COPD stands for Chronic Obstructive Pulmonary Disease, which is a group of chronic inflammatory lung diseases that obstruct airflow from lungs and cause difficulty in breathing. COPD is most commonly caused by emphysema and chronic bronchitis. The symptoms include dyspnea, wheezing, chest tightness, persistent cough, and cyanosis.
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Query: Hello doctor, I need help with a question. I was working as a hospitalist. A 67-year-old man had been admitted over the weekend for confusion and a high ammonia level. He had also fallen down five to six times before admission. He had a history of chronic obstructive pulmonary disease (COPD) with pe... Read Full »
Answer: Hello, Welcome to icliniq.com. Patients with long-standing COPD (chronic obstructive pulmonary disease) controlled oxygen therapy should be given to avoid suppression of hypoxic respiratory drive. So unless they are on BIPAP(bilevel positive airway pressure) or invasive ventilatory support, oxygen ... Read Full »
Query: Hello doctor, A doctor prescribed me Betamethasone dipropionate for two weeks, 50-mcg-per-metered-spray, two puffs two times a day, then he said he would reduce the dose after two weeks. But I am concerned, since I checked online about this medicine, that two weeks is a very short period for this me... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your symptoms and medication history. It possibly suggests allergy and asthma. I want a few clarifications and details to help you. 1. Do you get recurrent wheezing or whistling sounds from your chest or have chest tightness? 2. Do your symptoms in... Read Full »
Query: Hello doctor, I had my first appointment with a new pulmonologist today. I presented with a productive (clear) cough which I have had for two weeks. I am very frightened by them and I am terrified that I have chronic obstructive pulmonary disease (COPD), as it seems to appear from the numbers. The d... Read Full »
Answer: Hello, Welcome to icliniq.com. Percentage predicted means how much is your observed value to the expected value. The computer predicts based on your height, age and gender and on equations how much your FEV1 (forced expiratory volume) and FVC (forced vital capacity) values should be if you are norm... Read Full »
Query: Hello doctor, My father is in the hospital fighting pneumonia and has chronic obstructive pulmonary disease (COPD). His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The pl... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, bronchos... Read Full »
Query: Hello doctor, Do my spirometry results tell you anything? Are they below normal? I am a male 5.74 ft, 182.98 lb, 39 years old. I sometimes have shortness of breath. Read Full »
Answer: Hello, Welcome to icliniq.com. Post-bronchodilator forced expiratory volume (FEV)1/FVC (forced vital capacity) is less than 70. FEV 1 is more than 80 (attachment removed to protect patient identity). No reversibility indicative of asthma in the post-study. It seems to suggest mild COPD (chronic obs... Read Full »