Chronic Obstructive Pulmonary Disease (COPD) | Clinical Medicine

Ninja Nerds!
This lecture by Professor Zach Murphy will lecture on Chronic Obstructive Pulmonary Disease (COPD). We will discuss the following primary objectives:

1. Introduction to COPD
- Understand the epidemiology and public health significance of COPD.
- Familiarize yourself with the basic pathophysiology involving airflow obstruction and inflammation.

2. Types and Classification
- Distinguish between the two main types of COPD: Chronic Bronchitis and Emphysema.
- Learn about the GOLD classification system and how it integrates spirometry, symptoms like mMRC scores, and exacerbation history for classification.

3. Clinical Manifestations
- Recognize the hallmark symptoms of COPD, such as dyspnea, chronic cough, and sputum production.
- Learn how to utilize the mMRC Dyspnea Scale to assess symptom severity and guide management.

4. Diagnostic Criteria and Tools
- Become proficient in interpreting spirometry results, particularly the FEV1/FVC ratio.
- Understand how the mMRC scale and spirometry contribute to diagnosing and staging COPD.
- Examine the role of imaging studies like chest X-rays and CT scans.

5. Management Strategies
- Gain insights into pharmacologic treatments, including bronchodilators and anti-inflammatory agents.
- Understand how mMRC scores can influence treatment choices, such as the initiation of pulmonary rehabilitation or long-acting bronchodilators.

6. Acute Exacerbations of COPD
- Learn about managing acute exacerbations, including using corticosteroids, antibiotics, and hospitalization criteria.
- Discuss how frequent exacerbations, as indicated by a high mMRC score, may require modifications in treatment strategies.

7. Complications and Co-morbidities
- Discuss complications like respiratory failure, pneumonia, and cardiovascular diseases.
- Understand the significance of managing co-morbidities such as depression and osteoporosis in COPD patients.

Table of Contents:
0:00 Lab
0:07 COPD Introduction
0:33 Chronic Bronchitis History & Physical Exam Findings
1:51 Pathophysiology | Chronic Bronchitis
8:16 Emphysema History & Physical Exam Findings
10:21 Pathophysiology | Emphysema
18:27 Complications | Pneumonia
20:22 Complications | Respiratory Failure
24:55 Complications | Cor Pulmonale
27:42 Complications | Polycythemia
33:17 Complications | Pneumothorax
35:02 Diagnostic Approach
38:54 Treatment
46:01 Comment, Like, SUBSCRIBE!

Retired Ninja Nerd Lectures:

#ninjanerd #respiratory #copd

[malaakabuhwaij]

I rarely comment on social media, but when it comes to you, you deserve more cause you are a genius.

[irame]

Such victory is finding your videos! God kissed your forehead for teaching and, of course, for being the Doctor.🙏

[hatove.]

I wish I had this video during my didactic year in PA school but I am also thankful that it was published during my clinical year. I finally Finally FINALLY understand what a COPD is!!!! (even looking at UpToDate baffled me at times). Zach, you truly have a gift of teaching and I really appreciate that you are more than happy to share this treasured talent to the world. We can only educate and treat our future patients better if we ourselves understand what is going on with the body (both our own and our patients') using the most simplest words, and you help us to do just that. Thank you so much ❤

[annie.ake-Abasi]

I am a med student in Nigeria. Your videos have been such a great help. You're doing terrific work. Thank you

[shahiramohammadi]

My happiness is seeing notification about your video❤❤❤

[JoshBlomquist]

Your videos are my favorite! Definitely helped me in paramedic school!

[wanpissulupin]

I''m a medicine student from PNG, I benefit a lot from your videos. You teach even much better than my lecturers.

[Yasmine-unoj]

Hi Zack, I really appreciate all your work, you are of great help. I would like to inform that the GOLD classification has been changed, could you please give us an updated video

[michellereeves]

Thank you for the videos! They are very helpful and also just what I was looking for 😊

[brookejoyce]

This man is a god send in JCU med.
Much love from Australia

[alistairbarrow]

Videos are awesome, ive passed them on as part of my study package for mentoring physio students and used them myself to revise for exams

also your marker management is elite 🤣

[kaidou]

Thank you for your amazing content!! These videos are saving me

[nyangomadaphine]

So brief and straight to the point
Thank u doc, it was an educative and amazing lecture ❤❤

[nickthesizzlr]

Thank you for your videos.. Always helpful

[jwing]

Can we get ABE updates ? Gold guidelines have changed :)

[assumptaaham]

Thank you immensely, Prof for these super super lectures🎉🎉🎉🎉❤❤

Great as always❤

[ogomoditseselema]

Thank you for such amazing videos, wanted to know if by any chance you've made videos on ophthalmology and orthopedics topics? Thanks

[Gootie]

as a respiratory physiotherapist in Belgium: I LOVE your clear explanation!!!! THANKS!

[Jiha-edlv]

Hello guys, can someone please tell, after watching ninja nerd videos is there a need to read standard textbooks?

[zozoabdulkadir]

Thank you so much ❤
I really love you and your videos ❤