THIS PRESENTATION INCLUDES DEFINITION, AETIOLOGY, CLINICAL PRESENTATION, CLINICAL FEATURES, MOCK ASSESSMENT AND PT MANAGEMENT OF COPD. THIS PPT IS MADE FOR ONLY LEARNING PURPOSE AND FOR EXAM PURPOSE.

1. CHRONIC
OBSTRUCTIVE
PULMONARY
DISEASE
(COPD)
DR.SAMIR JADAV (PT)

3. Chronic obstructive pulmonary disease (COPD) is an ill-
defined term that is often applied to patients who have
combination of chronic bronchitis and emphysema which
frequently occur together.
 It is disease characterized by persistent airflow limitation that
is usually progressive

6. 2) EMPHYSEMA
 Emphysema is a condition of the lung characterized by
permanent dilatation of the air spaces distal to the terminal
bronchioles with destruction of the walls of these airways.

9. PAST MEDICAL HISTORY
-No other medical conditions in past.
DRUG HISTORY
FAMILY HISTORY
-Present
SOCIAL HISTORY
-patient may not fullfill the social requirement
of his/her family.
PERSONAL HISTORY
-(smoke, alcohol)

10. SUBJECTIVE ASSESSMENT
COUGH : Chronic Productive
DYSPNOEA : Present
Grade-1(NYHA scale)
SPUTUM : Mucoid
HAEMOPTYSIS : Not Present
WHEEZE : Present
OTHER SYMPTOMS : Fatigue, weakness present.

11. OBJECTIVE ASSESSMENT
GENERAL OBSERVATION
- Patient seems to be breathless.
LEVEL OF CONSCIOUSNESS
- GCS scale
BODY BUILT
OBSERVATION OF CHEST
CHEST SHAPE :- Barrel chest
CHEST MOVEMENT :- Bilateral diminished
BREATHING PATTERN :- According to gender
TYPE OF BREATHING :- Obstructive breathing
POSTURE
- Exaggerated kyphotic and lordotic curve.

12. ON EXAMINATION
(VITALS)
TEMPERATURE :- Normal
RESPI. RATE :- Tachypnea
HEART RATE :-
BLOOD PRESSURE :-
ON PALPATION
TRACHEA : Normal/Central
TENDERNESS : Absent
TVF : Reduced
CHEST EXPANSION : Hyper-inflated

13. ON PERCUSSION
-Hyper resonant type on percussion.
ON AUSCULTATION
-BREATH SOUNDS : Vesicular
-FOREIGN SOUNDS : Wheeze,
INVESTIGATIONS

14. CHEST X-RAY : Flattening of diaphragm
Chest hyperinflation.
ABG ANALYSIS : Low PaO2 due toVa/Q mismatch.
Increased PaCO2
LUNG FUNCTIONTESTS : Decreased FEV1/FVC ratio
IncreasedTLC, FRC, RV due to
overinflation of lungs.
6-MINUTE WALKTEST : Reduced ex. tolerance
DIAGNOSIS : COPD
PT MGMT - SEE ‘PULMONARY DISEASE PT MGMT’
PRESENTATION.