作者: Jørgen Vestbo
DOI: 10.1007/978-1-59745-357-8_2
关键词: Respiratory system 、 Functional impairment 、 Internal medicine 、 Sputum Production 、 COPD 、 Medicine 、 Pulmonary disease 、 Medical diagnosis 、 Spirometry 、 Value (mathematics)
摘要: Chronic obstructive pulmonary disease (COPD) should be suspected in any patient aged 40 years or more with symptoms of cough, sputum production, breathlessness and/or a history exposure to risk factors, particular smoking. When seeing patients respiratory smokers – think COPD Do spirometry Exclude differential diagnoses, perform chest x-ray Assess functional impairment, by interview and even better testing When possible, standardize your questioning Consider further physiological testing imaging Calculate BMI, it has prognostic value