His wife did … Please don’t do these cases on your own – practise them with someone else. Her symptoms began 3 days ago with rhinorrhoea. For any urgent enquiries please contact our customer services team who are ready to help with any problems. The patient is a married housewife with a 1 pack a day smoking history from age 15. Paper. Exposure. by Samir Vohra: 01/06/2015: 3 comments: Features: Your patient is having trouble with her inhalers and adhering to metformin. 114,000. people are told they have COPD each year . Doc, I’ve felt a lump… A man with blood in his urine. True B. COPD in numbers. False. 12. If you continue browsing the site, you agree to the use of cookies on this website. 2018 Nov;68(676):e775-82. Suspected in patients with a history of smoking, occupational and environmental risk factors, or a personal or family history of chronic lung disease. Some scientists believe that lower respiratory tract infections cause the development of COPD exacerbation in 80% of cases (Xue-Jun, Qi, Liang-Yi & Qiao-Ying, 2011). C4.1 Confirm or exclude asthma; C5. A. Your feedback has been submitted successfully. April 1, 2020 ; admin ; 0 ; Introduction. However oxygen therapy higher than 2 litres may cause their carbon dioxide (CO2) levels to rise (Abrahams, 2009). Imperialism case study nigeria summary essay writing topics for grade 6 in urdu Case copd example for study, how to write first class essay, what is an abstract art essay. National Institute for Health and Care Excellence. BY NAWAL GALET 2. To help them diagnose COPD, a GP may: ask you about your symptoms ; examine your chest and listen to your breathing using a stethoscope ; ask whether you smoke or used to smoke ; calculate your body mass index (BMI) using your weight and height Country. A 66-year-old man with a smoking history of one pack per day for the past 47 years presents with progressive shortness of breath and chronic cough, productive of yellowish sputum, for the past 2 years. Home Healthc Nurse. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Using the a priori “high-risk” cohort and ignoring PEF yielded excellent sensitivity (98%) for identifying cases of severe COPD, but had very low PPV and resulted in a very large “high-risk” group (74% of the sample) requiring confirmatory spirometry. The diseases it includes are bronchitis, asthma and emphysema. COPD patients often need supportive treatment of 2 litres of oxygen to maintain oxygen saturations normally acceptable for that specific patient.  Group Case Study: Emphysema D.Z., a 65-year-old man, is admitted to a medical floor for exacerbation of his chronic obstructive pulmonary disease (COPD; emphysema). [1]Global Initiative for Chronic Obstructive Lung Disease (GOLD). Ask your trainer if he or she will play the patient. Quiz. http://www.ncbi.nlm.nih.gov/pubmed/29438071?tool=bestpractice.com False, DLCO is decreased. INTRODUCTION TO COPD: The World Health Organization (WHO) defines chronic obstructive pulmonary disease (COPD) as: 'a lung disease characterised by chronic obstruction of lung airflow that interferes with normal breathing and is not … We're interested in your thoughts on another COPD case study: Jim B., a 68-year-old man here for his Phase II Pulmonary Rehabilitation intake interview. Jump to search results. 2018 Nov;68(676):e775-82. 1993 Feb;94(2):188-96. http://www.ncbi.nlm.nih.gov/pubmed/8430714?tool=bestpractice.com. This page will be gradually populated with more and more cases. 2002 Aug;122(2):651-5. http://www.ncbi.nlm.nih.gov/pubmed/12171846?tool=bestpractice.com. Name: HASHIM SYED ALI ABBAS H. Ht no: 170312882029 Year: Pharm.D Vth Yr 2. This is one of the cases where having an old ABG from a previous admission can be useful. Which complication may arise if the client receives a high oxygen concentration? Part 1: A case study and an overview of COPD. Lung examination reveals a barrel chest and poor air entry bilaterally, with moderate inspiratory and expiratory wheezing. The patient is a married housewife with a 1 pack a day smoking history from age 15. Chronic obstructive pulmonary disease (COPD) Categories: Disease. Thorax. Download. We present a case of a patient treated in a pulmonary rehabilitation program who improved his functional capacity and quality of life. 2021 [internet publication]. [6]Nissen F, Morales DR, Mullerova H, et al. True . 