- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- 18.1 Structure and function
- 18.2 The clinical presentation of respiratory disease
- 18.3 Clinical investigation of respiratory disorders
- 18.4 Respiratory infection
- 18.5 The upper respiratory tract
- 18.6 Allergic rhinitis
- 18.7 Asthma
- 18.8 Chronic obstructive pulmonary disease
- 18.9 Bronchiectasis
- 18.10 Cystic fibrosis
- 18.11 Diffuse parenchymal lung diseases
- 18.12 Sarcoidosis
- 18.13 Pneumoconioses
- 18.14 Miscellaneous conditions
- 18.15 Chronic respiratory failure
- 18.16 Lung transplantation
- 18.17 Pleural diseases
- 18.18 Disorders of the thoracic cage and diaphragm
- 18.19 Malignant diseases
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 4098) Chronic obstructive pulmonary disease
- Chapter:
- (p. 4098) Chronic obstructive pulmonary disease
- Author(s):
Nicholas S. Hopkinson
- DOI:
- 10.1093/med/9780198746690.003.0411
Chronic obstructive pulmonary disease (COPD) is a lung condition caused by the inhalation of noxious materials, principally tobacco smoke, and characterized by airflow limitation that is not fully reversible. Key features are cough, sputum production, and breathlessness. There are chronic progressive symptoms and acute exacerbations. The term COPD incorporates several pathological processes, present to a variable extent in any given individual, involving both the airways (chronic bronchitis) and the lung parenchyma (emphysema). Most COPD patients will have one or more other long-term conditions. COPD is the third leading cause of death worldwide. COPD should be considered in those over the age of 35 who have (1) exposure to risk factors, usually, but not exclusively, tobacco smoke; (2) a history of chronic progressive respiratory symptoms; (3) airflow limitation that is not fully reversible.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- 18.1 Structure and function
- 18.2 The clinical presentation of respiratory disease
- 18.3 Clinical investigation of respiratory disorders
- 18.4 Respiratory infection
- 18.5 The upper respiratory tract
- 18.6 Allergic rhinitis
- 18.7 Asthma
- 18.8 Chronic obstructive pulmonary disease
- 18.9 Bronchiectasis
- 18.10 Cystic fibrosis
- 18.11 Diffuse parenchymal lung diseases
- 18.12 Sarcoidosis
- 18.13 Pneumoconioses
- 18.14 Miscellaneous conditions
- 18.15 Chronic respiratory failure
- 18.16 Lung transplantation
- 18.17 Pleural diseases
- 18.18 Disorders of the thoracic cage and diaphragm
- 18.19 Malignant diseases
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine