Physical Diagnosis of Chronic Obstructive Pulmonary Disease

Tokuda, Yasuharu; Miyagi, Seishirou

doi:10.2169/internalmedicine.46.0455

Cited by 14 publications

(4 citation statements)

References 44 publications

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“…However, determining whether a patient has asthma or an exacerbation of COPD is often difficult, because of their clinical similarity. The Table 1 summarizes the differences between these two diseases, and Tokuda and Miyagi (2007) provided an excellent review of rapid physical diagnosis for COPD patients that focused on inspection, palpation, percussion, auscultation, special maneuvers, and vital signs.…”

Section: Differences and Similarities Between Asthma And Copdmentioning

confidence: 99%

“…On physical examination, the sound of an expiratory wheeze is identical in asthma, COPD, congestive heart failure, and pneumonia, and it cannot be used to distinguish among these conditions (Kaplan et al, 2009). Thus, physical examination is relatively insensitive for the diagnosis of asthma, but COPD has its characteristic physical findings (Tokuda and Miyagi, 2007) that could be useful in rapid differentiation from those of asthma.…”

Section: Differences and Similarities Between Asthma And Copdmentioning

confidence: 99%

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Virus-induced exacerbations in asthma and COPD

Kurai¹,

Saraya²,

Ishii³

et al. 2013

Front. Microbiol.

159

122

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Chronic obstructive pulmonary disease (COPD) is characterized by chronic airway inflammation and/or airflow limitation due to pulmonary emphysema. Chronic bronchitis, pulmonary emphysema, and bronchial asthma may all be associated with airflow limitation; therefore, exacerbation of asthma may be associated with the pathophysiology of COPD. Furthermore, recent studies have suggested that the exacerbation of asthma, namely virus-induced asthma, may be associated with a wide variety of respiratory viruses. COPD and asthma have different underlying pathophysiological processes and thus require individual therapies. Exacerbation of both COPD and asthma, which are basically defined and diagnosed by clinical symptoms, is associated with a rapid decline in lung function and increased mortality. Similar pathogens, including human rhinovirus, respiratory syncytial virus, influenza virus, parainfluenza virus, and coronavirus, are also frequently detected during exacerbation of asthma and/or COPD. Immune response to respiratory viral infections, which may be related to the severity of exacerbation in each disease, varies in patients with both COPD and asthma. In this regard, it is crucial to recognize and understand both the similarities and differences of clinical features in patients with COPD and/or asthma associated with respiratory viral infections, especially in the exacerbative stage. In relation to definition, epidemiology, and pathophysiology, this review aims to summarize current knowledge concerning exacerbation of both COPD and asthma by focusing on the clinical significance of associated respiratory virus infections.

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Section: Differences and Similarities Between Asthma And Copdmentioning

confidence: 99%

Section: Differences and Similarities Between Asthma And Copdmentioning

confidence: 99%

Virus-induced exacerbations in asthma and COPD

Kurai¹,

Saraya²,

Ishii³

et al. 2013

Front. Microbiol.

159

122

View full text Add to dashboard Cite

show abstract

“…[68] Diminished breath sounds and wheezing on auscultation have been shown to increase the odds for a diagnosis of COPD. [60] An important clinical sign is the forced expiratory time (FET).…”

Section: Introductionmentioning

confidence: 99%

Guidelines for diagnosis and management of chronic obstructive pulmonary disease: Joint ICS/NCCP (I) recommendations

et al. 2013

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Chronic obstructive pulmonary disease (COPD) is a major public health problem in India. Although several International guidelines for diagnosis and management of COPD are available, yet there are lot of gaps in recognition and management of COPD in India due to vast differences in availability and affordability of healthcare facilities across the country. The Indian Chest Society (ICS) and the National College of Chest Physicians (NCCP) of India have joined hands to come out with these evidence-based guidelines to help the physicians at all levels of healthcare to diagnose and manage COPD in a scientific manner. Besides the International literature, the Indian studies were specifically analyzed to arrive at simple and practical recommendations. The evidence is presented under these five headings: (a) definitions, epidemiology, and disease burden; (b) disease assessment and diagnosis; (c) pharmacologic management of stable COPD; (d) management of acute exacerbations; and (e) nonpharmacologic and preventive measures. The modified grade system was used for classifying the quality of evidence as 1, 2, 3, or usual practice point (UPP). The strength of recommendation was graded as A or B depending upon the level of evidence.

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“…The lungs should be percussed to detect hyper-resonance and equality, and then auscultated to distinguish distant breath sounds, wheezing, decreased air exchange, or crackles which occur very early in the inspiratory cycle in patients with COPD. Moreover, detailed attention should be paid to the cardiac system, including assessment of heart rhythm and circulation, and a search for jugular vein distension, chest wall abnormalities, central cyanosis, and peripheral edema [19, 20]. It should be noted that during milder stages of COPD, physical examination is often normal and as a result it is difficult to distinguish between asthma and COPD exclusively on the basis of physical examination.…”

Section: Differentiating Copd From Asthmamentioning

confidence: 99%

The Differentiation of Chronic Obstructive Pulmonary Disease from Asthma: A Review of Current Diagnostic and Treatment Recommendations

Spencer¹,

Krieger²

2013

The Open Nurs J

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Aim:Global and regional data have shown that chronic airway diseases such as chronic obstructive pulmonary disease (COPD) and asthma are increasing in incidence and prevalence, with detrimental consequences to healthcare resources and the quality of life of patients. A firm diagnosis of COPD or asthma is important because the natural history, treatment, and outcomes differ between the two respiratory diseases. The aim of this review is to provide nurse practitioners (NPs) with the requisite facts to understand and improve the diagnosis and treatment of affected individuals.Methods:Articles on the differential diagnosis, treatment, and management of COPD and asthma published in peer-reviewed journals were retrieved from PubMed. Evidence-based respiratory guidelines, World Health Organization disease-related data, and US prescribing information for different respiratory medications served as additional data sources.Conclusions:NPs, along with other primary care professionals, form the frontline in diagnosing, treating, and managing COPD and asthma. Differentiating COPD from asthma has prognostic as well as significant therapeutic implications. Since NPs play a key role in diagnosing and managing patients with COPD and asthma, those with a comprehensive understanding of the diagnostic and therapeutic differences between the two diseases can help to lower the risks of exacerbations and hospitalizations, and improve the quality of life of these patients.

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Physical Diagnosis of Chronic Obstructive Pulmonary Disease

Abstract: Among the various diagnostic strategies of chronic obstructive pulmonary disease (COPD)

Cited by 14 publications

References 44 publications

Virus-induced exacerbations in asthma and COPD

Virus-induced exacerbations in asthma and COPD

Guidelines for diagnosis and management of chronic obstructive pulmonary disease: Joint ICS/NCCP (I) recommendations

The Differentiation of Chronic Obstructive Pulmonary Disease from Asthma: A Review of Current Diagnostic and Treatment Recommendations

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