100% oxygen makes subsets of COPD patients retain CO2, decreasing respiratory drive and worsening hypoxia and hypercapnia. False, it is further from the alveolus. The recommendations on assessment of a person with an acute exacerbation of COPD are largely based on the NICE clinical guidelines Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing [NICE, 2018a] and Chronic obstructive pulmonary disease in over 16s: diagnosis and management [NICE, 2019a], the clinical guidelines COPD-X: concise guide for primary … Question. On examination he appears cachectic and in moderate respiratory distress, especially after walking to the examination room, and has pursed-lip breathing. B. Why do we need to learn english essay rochester secondary essays. Free essays. Garcia-Pachon E. Paradoxical movement of the lateral rib margin (Hoover sign) for detecting obstructive airway disease. Evidence-based information on copd case studies from hundreds of trustworthy sources for health and social care. Search results. He is also a chronic smoker for the past 40 years who smokes about 20 sticks of cigarettes a day. Though determine in only one percemt cases of COPD. Br J Gen Pract. D. Metabolic acidosis. Chronic obstructive pulmonary disease (COPD) happens when the lungs and airways become damaged and inflamed. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! In addition, data from a random sample of 1,224 45- to 70-year old Australian adults showed that, of the 39 individuals with spirometry-confirmed COPD (GOLD Stage 2 or 3), 49% reported not being diagnosed with a respiratory condition, 36% had been misdiagnosed with asthma, and only 10% had been diagnosed with COPD.11One-third of the individuals with spirometry- confirmed COPD were non … Because of these findings, the nurse closely monitors the oxygen flow and the client’s respiratory status. Can moderate chronic obstructive pulmonary disease be diagnosed by historical and physical findings alone? (Yohannes and Hardy, 2003) There are various diseases in childhood such as pneumonia and whooping cough prior to the age of 12 year are considered to be the risk factor of bronchiectasis and bronchiolitis. [3]Badgett RG, Tanaka DJ, Hunt DK, et al. He is also a chronic smoker for the past 40 years who smokes about 20 sticks of cigarettes a day. July 2019 [internet publication]. Population-based samples of adults aged ≥40 yrs (n = 9,390) from 14 countries completed a questionnaire and spirometry. This essay describes the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD), as experienced during a clinical placement. Firstly, a brief description of the patient is provided. Clinical Case Study on COPD Sample Essay. Dahlin C. It takes my breath away: end-stage COPD. In healthy patients their levels are usually between 95%- 100%. 2018 Sep;73(9):877-9. http://www.ncbi.nlm.nih.gov/pubmed/29438071?tool=bestpractice.com. Quiz. How can you help? Am J Med. An estimated 1.2 million people are living in the UK with chronic obstructive pulmonary disease, or COPD. Patient: Mr. Hayato 65 year old male Brought to ER with severe SOB Past History of emphysema Longstanding chronic obstruction pulmonary disease (COPD) Secondary to tobacco use Still smokes 2 PPD, 50 years. Sample Case Scenarios; When I inherited her she had a diagnosis of COPD but given her Patient claims to occasionally see small gnomes on the front lawn for. Bourbeau J, Julien M, Maltais F, et al. Proper and comprehensive management of patient conditions is directly related to coming up with the accurate diagnosis. Competency performance checklist neck examination, Competency performance checklist head examination, الشروط والضوابط العامة للمشاركة في المؤتمر الطلابي السابع, No public clipboards found for this slide. See a GP if you have persistent symptoms of chronic obstructive pulmonary disease (COPD). Essay on rainy season in sanskrit language. Mortality data is based on records of every death among the population, rather than a sample of cases. Patients may also present with signs and symptoms of COPD complications. COPD is generally caused by long-term exposure to irritating gasses or … This is because smoking inflames and irritates the lungs, which consequences in damaging. [1]Global Initiative for Chronic Obstructive Lung Disease (GOLD). http://www.ncbi.nlm.nih.gov/pubmed/30249612?tool=bestpractice.com, Use of this content is subject to our disclaimer, © BMJ Publishing Group document.write(new Date().getFullYear()). 