PCL Week 6: COPD

PCL Week 6:
Shamila: 45, single parent, struggling financially
CC: Dyspnoea, cold, cough, yellow sputum, fever
When: 2 weeks after daughter got discharged
Quality: yellow sputum  infection
Examination: dull percussion in left lower bases, crackles, wheeze on expiration, hyperresonant percussion, mild fever
Meds prescribed: Amoxycillin
Family Hx: mom had rheumatoid arthritis, dad (smoker) died of respiratory failure
Social Hx: smoking for >30 years
Differential diagnosis: asthma, exertion, infection, COPD, emphysema




Learning issues: COPD VISUAL AIDS OK???
- Differential diagnosis: asthma, exertion, infection, COPD, emphysema (KANNN + Shamendri)
- Incidence (local + overseas!) (Rose)
- What is COPD? Chronic bronchitis & emphysema, pink puffers, blue bloater (Deepak)
- Physiology (Karen)
- Pathophysiology of emphysema in smokers (Viran)
- Signs & symptoms (Fui Fui)
- Risk factors (Syukriah)
- Diagnosis & clinical examination: include lung function test (detail), JVP (Sam)
- Management & treatment (general only) (Nicole)
- Prevention & cessation of smoking (role play) (Dr. Gong + Group I)
- Complications (David)