According to exacerbating definition increase in dyspnea is also an exacerbating so mam kindly please explain term exacerbating what all we have to see
The GOLD document defines an exacerbation as “an event in the natural course of the disease characterized by a change in the patient's baseline dyspnoea, cough, and/or sputum that is beyond normal day‐to‐day variations, is acute in onset, and may warrant a change in regular medication in a patient with underlying COPD… so it means anything which is more than his regular daily variation so an increase in his previous breathlessness in case of dyspnea
Mainstay of treatment in COPD should be anticholinergics followed by LABA and anticholinergic… add steroids if frequent exacerbation/ eosinophilia more than 300 Add antibiotics and roflumilast in chronic bronchitis group based on presence of infection/ sectretions
PRISM INCLUDES PRESERVED RATIO BUT SOME IMPAIRMENT IN SPIRO EG FEV1 AND FVC BOTH REDUCED CAUSING NORMAL RATIO ; Patient may not have any symptoms of abnormality PRE COPD Means in whom spirometry is unable to detect airflow limitation but in whom the disease is likely to progress ; they may have respiratory symptoms, low-normal FEV1, DlCO, and/or accelerated FEV1 decline; and/or radiographic abnormalities including emphysema
Excellent presentation. Thank you for putting it all together along with your valuable experience backed input.
Thank you alot dr please keep sharing this video
Thank u for the update great effort .
This is SO helpful! Thank you SO SO much!!!
Glad it was helpful!
Thank you!!!
A video on the ESC guidelines for pulmonary embolism would also be useful addition to the basket
According to exacerbating definition increase in dyspnea is also an exacerbating so mam kindly please explain term exacerbating what all we have to see
The GOLD document defines an exacerbation as “an event in the natural course of the disease characterized by a change in the patient's baseline dyspnoea, cough, and/or sputum that is beyond normal day‐to‐day variations, is acute in onset, and may warrant a change in regular medication in a patient with underlying COPD… so it means anything which is more than his regular daily variation so an increase in his previous breathlessness in case of dyspnea
Hi maam… can you please make a video on the latest changes in ISHAM abpa guidelines. Many thanks in advance
very soon
Group a copd predominantly chronic bronchitis which bronchodilator to be given?do patients respond to ics combination better
Mainstay of treatment in COPD should be anticholinergics followed by LABA and anticholinergic… add steroids if frequent exacerbation/ eosinophilia more than 300
Add antibiotics and roflumilast in chronic bronchitis group based on presence of infection/ sectretions
Nice
100 thums-up
Is PRISM the same PreCOPD?
PRISM INCLUDES PRESERVED RATIO BUT SOME IMPAIRMENT IN SPIRO EG FEV1 AND FVC BOTH REDUCED CAUSING NORMAL RATIO ; Patient may not have any symptoms of abnormality
PRE COPD Means in whom spirometry is unable to detect airflow limitation but in whom the disease is likely to progress ; they may have respiratory symptoms, low-normal FEV1, DlCO, and/or accelerated FEV1 decline; and/or radiographic abnormalities including emphysema
@@pulmonologyreadaloud thank you 🙏🙏🙏
Thank you so much for great efforts, can you share the presentation ppt with us ? this would be great help
Hi Thanks !!.All slides are downloadable at Gold website as part of teaching slide set
@@pulmonologyreadaloud thank you so much , but I ask if you could share this ppt
Ma'am please provide pdf 🙏🏻
Why does this keep changing?
Studies showing better outcomes