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Fijjure 3.6 Ointcol tyndromct łn tcvcre COPD

Typc A: ‘Pink pufTcr'

•    Good respiratory dnve

•    Interno dyspnea with purscdiip brcathing

•    Alert

•    Leamng forward using acccssory musdes of respiration

•    Hypcnnfiation with increascd touJ lung capacity

•    Smali spotum vohjmc

•    Sovere ajrway obstruetion on spirometry

•    Emphysema on CT scan

•    Tłun body bmW - cacbcxia and muscle wastmg

•    Lato onset oi respiratory and hcart failor©

•    Well-pcrfused with ncar-normal błood gases

Typo B: 'Blue bloater

•    Poor respiratory drivc

•    Rdativcły mjJd dyspnoa

•    Drowsy

•    Central cyanosis at rest or on m«Jd cxcrtion bluish lips, orał mocosa and ftngcr tips

•    Largo sputum volumc

•    htoderatc airway obstruction on spirometry

•    Emphysema not detcetcd on CT scan

•    Oftenobcsc

•    Cor pulmonofc with nght-sidcd hcart failure ankte edema. raised jugutor yeoous pressuro. hepatomcgaly

•    Respiratory failure: hypoxia and hypcrcapma

•    Noctumal hypoxia duong sleep

•    Połycytherma