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Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
Patterns of disease ... in advanced COPD ... 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 ... asthma, chronic ... bronchitis, and COPD ... #Breathing #Patterns
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
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Chronic infections ... Local causes include ... Systemic causes ... Spots in the pattern ... illness, trauma, and cold