IPLab:Lab 12:COPD - Revision history

Peter Anderson: /* Autopsy Findings */

2020-07-09T21:15:15Z

Autopsy Findings

← Older revision		Revision as of 16:15, 9 July 2020
Line 3:		Line 3:

	Pertinent autopsy findings included emphysema with moderate mucous plugging of bronchi. Right ventricular hypertrophy and dilation were also noted.		Pertinent autopsy findings included emphysema with moderate mucous plugging of bronchi. Right ventricular hypertrophy and dilation were also noted.

	~~== Autopsy Findings ==~~
	~~Pertinent autopsy findings included emphysema with moderate mucous plugging of bronchi. Right ventricular hypertrophy and dilation were also noted.~~

	== Images ==		== Images ==

Peter Anderson: /* Clinical Summary */

2020-07-09T21:15:08Z

Clinical Summary

← Older revision		Revision as of 16:15, 9 July 2020
Line 1:		Line 1:
	== Clinical Summary ==		== Clinical Summary ==
	This 64-year-old man was hospitalized because of increasing shortness of breath, cough, increasing sputum production, and fever. The patient had a 75 pack-year history of cigarette smoking. On admission his respiratory rate was 20 breaths per minute and his pulse was 110 bpm. On room air his PaO2 was 46 mm Hg, his PaCO2 was 62 mm Hg, and the pH was 7.26. He was started on 24% O2 and after 6 hours his PaO2 was 52 mm Hg, his PaCO2 was 54 and his pH was 7.30. His hemoglobin was 17.1 g/dL, his PCV was 54%, and his leukocyte count was 15,300 cells/mm³ with 13% bands, 65% PMNs, 15% lymphocytes, 4% monocytes and 3% eosinophils. Chest x-ray showed ~~a narrow heart silhouette,~~ a low, flattened diaphragm, and markedly lucent regions in the upper lung fields suggesting areas of emphysema. An electrocardiogram showed tall P waves and a right axis deviation. The patient was given broad-spectrum antibiotics and was continued on his oral and inhalant bronchodilators and was started on a diuretic. His condition improved but two days after admission he suffered acute respiratory failure and could not be resuscitated.		This 64-year-old man was hospitalized because of increasing shortness of breath, cough, increasing sputum production, and fever. The patient had a 75 pack-year history of cigarette smoking. On admission his respiratory rate was 20 breaths per minute and his pulse was 110 bpm. On room air his PaO2 was 46 mm Hg, his PaCO2 was 62 mm Hg , and the pH was 7.26. Chest x-ray showed a low, flattened diaphragm, and markedly lucent regions in the upper lung fields suggesting areas of emphysema. Despite appropriate therapy he suffered acute respiratory failure and could not be resuscitated.

			Pertinent autopsy findings included emphysema with moderate mucous plugging of bronchi. Right ventricular hypertrophy and dilation were also noted.

	== Autopsy Findings ==		== Autopsy Findings ==

Peter Anderson: /* Journal Articles */

2015-09-17T17:57:36Z

Journal Articles

← Older revision		Revision as of 12:57, 17 September 2015
Line 26:		Line 26:

	=== Journal Articles ===		=== Journal Articles ===
	* ~~Hida W~~, ~~Tun Y, Kikuchi Y, Okabe S, Shirato K~~. [http://www.~~ncbi~~.~~nlm~~.~~nih~~.~~gov/pubmed/11896895 Pulmonary hypertension in patients with chronic obstructive pulmonary disease: recent advances in pathophysiology and management~~]. ~~''Respirology'' 2002 Mar~~;~~7(1)~~:~~3-13~~.		* Franks TJ, Galvin JR. [http://www.archivesofpathology.org/doi/pdf/10.5858/arpa.2013-0384-RA Smoking-Related Interstitial Lung Disease]. Arch Pathol Lab Med. 2015;139:974–977.

	=== Images ===		=== Images ===

Seung Park: /* Images */

2013-08-30T01:49:02Z

Images

← Older revision		Revision as of 20:49, 29 August 2013
Line 29:		Line 29:

	=== Images ===		=== Images ===
	* [~~http://peir.path.uab.edu~~/library/index.php?/tags/2172-copd PEIR Digital Library: COPD Images]		* [{{SERVER}}/library/index.php?/tags/2172-copd PEIR Digital Library: COPD Images]
	* [http://library.med.utah.edu/WebPath/LUNGHTML/LUNGIDX.html#6 WebPath: Obstructive Diseases]		* [http://library.med.utah.edu/WebPath/LUNGHTML/LUNGIDX.html#6 WebPath: Obstructive Diseases]

Seung Park: /* Related IPLab Cases */

2013-08-26T15:25:32Z

Related IPLab Cases

← Older revision		Revision as of 10:25, 26 August 2013
Line 33:		Line 33:

	== Related IPLab Cases ==		== Related IPLab Cases ==
	* [[IPLab:Lab 5:α1 Antitrypsin Deficiency\|Lab 5: Lung: ~~Alpha~~ 1-Antitrypsin Deficiency]]		* [[IPLab:Lab 5:α1 Antitrypsin Deficiency\|Lab 5: Lung: α1-Antitrypsin Deficiency]]
	* [[IPLab:Lab 10:Cryptococcosis\|Lab 10: Lung: Cryptococcosis]]		* [[IPLab:Lab 10:Cryptococcosis\|Lab 10: Lung: Cryptococcosis]]