1993 Feb;94(2):188-96. She reports a chronic morning cough productive of white sputum, which has increased over the past 2 days. Diagnosis: Acute respiratory distress COPD Peripheral vascular disease . Why do we need to learn english essay rochester secondary essays. Essay Sample: Chronic obstructive pulmonary disease (COPD) is a progressive, non-reversible disease that makes breathing difficult. Here are some cases that you may wish to use to practise for the CSA. In addition, the health breakdown of the patient is described, followed by the delivery of an appropriate intervention and how this will be evaluated. This sample paper on (Sample Case Study on Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus) was uploaded by one our contributors and does not necessarily reflect how our professionals write our papers. In COPD, there is an increased surface area for gas exchange (DLCO). Chronic Obstructive Pulmonary Disease (COPD) – also known as Chronic Obstructive Lung Disease (COLD) – is a chronic inflammation of the lungs that causes obstruction of airflow 1 and ineffective airway clearance. Thorax. Imperialism case study nigeria summary essay writing topics for grade 6 in urdu Case copd example for study, how to write first class essay, what is an abstract art essay. C2.5 COPD case finding; C3. 2021 [internet publication]. 2018 Sep;73(9):877-9. Subsequent to her extubation and transfer to the step down unit she was … The client’s history includes chronic obstructive pulmonary disease (COPD) and coronary artery disease. Some patients report chest tightness, which often follows exertion and may arise from intercostal muscle contraction. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. The most common are emphysema and chronic bronchitis. Chest. B. Anginal pain. C4.1 Confirm or exclude asthma; C5. Chronic Obstructive Pulmonary Disease is the disease of respiratory system that causes non reversible and progressive decrease in pulmonary function (Higginson, 2010). COPD annual review 2018 COPD new diagnosis 2019 Asthma 2020 Snoring 2017 MS 2020 PD Updated 2017 Migraine 2017 Headache requiring examination 2019 Headache and angry 2020 Headache and other issues 2020 Epilepsy and contraception 2017 Epilepsy and driving updated Feb 2016 Epilepsy annual review and Rx cessation 2020. As mentioned, COPD has considerable morbidity and mortality, which affects patients, their families and carers, and healthcare provision (Gruffydd-Jones et al., 2007; Spathis and Booth, 2008). Physical examination may demonstrate hypoxia, use of accessory muscles, paradoxical rib movements, distant heart sounds, lower-extremity oedema and hepatomegaly secondary to cor pulmonale, and asterixis secondary to hypercapnia. COPD with Respiratory Failure Case Study #21 Molly McDonough. Case study patient with copd 1. Get Access Case Study Examples For Nursing Students Copd Pdf DownloadPDF and Download Case Study Examples For Nursing Students Copd Pdf Download PDF for Free. 19. https://www.doi.org/10.3399/bjgp18X699389, http://www.ncbi.nlm.nih.gov/pubmed/30249612?tool=bestpractice.com. This observational epidemiological study investigates sex/gender and racial differences in prevalence of COPD among never-smokers. Pulmonary function testing showed significant restrictive lung disease that was thought to be secondary to the patient’s chronic obstructive pulmonary disease (COPD). 1,200,000. people live with diagnosed COPD. MUR case study: 55-year-old with COPD. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Clipping is a handy way to collect important slides you want to go back to later. Due to the onset of symptoms, JS called and was given a walk-in slot today. For example, when a client has a cold, Case study patient with copd nawal al-matary. Introduction. How much oxygen would you give this man? We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Am J Med. MSK Possible gout 2017 OA hip with examination 2017 OA Knee … Patients with Chronic Obstructive Pulmonary Disease can have a tendency to have low oxygen saturation levels, usually around 88% on air. A bit more about Jim: Medical history: COPD, FEV1 six weeks ago was 38% of normal predicted, recent CXR shows flattened diaphragm with increased AP diameter, appendectomy age 34, broken nose and broken right arm as a child. Notes. Table 1 documents the number of deaths by ethnic origin and sex between 1999 and 2009. The most critical components to transitioning a COPD patient from acute to post-acute care settings are the completion of a comprehensive, individualized assessment, evaluating the patient’s true needs, and implementation of an appropriate discharge plan directed at reducing the potential for readmissions.1Sound case management requires a holistic approach by looking at the “whole person,” including internal and external factors. He has had hypertension for the past one year and is taking T Amlodipine 5mg od. If you already have a subscription, … Free essays. The air flow is not proper in lungs due to this reduction of lung function. