Emphysema history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
Symptoms include: | Symptoms include: | ||
* [[Shortness of breath]] on exertion (typically when climbing stairs or inclines, and later at rest) | * [[Shortness of breath]] on exertion (typically when climbing stairs or inclines, exercise intolerance and later at rest) | ||
* [[Hyperventilation]] | * [[Hyperventilation]] | ||
* Expanded chest | * Expanded chest | ||
===Symptoms of Severe Emphysema=== | |||
* In extreme cases it could lead to [[cor pulmonale]] due the extra work required by the heart to get blood to flow through the lungs which may present as | |||
** [[Chest discomfort]], usually in the front of the chest | |||
** [[Shortness of breath]] | |||
** [[Swelling of the feet or ankles]] | |||
** Symptoms of underlying disorders ([[wheezing]], [[coughing]]) | |||
* [[Cyanosis]] (bluish decolorization usually in the lips and fingers) caused by a lack of [[oxygen]] in the blood | |||
* Patient may have confusion indicating an alteration of mental status. | |||
* Depression may be seen | |||
* Decreased fat-free mass, impaired systemic muscle function (systemic manifestation) | |||
'''The most helpful information in diagnosis of COPD is provided by a combination of the following 3 signs''' <ref name="pmid21810710">{{cite journal |author=Qaseem A, Wilt TJ, Weinberger SE, Hanania NA, Criner G, van der Molen T, Marciniuk DD, Denberg T, Schünemann H, Wedzicha W, MacDonald R, Shekelle P |title=Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society |journal=[[Annals of Internal Medicine]] |volume=155 |issue=3 |pages=179–91 |year=2011 |month=August |pmid=21810710 |doi=10.1059/0003-4819-155-3-201108020-00008 |url= |accessdate=2012-03-02}}</ref> | |||
* Self-reported smoking history of more than 55 pack-year | |||
* Wheezing on auscultation | |||
* Self-reported wheezing. | |||
==References== | ==References== |
Latest revision as of 17:01, 25 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Emphysema occurs as a result of increased compliance of the lung tissue. After a prolonged period, hyperventilation becomes inadequate to maintain high enough oxygen levels in the blood. Symptoms commonly reflect this.
Symptoms
Symptoms include:
- Shortness of breath on exertion (typically when climbing stairs or inclines, exercise intolerance and later at rest)
- Hyperventilation
- Expanded chest
Symptoms of Severe Emphysema
- In extreme cases it could lead to cor pulmonale due the extra work required by the heart to get blood to flow through the lungs which may present as
- Chest discomfort, usually in the front of the chest
- Shortness of breath
- Swelling of the feet or ankles
- Symptoms of underlying disorders (wheezing, coughing)
- Cyanosis (bluish decolorization usually in the lips and fingers) caused by a lack of oxygen in the blood
- Patient may have confusion indicating an alteration of mental status.
- Depression may be seen
- Decreased fat-free mass, impaired systemic muscle function (systemic manifestation)
The most helpful information in diagnosis of COPD is provided by a combination of the following 3 signs [1]
- Self-reported smoking history of more than 55 pack-year
- Wheezing on auscultation
- Self-reported wheezing.
References
- ↑ Qaseem A, Wilt TJ, Weinberger SE, Hanania NA, Criner G, van der Molen T, Marciniuk DD, Denberg T, Schünemann H, Wedzicha W, MacDonald R, Shekelle P (2011). "Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society". Annals of Internal Medicine. 155 (3): 179–91. doi:10.1059/0003-4819-155-3-201108020-00008. PMID 21810710. Unknown parameter
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