Author/Editor		Perdija, Željko
Title		Diagnostična obravnava pri kronični obstruktivni pljučni bolezni (KOPB)
Translated title		Diagnostic procedures in chronic obstructive pulmonary disease (COPD)
Type		članek
Source		In: Krajnc I, Hojs R, Pahor A, et al, editors. Zbornik predavanj in praktikum 14. srečanje internistov in zdravnikov splošne medicine Iz prakse za prakso z mednarodno udeležbo; 2003 maj 16-17; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2003
Volume		str. 21-37
Language		slo
Abstract		Chronic obstructive pulmonary disease (COPD) is a slowly progressing disease characterized by airflow limitation, which is not fully reversible. The two major risk factors for the development of COPD are smoking and air pollution.The diagnosis of COPD is besed on anamnestic data, clinical examination, lung function measurements and chest X-ray. Other diagnostic methods have value only in detailed assessment of stages of COPD, for exclusion of other diseases with similar symptoms and for assessment of prognosis. A diagnosis of COPD should be considered in every long-term smoker with a history of cough, dyspnea and sputum production. All such patients should be tested for airflow limitation (spirometry), which is the main tool for making the diagnosis, assessing the severity of COPD (regarding GOLD guidelines) and establishing the prognosis. A necessary prerequisite for realistic assessment is a technically adequate performance of spirometry with good patient cooperation. In the differential diagnosis we should consider other diseases with similar symptoms (asthma, heart failure, bronchiectasis, ...). The final diagnosis of COPD is the task of the pulmologist.
Descriptors		LUNG DISEASES, OBSTRUCTIVE MEDICAL HISTORY TAKING PULMONARY VENTILATION WORK OF BREATHING PULMONARY GAS EXCHANGE VITAL CAPACITY FORCED EXPIRATORY VOLUME PLETHYSMOGRAPHY ALPHA 1-ANTITRYPSIN ELECTROCARDIOGRAPHY