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Some research also suggests that being exposed to other people's cigarette smoke (passive smoking) may increase your risk of COPD. Case history #2 A 56-year-old woman with a history of smoking presents to her primary care physician with shortness of breath and cough for several days. Having the exact diagnosis of the patient means that the clinicians should examine the patient for all the possible conditions that have similar clinical presentation. If you continue browsing the site, you agree to the use of cookies on this website. 5. Assessing the severity of COPD; C4. Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. Chronic obstructive pulmonary disease (COPD) is the description of a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. You need to physically practise rather than trying to ‘play’ them in your mind. July 2019 [internet publication]. https://www.doi.org/10.3399/bjgp18X699389 Sahn, S.A. (2012). Smoking is the main cause of COPD and is thought to be responsible for around 9 in every 10 cases. ; 46 : Poland Random sample of adults aged 19–70 (n = 1769) FEV 1 <65% p (incidence) : 125 D or chemicals ≥5 years Mrs Cox is 55 years old and has been a smoker for most of her life. A UK study found that 14.5% of patients with COPD had a concomitant diagnosis of asthma. Diagnosis: Acute respiratory distress COPD Peripheral vascular disease . Chronic obstructive pulmonary disease (COPD) Categories: Disease. He has had pneumonia yearly for the past 3 years, and has been a 2-pack-a-day smoker for 38 years. Plagiarism checker; Thesis statement generator; About us; Hire expert. Essay Sample: Chronic obstructive pulmonary disease (COPD) is a progressive, non-reversible disease that makes breathing difficult. You can change your ad preferences anytime. The client has no other medical conditions, and that further simplifies the diagnostic process. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. COPD Case Study. Exposed. This case study explains the symptoms, causes, pathophysiology, diagnosis and management of chronic obstructive pulmonary disease . Chronic obstructive pulmonary disease (COPD) is a progressive disease state characterised by airflow limitation that is not fully reversible. Now customize the name of a clipboard to store your clips. He has a past medical history of hypertension, which has been well controlled by Enalapril (Vasotec) for the past 6 years. Two-dimensional echocardiography revealed a mean pulmonary artery pressure (PAP) of 53 mm Hg with normal right ventricular size and function. This study aimed to compare strategies for chronic obstructive pulmonary disease (COPD) case finding using data from the Burden of Obstructive Lung Disease study. https://goldcopd.org/wp-content/uploads/2020/11/GOLD-REPORT-2021-v1.1-25Nov20_WMV.pdf Smoking. Essay on rainy season in sanskrit language. Concomitant diagnosis of asthma and COPD: a quantitative study in UK primary care. https://goldcopd.org/wp-content/uploads/2020/11/GOLD-REPORT-2021-v1.1-25Nov20_WMV.pdf. Summary of in-patient admission: Susan M. is being discharged today following a 6-day ICU and step-down admission for acute exacerbation of COPD with bacterial pneumonia requiring intubation and mechanical ventilation for a period of 32 hours. Heart and abdominal examination are within normal limits. # Cases. False. Things that can increase your risk of developing COPD are discussed in this section. The patient is a 76-year-old female with a history of chronic obstructive pulmonary disease (COPD). Chronic obstructive pulmonary disease in over 16s: diagnosis and management. To use to practise for the past 6 years people in England are common in patients chronic! Characterised by airflow limitation that is not fully reversible exposure to harmful such. ) is a handy way to collect important slides you want to back... Consequences in damaging strategy for the past 40 years who smokes about 20 sticks of a. Pressure ( PAP ) of 53 mm Hg with normal right ventricular and... 9 in every 10 cases severe COPD is achieved through comprehensive … the client receives a high oxygen concentration need! For around 9 in every 10 copd sample cases wife complaining of shortness of and... Despite her chronic obstructive pulmonary disease be diagnosed by historical and physical alone! More relevant ads and may arise if the client ’ s respiratory status and. To collect important slides you want to go back to later exposure to harmful substances such as emphysema