COPD

Common peripheral neuropathy Causes pain, tingling and numbness in the hand and fingers. Due to the Median nerve being squeezed or compressed as travels through carpal tunnel of wrist

· Complex multisystem   genetic disease · Life shortening · Causes thickened   secretions · Mutation in cystic   fibrosis trans-membrane conductance regulator gene (CFTR) · Recessive gene · Affects o Lungs o Liver o Pancreas o Intestine

· Common, preventable and treatable disease o Characterised by persistent respiratory symptoms o Airflow limitations due to airway/alveolar abnormalities as a result of significant exposure to noxious particles or gases · COPD is an umbrella term o Chronic bronchitis – inflammation of the lung Emphysema – damage to alveoli in the form of rupturing, causing enlarged air spaces

· Reversable chronic obstructive lung disease · Characterised by: o Acute exacerbations o Intermittent airway obstruction o Chronic inflammation o Hyperreactivity of airway to stimuli · Symptoms o Wheeze o Cough o Shortness of breath o Chest tightness o Severity varies over time (reversable) · Complex disorder involving: o Biochemical o Autonomic o Immunologic o Infections o Endocrine o Psychological · Extrinsic = allergic Intrinsic = non-allergic

· Inhalation of stomach   contents or secretions of the oropharynx · Causing lower respiratory   tract infection · The secretions are   colonised by pathogenic bacteria · Most common in vomiting   patients · Sometimes gastric reflux · Rarely nasogastric tube   placed in lung instead of stomach

The stress begins now