Slide 1

Examining Emphysema and Chronic Bronchitis

Slide 2

Objectives Understand the diagnostic criteria for COPD Understand the relevance of COPD exacerbations Understand the features that predict a poor prognosis in COPD Understand the treatment of COPD

Slide 3

COPD in Canada: Epidemiology and Costs

Slide 4

Key Message

Slide 5

Causes of COPD

Slide 6

Comorbidities Associated with COPD

Slide 7

Malnutrition in COPD COPD PHENOTYPES

Slide 8

Pathophysiology of COPD Mucous gland hyperplasia Profuse exudate in lumen Loss of epithelium Inflammatory infiltrate Normal terminal bronchioles & alveoli Distended bronchioles communicating with each other Destruction of bronchioles & capillary bed Image Source: netterimages.com/image/list.htm?s=emphysema&Submit.x=51&Submit.y=6

Slide 9

Evidence-based Physical Examination of COPD

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Key Message

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Classification by Impairment of Lung Function

Slide 12

Identify Patients with Possible COPD

Slide 13

Clinical Course o COPD

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Assessing Disability in COPD

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Smoking Cessation

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Slide 17

AECOPD: Definition

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AECOPD Severity: Mortality

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Slide 20

Consequences of AECOOPD

Slide 21

Survival In COPD Severity of disease FEV1 and Dsypnea MRC Smoking Status Frequency and Severity of Exacerbations Exercise Tolerance BMI

Slide 22

Management of Symptomatic, Mild COPD

Slide 23

Vaccinations

Slide 24

AECOPD: Prevention Strategies

Slide 25

Oxygen Therapy in COPD

Slide 26

Comprehensive Management of COPD

Slide 27

Optimal Pharmacotherapy

Slide 28

Key Message

Slide 29

Optimal Pharmacotherapy of Moderate to Severe COPD

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Slide 31

Key Message

Slide 32

End of Life Care in COPD

Slide 33

Overall Causes of Death in COPD Patients

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End of Life Care Relief of Dyspnea Treatment of AECOPD Supplemental Oxygen Narcotics Advanced Directive

Slide 35

CTS Recommendations for the Management of COPD

Slide 36

Acknowledgemnts Dr. John Bertley - slides CTS guidelines