissue.

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