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Copd 2006

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Dang Thanh Tuan
Dang Thanh Tuan
Salud y medicina
1 de 57
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 Real Story
 
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]
GOLD Guideline in Japan
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
Reduce Risk Factors: Key Points ,[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]
Medications
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]
Questions?

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