PART I Pneumonia Overview Lobar and Bronchopneumonia











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Developed and produced for http://www.MDPracticeGuide.com, a CME resource for physicians and healthcare providers. • Animation Description: Cigarette smoking is by far the most common primary risk factor of COPD worldwide. • According to global statistics, approximately 210 million people have COPD. • By 2030, COPD is predicted to be the fourth leading cause of death worldwide. • Epithelial cells lining the airways will respond to smoke inhalation by undergoing cellular changes due to long-term exposure. • Over time, chronic irritation and inflammation of the air passages causes small airways disease and parenchymal destruction. • Irritation and inflammation of the air passages causes constriction in the bronchi and bronchioles of the lung. • In a healthy individual, standing at rest at the foot of a staircase while breathing normally, lung volume is well balanced in terms of: • IRV (Inspirational Reserve Volume); • VT (Tidal Volume); • FRC (Functional Residual Capacity). • In the severe COPD patient, lung function is extremely imbalanced with only a tiny capacity for IRV. A patient with severe COPD has a very difficult time managing everyday tasks such as stair climbing. • (Spirometry test) The patient is asked to inhale and then forcefully exhale until the lungs are completely emptied via a tube attached to a recording device. • The most important values from the spirometry readings are FEV1 and FVC. • If the ratio of these values is less than 0.7 then COPD is suspected. More detailed results from spirometry can reveal the stage of COPD in the patient.

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