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Comparison of Chronic Asthma and COPD Management 2016

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Asthma
Comparison of Chronic ... Asthma and COPD ... EricsMedicalLectures/ #Asthma ... #COPD #Comparison ... #Chronic #Treatment
Consensus diagnostic criteria for asthma-COPD overlap syndrome (ACOS) in patients with airflow limitation. COPD=chronic obstructive pulmonary
diagnostic criteria for asthma-COPD ... COPD=chronic obstructive ... OverlapSyndrome #Asthma ... #COPD #Criteria
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic ... Acute: Trauma, COPD ... exacerbation, Asthma ... Hemorrhage • Chronic ... : Asthma, COPD,
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Airway Disease: Asthma ... , COPD, Sinusitis ... Schema #Acute #Chronic
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Obstruction • Asthma ... • COPD • Bronchiectasis ... Pneumonia • ARDS • COPD ... Metabolic Acidosis #Chronic
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
COPD phenotypes: ... PaCO2, causing chronic ... is similar to asthma ... develop substantial chronic ... #Diagnosis #COPD
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Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... pulmonary edema) • COPD ... often w/ acute on chronic ... failure (ie.. asthma ... exacerbation) • Chronic
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Deposition Disease (CPPD ... calcium to form CPP ... Chronic CPP Crystal ... Resembles RA • Chronic ... glucocorticoids • Acute polyarticular
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
lung sliding COPD ... or Asthma: - ... submassive PE) POCUS ... #signs #Lung #POCUS
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... Compensation, Acute vs Chronic ... tubular acidosis/Chronic ... lung disease (COPD ... , OSA, Asthma, Obesity