Copd 2006

COPD 2006 Mark Cucuzzella MD LtCol USAFR Associate Professor Family Medicine West Virginia Rural Family Medicine Program

Close to the Beltway but a World Apart

Wayne McLaren…Former Marlboro Man Age 30…a robust young man Age 51…riding into the sunset

US Leading Causes of Death 2001

% Change in Age Adjusted Death Rate US 1965-1998…gotta die of something

Other Sad Facts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Objectives of COPD Management ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pathophysiology Simplified Bad Genes Breathe Noxious Crap COPD

THE Guideline ,[object Object]

4 Keys to Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess and Monitor Disease Classification of COPD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stage 0 At Risk ,[object Object],[object Object]

Stage I Mild COPD ,[object Object],[object Object],[object Object]

Stage II Moderate COPD ,[object Object],[object Object],[object Object]

Stage III Severe COPD ,[object Object],[object Object],[object Object]

Stage IV Very Severe COPD ,[object Object],[object Object]

Assess: Who Has Early Stages And Who Do You Test? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess for COPD: A Common Story ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess: Spirometry to Diagnose ,[object Object],[object Object]

Assess: Medical History in Those With Established Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess: Physical Examination ,[object Object],[object Object],[object Object],[object Object]

Assess: Measure Airflow Limitation ,[object Object],[object Object],[object Object]

Assess: Severity ,[object Object],[object Object],[object Object]

Assess: Additional Investigations > Stage II: Moderate COPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assess: Additional Investigations > Stage II: Moderate COPD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object]

COPD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Asthma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Congestive Heart Failure ,[object Object],[object Object],[object Object],[object Object]

Other Diff Dx to Consider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoring: This is a progressive disease ,[object Object],[object Object],[object Object],[object Object]

Reduce Risk Factors: Key Points ,[object Object],[object Object]

Reduce Risk Factors: Key Points ,[object Object],[object Object],[object Object]

Maybe This Would be Better Than Drugs

Manage Stable COPD Key Points 1 ,[object Object],[object Object],[object Object],[object Object]

Manage Stable COPD Key Points 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Manage Stable COPD Key Points 3 ,[object Object],[object Object]

Manage Stable COPD Key Points 3 ,[object Object],[object Object],[object Object],[object Object]

Manage Stable COPD Key Points 4 ,[object Object],[object Object]

Bronchodilators Beta2-agonists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bronchodilators Anticholinergics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bronchodilators- Combos and Methylxanthines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Med Adjuncts? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Therapy by Stage- Pretty Simple

[object Object],[object Object]

Manage Exacerbations ,[object Object]

Manage Exacerbations 1 ,[object Object],[object Object]

Manage Exacerbations 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Manage Exacerbations 3 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Copd 2006

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Copd 2006