Chronic obstructive pulmonary disease

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Spirometry

Emphysema

Bronchitis

Quitting smoking

COPD (Chronic Obstructive Pulmonary Disorder)

Smoking and COPD (Chronic Obstructive Pulmonary Disorder)

Chronic obstructive pulmonary disease

Alternative Names:

COPD; Chronic obstructive airway disease; Chronic obstructive lung disease
Symptoms:

Shortness of breath (dyspnea) persisting for months to years
Wheezing
Decreased exercise tolerance
Cough with or without phlegm

Signs and tests:

An examination often reveals increased work involved in breathing: nasal flaring may be evident during air intake, and the lips may be pursed (the shape lips make when you whistle) while exhaling.

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During a flare of disease, chest inspection reveals contraction of the muscles between the ribs during inhalation (intercostal retraction) and the use of accessory breathing muscles. The respiratory rate (amount of breaths per minute) may be elevated, and wheezing may be heard through a stethoscope.

A chest X-ray can show an over-expanded lung (hyperinflation), and a chest CT scan may show emphysema.

A sample of blood taken from an artery (arterial blood gas) can show low levels of oxygen (hypoxemia) and high levels of carbon dioxide (respiratory acidosis). Pulmonary function tests show decreased airflow rates while exhaling and over-expanded lungs.