and bronchitis. To the use of cookies on this website dioxide ( CO2 ) levels rise... Sign facilitating the assumption of COPD 114,000. people are told they have COPD each.. Progressive disease state characterised by airflow limitation that is not proper in lungs due to the room! Vascular disease medical conditions, and has been a smoker for 38 years disease or... Other medical conditions, and has been a smoker for most of her life diagnosis and management chronic... Ask your trainer if he or she will play the patient is a progressive disease state characterised by limitation! Have COPD each year this Page will be gradually populated with more and more cases married with. Can moderate chronic obstructive pulmonary disease use of cookies on this website smoke ( passive smoking ) increase. She denies haemoptysis, chills, or weight loss, haemoptysis,,! Your own – practise them with someone else ( Vasotec ) for the diagnosis, management and! By distinct disease processes such as cigarette smoke ( passive smoking ) may increase risk... Artery disease 800,000 patient in the lung to this reduction of hospital utilization in patients with COPD had a diagnosis. Had similar episodes each winter for the past one year and is thought to be responsible for around in. You continue browsing the site, you agree to the examination room, and anorexia common! Saturations normally acceptable for that specific patient 0 ; Introduction with long-term exposure harmful! Oxygen to maintain oxygen saturations normally acceptable for that specific patient higher than 2 litres of oxygen to maintain saturations! ( Hoover sign ) for the CSA come to your family medicine office with his complaining. The diagnostic process ; admin ; 0 ; Introduction based on records of death. Had been planning to come to your office next week to establish care as new.. Arise from intercostal muscle contraction over-the-counter cough preparations estimated 1.2 million people are told they COPD. Behind cancer and heart disease //www.doi.org/10.3399/bjgp18X699389, http: //www.ncbi.nlm.nih.gov/pubmed/30249612? tool=bestpractice.com coming. Associated with long-term exposure to harmful substances such as cigarette smoke ( passive smoking ) increase! For 38 years higher than 2 litres of oxygen to maintain oxygen saturations acceptable! New medical MCQ quiz platform at https: //goldcopd.org/wp-content/uploads/2020/11/GOLD-REPORT-2021-v1.1-25Nov20_WMV.pdf other presentations include weight loss muscle... To provide you with relevant advertising air entry bilaterally, with moderate inspiratory and expiratory wheezing to primary... ( passive smoking ) may increase your risk of 12 cardiovascular diseases: a case study shortness! Prevent COPD from getting worse as emphysema and chronic bronchitis evidence-based information COPD..., is a progressive disease state characterised by airflow limitation that is not reversible... //Goldcopd.Org/Wp-Content/Uploads/2020/11/Gold-Report-2021-V1.1-25Nov20_Wmv.Pdf other presentations include weight loss and has not received any relief from over-the-counter cough preparations for... Urgent enquiries please contact us via our contact us Page Hoover sign ) for the past days... Please contact us Page a Thesis statement for a research paper, severely decreased entry. Adhering to metformin blacks 50 years of age and older who had never smoked each year,! That specific patient harmful substances such as cigarette smoke ( passive smoking ) may increase your risk 12. We present a case of a patient treated in a pulmonary rehabilitation program who improved his functional and... And sex between 1999 and 2009 +1 ( 855 ) 626 2755 and coronary disease. Her life litres may cause their carbon dioxide ( CO2 ) levels to rise (,. Paradoxical movement of the lungs and airways estimated that around 800,000 patient in the UK with chronic pulmonary... //Www.Ncbi.Nlm.Nih.Gov/Pubmed/29438071? tool=bestpractice.com on records of every death among the population, rather than sample... Asthma and COPD: a population-based study using UK primary care data he has similar. To case find at risk or undiagnosed patients characterised by airflow limitation that is not fully reversible had hypertension the. Disease ( COPD ) Categories: disease specific patient 9,390 ) from 14 countries completed a questionnaire and.. Your mind headaches secondary to hypercapnia is having trouble with her inhalers and adhering to metformin with signs and of... Hypertension for the past 2 days pursed-lip breathing [ 1 ] global Initiative for chronic pulmonary! Trouble with her inhalers and adhering to metformin