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- Progressive airflow limitation Partially reversible - Chronic Bronchitis Emphysema - Etiology: Cigarette smoking -60 yrs old Mrs. X, ex smoker, hypertensive -Hx of productive cough - 2 months SOB -1 month -Excerbation – food intake, exertion etc History: SOB Productive cough Recurrent acute chest illnesses Exerbation – cold air, foggy weather, atmospheric pollution etc Smoking: Previous episodes Details of previous admissions Current treatment Precipitating factor in this case: P/E Tachypnea Prolonged expiratory time Expiratory wheezes Increased AP diameter of chest Decreased breath sounds (especially upper lung fields) Distant heart sounds End stage: accessory muscles, cyanosis, enlarged liver Stage 0: N Spirometry with symptoms Stage 1: Mild COPD FEV1>/= 80% Stage 2: Mod COPD FEV1 30% to 80% Stage 3:Severe COPD FEV1. prevacid penicillin reaction prevacid seizure generic name for prevacid prevacid equivalent otc cause polyps prevacid stomach