Seung Park: /* Reference */

2013-08-26T15:25:19Z

Reference

← Older revision		Revision as of 10:25, 26 August 2013
Line 20:		Line 20:
	== Additional Resources ==		== Additional Resources ==
	=== Reference ===		=== Reference ===
			* [http://emedicine.medscape.com/article/807143-overview eMedicine Medical Library: Chronic Obstructive Pulmonary Disease and Emphysema in Emergency Medicine]
			* [http://emedicine.medscape.com/article/297664-overview eMedicine Medical Library: Chronic Obstructive Pulmonary Disease]
			* [http://emedicine.medscape.com/article/287555-overview eMedicine Medical Library: Nicotine Addiction]
			* [http://www.merckmanuals.com/professional/pulmonary_disorders/chronic_obstructive_pulmonary_disease_and_related_disorders/chronic_obstructive_pulmonary_disease.html Merck Manual: Chronic Obstructive Pulmonary Disease]

	=== Journal Articles ===		=== Journal Articles ===

Seung Park: /* Journal Articles */

2013-08-26T15:23:50Z

Journal Articles

← Older revision		Revision as of 10:23, 26 August 2013
Line 23:		Line 23:

	=== Journal Articles ===		=== Journal Articles ===
			* Hida W, Tun Y, Kikuchi Y, Okabe S, Shirato K. [http://www.ncbi.nlm.nih.gov/pubmed/11896895 Pulmonary hypertension in patients with chronic obstructive pulmonary disease: recent advances in pathophysiology and management]. ''Respirology'' 2002 Mar;7(1):3-13.

	=== Images ===		=== Images ===

Seung Park: /* Related IPLab Cases */

2013-08-26T15:23:14Z

Related IPLab Cases

← Older revision		Revision as of 10:23, 26 August 2013
Line 30:		Line 30:

	== Related IPLab Cases ==		== Related IPLab Cases ==
			* [[IPLab:Lab 5:α1 Antitrypsin Deficiency\|Lab 5: Lung: Alpha 1-Antitrypsin Deficiency]]
			* [[IPLab:Lab 10:Cryptococcosis\|Lab 10: Lung: Cryptococcosis]]

	{{IPLab 12}}		{{IPLab 12}}

	[[Category: IPLab:Lab 12]]		[[Category: IPLab:Lab 12]]

Seung Park: /* Images */

2013-08-26T15:22:36Z

Images

← Older revision		Revision as of 10:22, 26 August 2013
Line 26:		Line 26:

	=== Images ===		=== Images ===
			* [http://peir.path.uab.edu/library/index.php?/tags/2172-copd PEIR Digital Library: COPD Images]
			* [http://library.med.utah.edu/WebPath/LUNGHTML/LUNGIDX.html#6 WebPath: Obstructive Diseases]

	== Related IPLab Cases ==		== Related IPLab Cases ==

Seung Park at 00:52, 26 August 2013

2013-08-26T00:52:05Z

← Older revision		Revision as of 19:52, 25 August 2013
Line 1:		Line 1:
	== Clinical Summary ==		== Clinical Summary ==
	This 64-year-old man was hospitalized because of increasing shortness of breath, cough, increasing sputum production, and fever. The patient had a 75 pack-year history of cigarette smoking. On admission his respiratory rate was 20 breaths per minute and his pulse was 110 bpm. On room air his PaO2 was 46 mm Hg, his PaCO2 was 62 mm Hg, and the pH was 7.26. He was started on 24% O2 and after 6 hours his PaO2 was 52 mm Hg, his PaCO2 was 54 and his pH was 7.30. His hemoglobin was 17.1 g/dL, his PCV was 54%, and his leukocyte count was 15,300 cells/~~cmm~~ with 13% bands, 65% PMNs, 15% lymphocytes, 4% monocytes and 3% eosinophils. Chest x-ray showed a narrow heart silhouette, a low, flattened diaphragm, and markedly lucent regions in the upper lung fields suggesting areas of emphysema. An electrocardiogram showed tall P waves and a right axis deviation. The patient was given broad-spectrum antibiotics and was continued on his oral and inhalant bronchodilators and was started on a diuretic. His condition improved but two days after admission he suffered acute respiratory failure and could not be resuscitated.		This 64-year-old man was hospitalized because of increasing shortness of breath, cough, increasing sputum production, and fever. The patient had a 75 pack-year history of cigarette smoking. On admission his respiratory rate was 20 breaths per minute and his pulse was 110 bpm. On room air his PaO2 was 46 mm Hg, his PaCO2 was 62 mm Hg, and the pH was 7.26. He was started on 24% O2 and after 6 hours his PaO2 was 52 mm Hg, his PaCO2 was 54 and his pH was 7.30. His hemoglobin was 17.1 g/dL, his PCV was 54%, and his leukocyte count was 15,300 cells/mm³ with 13% bands, 65% PMNs, 15% lymphocytes, 4% monocytes and 3% eosinophils. Chest x-ray showed a narrow heart silhouette, a low, flattened diaphragm, and markedly lucent regions in the upper lung fields suggesting areas of emphysema. An electrocardiogram showed tall P waves and a right axis deviation. The patient was given broad-spectrum antibiotics and was continued on his oral and inhalant bronchodilators and was started on a diuretic. His condition improved but two days after admission he suffered acute respiratory failure and could not be resuscitated.

	== Autopsy Findings ==		== Autopsy Findings ==