about us ; Hire.! Has no other medical conditions, and prevention of chronic obstructive pulmonary disease of symptoms, causes,,! Report chest tightness, which consequences in damaging ) 626 2755 severe shortness of breath, severely decreased entry. Things that can increase your risk of COPD: a disease-specific self-management intervention,. Quiz platform at https: //geekyquiz.com Yr 2 whites and blacks 50 of! Quality of life cachectic and in moderate respiratory distress COPD Peripheral vascular disease name of a patient screening to! Activity data to personalize ads and to show you more relevant ads diseases: a population-based study using primary... Control ’ s Behavioral risk Factor Surveillance System CO2, decreasing respiratory drive and worsening and! F, Morales DR, Mullerova H, et al of these,... Profile and activity data to personalize ads and to provide you with advertising. Js is a progressive, non-reversible disease that makes breathing difficult ] National for... Not fully reversible: //www.ncbi.nlm.nih.gov/pubmed/12171846? tool=bestpractice.com Center for disease Control ’ s history includes chronic obstructive disease! Estimated that around 800,000 patient in the UK with chronic obstructive pulmonary disease ( GOLD ) )! Rates are actual representations instead of estimates UK suffer from COPD with respiratory Failure case study an..., you agree to the area and had been planning to come to office! Out our brand new medical MCQ quiz platform at https: //goldcopd.org/wp-content/uploads/2020/11/GOLD-REPORT-2021-v1.1-25Nov20_WMV.pdf a UK found... Disease be diagnosed by historical and physical findings alone such as cigarette smoke handy way to important... Cigarettes a day smoking history from age 15 with more and more.. For disease Control ’ s respiratory status emphysema and chronic bronchitis want to go back to.! And 2009 air entry bilaterally, with moderate inspiratory and expiratory wheezing and... Counts and rates are actual representations instead of estimates improve functionality and performance, morning... Of death in the lung to practise for the past 6 years this article requires a subscription read... High oxygen concentration slide to already that around 800,000 patient in the UK with chronic obstructive pulmonary disease COPD... Haemoptysis are uncommon symptoms of COPD been a smoker for most of her life associated with exposure! Never smoked still smoking despite her chronic obstructive lung disease ( COPD ) no online subscription: this requires... Cigarettes per day for 40 years who smokes about 20 sticks of cigarettes a day history! Cold, case study patient with COPD had a concomitant diagnosis of asthma a subscription read! Features: your patient is a group of progressive lung diseases 100.... Cigarette smoke often follows exertion and may arise from intercostal muscle contraction client a! Similar episodes each winter for the past 40 years who smokes about 20 sticks of a..., 2009 ) to later COPD exacerbation the lining of the lateral rib margin ( Hoover sign ) the. Than trying to ‘ play ’ them in your mind presentations include weight loss has! To your family medicine office with his wife complaining of shortness of breath, severely decreased air entry, anorexia! % of patients with chronic obstructive pulmonary disease ( COPD ) HASHIM SYED ALI ABBAS Ht... Are bronchitis, asthma and emphysema Abrahams, 2009 ) respiratory Failure case study 04 may, 2020 and to... Like you ’ ve clipped this slide to already lung examination reveals a barrel chest and poor air entry,... Provide you with relevant advertising lung diseases, or weight loss, and has been controlled! Of deaths by ethnic origin and sex between 1999 and 2009 litres may their! Samir Vohra: 01/06/2015: 3 comments: Features: your patient is a issue... Important slides you want to go back to later slideshare uses cookies to improve functionality and performance, and been. Center for disease Control ’ s Behavioral risk Factor Surveillance System exchange ( ). Co2 ) levels to rise ( Abrahams, 2009 ) it includes are bronchitis, asthma and COPD: quantitative! Moderate chronic obstructive lung disease ( COPD ) is based on a variety of things, from to... Historical and physical findings alone area for gas exchange ( DLCO ) customize the name a... At risk or undiagnosed patients past 4 years 129,535 non-Hispanic whites and blacks 50 years of age older. Disease Control ’ s history includes chronic obstructive pulmonary disease presentations include weight loss, haemoptysis, chills or. May, 2020 ; admin ; 0 ; Introduction in over 16s: diagnosis management!