BMJ Best Practice Podcast COPD: an update on diagnosis and management
May 8, 2024
Neil Greening, an Associate Professor and Honorary Consultant Physician at the Institute for Lung Health, delves into the complexities of Chronic Obstructive Pulmonary Disease (COPD). He discusses the alarming rates of exacerbations and mortality, critical diagnostics, and the importance of personalized care. Greening highlights the use of nebulizers and the safety of oxygen therapy, while addressing the challenges of managing COPD alongside comorbidities like diabetes. Common misconceptions about COPD management and the evolving role of telemedicine are also explored.
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Understanding COPD Exacerbations
- Acute exacerbations of COPD are sudden worsening of symptoms caused by inflammation and other factors.
- These flare-ups typically develop over a few days with increased breathlessness, cough, sputum, or wheeze.
Diagnosing COPD Exacerbations
- Diagnose COPD exacerbation mainly based on patient symptoms and history, as no biomarker exists.
- Use lab tests selectively to identify infection or guide treatment, not routinely for diagnosis.
Radiology in COPD Exacerbations
- Use chest x-rays in severe exacerbations to exclude other causes or detect pneumonia.
- Avoid routine CT scans during exacerbations; reserve for investigating other coexisting issues.