Chapter

Chronic Obstructive Pulmonary Disease

John J. Reilly

in The Brigham Intensive Review of Internal Medicine

Published on behalf of Oxford University Press

Published in print July 2014 | ISBN: 9780199358274
Published online July 2014 | e-ISBN: 9780191742620 | DOI: http://dx.doi.org/10.1093/med/9780199358274.003.0033
Chronic Obstructive Pulmonary Disease

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Virtually every health care practitioner who provides care to adults will encounter individuals with chronic obstructive pulmonary disease (COPD). Current estimates of the prevalence of the condition vary based on the method of ascertainment: most surveys show that approximately 6% of adults report a doctor's diagnosis of COPD but that approximately 25% have airflow obstruction when assessed by spirometry. COPD is common, morbid, mortal, and expensive: estimates are that 〉20 million U.S. adults have COPD and that it is responsible for 〉120,000 deaths annually with a cost to the U.S. economy of more than $38 billion. This chapter describes the definition of COPD, presenting clinical symptomatology and evaluation, natural history, differential diagnosis, current concepts of pathogenesis, therapeutic options, and the evaluation of a patient with known or suspected COPD considering surgery.

Chapter.  7749 words.  Illustrated.

Subjects: Clinical Medicine ; Primary Care

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