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Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
Patterns of disease ... weight loss common ... Chest is very quiet ... Major complaint is chronic ... #COPD #Patterns
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - ... Differential Diagnosis Algorithm ... lymadenopathy, clubbing, chest ... lung disease #Chronic ... #causes
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... may show this pattern ... hyperventilation syndrome—a common ... asthma, chronic ... #Breathing #Patterns
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
disease: Most common ... endocarditis/tumors: Most common ... Age-related changes, chronic ... Direct/indirect chest ... hypertrophic CMP (MR commonly
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... and obstructive pattern ... Chronic thromboembolic ... Hypertension #PHTN #Classification ... #Differential #Causes
Common Dermatological Conditions - Distribution and Morphology
 • Acne vulgaris - Face, upper back, chest -
Common Dermatological ... Face, upper back, chest ... honey-colored crusts ... Christmas tree pattern ... diagnosis #skin #common
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Represents the most common ... Chronic infections ... Systemic causes ... Commonly affects ... Spots in the pattern