Mar 12, 2018
Take a deep breath and tune in
to this week’s episode full of COPD diagnosis and management
pearls, with expert Dr. Denitza Blagev, a pulmonologist,
intensivist, and Medical Director for Quality, Speciality Care at
Intermountain Healthcare in Utah with a particular interest in
physician wellness and issues related to women in medicine. We
cover: history taking, interpreting PFTs, patient counseling,
inhalers and medications, exacerbations, antibiotics, steroids, and
who needs BIPAP...so basically everything you ever wanted to know
about chronic obstructive pulmonary disease. Take our
Sponsored by @nephmadness. Registration
opens March 15th at AJKDblog.org
Written and produced by: Leah
Witt, MD, Cyrus Askin, MD. Edited by Matthew Watto, MD
Full show notes available
Join our mailing list and receive a PDF copy of our
show notes every Monday. Rate us on
iTunes, recommend a guest or topic and give feedback
One liner; What advice would you give our younger self?; Should I
do a fellowship?; Book recommendations
Picks of the week
Case of COPD from Kashlak Memorial
Initial approach to a potential case of COPD
Misdiagnosis of COPD
Classic spirometry in COPD and GOLD 0
Diagnosis of emphysema
Diagnosis of chronic bronchitis
Counseling the patient with a new diagnosis of COPD
How to read PFTs
How to order PFTs and get what you want
Why does pre- and post-bronchodilator response matter?
Asthma COPD overlap syndrome
Staging of COPD, does it matter?
Prognosis in COPD
Therapies with mortality benefit
Therapies to improve symptoms and prevent exacerbations
Azithromycin as chronic therapy
Counseling patients on therapy
Short acting inhalers in COPD
Treatment of COPD exacerbations
Antibiotics, who needs them in exacerbation
Nebulized inhaled steroids
Duration of antibiotics and steroids during an
Who needs BIPAP chronically?
Who needs BIPAP during an exacerbation?
How often should PFTs be repeated?
When should we suspect PE in COPD exacerbation?
Which labs should be check in the initial COPD workup?
Take home points
chronic, pulmonary, disease, asthma, emphysema, bronchitis,
inhaler, nebulizer, steroids, embolism, exacerbation, bipap, cpap,
antibiotics, azithromycin, doxycycline, mortality, oxygen,
spirometry, dlco, fev1, fvc, pfts, #nephmadness, assistant, care,
doctor, education, family, foam, foamed, health, hospitalist,
hospital, internal, internist, meded, medical, medicine, nurse,
practitioner, professional, primary, physician, resident,