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Asthma vs COPD By Aneek Gupta
Consideration

Asthma

COPD

Introduction

Asthma is a common chronic
inflammatory disease of the airways
characterized by variable and
recurring symptoms, reversible
airflow obstruction, and
bronchospasm.

Chronic obstructive
pulmonary disease (COPD) is
a type of obstructive lung
disease characterized by
chronically poor airflow.

Symptoms

Decreased airflow; increased
inflammation; spasms in
Chronic coughing; wheezing;
shortness of breath; chest tightness; bronchioles; morning cough
spasms in bronchioles. Symptoms go with phlegm. Symptoms
away between episodes.
never disappear, but
progressively worsen.

Nature of cough

Dry

Diagnosis

Physical exam, medical history
including history of allergies
Typically in children

Classical
Presentation

Younger patient, recurrent episodes
of wheezing and coughing,
accompanying tight chest and
breathlessness. Symptoms quickly
respond to bronchodilators.

Triggers

Allergens, cold air, exercise

Risk Factors

Allergies, eczema, rhinitis

Asthma, smoking

Medical
Treatment

Bronchodilators, Airway opening
medication; Inhaled corticosteroids
reduce inflammation; Oral steroids
for moderate to severe cases

Bronchodilators; Airway
opening medication;
Pulmonary rehabilitation
Oxygen support for advanced
stages; Hospitalization

Lifestyle Changes

Cease smoking; avoid allergens and
air pollution

Cease smoking; avoid air
pollution

Thanks

“Productive” (yields mucus)
Spirometry, measuring of
breath CT scans Typically in
adults over 40 Current or
former smokers
Older patient, smoker or
former smoker, progressive
shortness of breath and
cough with mucus,
accompanied by decreased
physical activity. Responds to
bronchodilator, but lung
function does not return.
Environmental pollutants,
respiratory tract infections –
pneumonia, influenza

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  • 1. Asthma vs COPD By Aneek Gupta Consideration Asthma COPD Introduction Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Chronic obstructive pulmonary disease (COPD) is a type of obstructive lung disease characterized by chronically poor airflow. Symptoms Decreased airflow; increased inflammation; spasms in Chronic coughing; wheezing; shortness of breath; chest tightness; bronchioles; morning cough spasms in bronchioles. Symptoms go with phlegm. Symptoms away between episodes. never disappear, but progressively worsen. Nature of cough Dry Diagnosis Physical exam, medical history including history of allergies Typically in children Classical Presentation Younger patient, recurrent episodes of wheezing and coughing, accompanying tight chest and breathlessness. Symptoms quickly respond to bronchodilators. Triggers Allergens, cold air, exercise Risk Factors Allergies, eczema, rhinitis Asthma, smoking Medical Treatment Bronchodilators, Airway opening medication; Inhaled corticosteroids reduce inflammation; Oral steroids for moderate to severe cases Bronchodilators; Airway opening medication; Pulmonary rehabilitation Oxygen support for advanced stages; Hospitalization Lifestyle Changes Cease smoking; avoid allergens and air pollution Cease smoking; avoid air pollution Thanks “Productive” (yields mucus) Spirometry, measuring of breath CT scans Typically in adults over 40 Current or former smokers Older patient, smoker or former smoker, progressive shortness of breath and cough with mucus, accompanied by decreased physical activity. Responds to bronchodilator, but lung function does not return. Environmental pollutants, respiratory tract infections – pneumonia, influenza