Ministry of health of ukraine

Vinnitsa national medical university of n.I.Pirogova

"IS CONFIRMED"

At methodical meeting of chair

Internal medicine №1

Head of the department

____________ prof. Stanislavchuk M. A.

«______» _______________ 200 ___

Methodical recommendations

For students

Subject matter	Foundation of Internal medicine
Module №	1
Substantial module №	2
Subject of the lesson	COPD
Course	4
Faculty	Medical № 1

Vinnytsya 2009

1. The subject of the lesson: COPD. Chronic bronchitis.

Study-hours: 4

The aim: The students must be able to diagnose COPD, determine the severity, and prescribe the proper treatment.

Topicality: Chronic obstructive pulmonary disease (COPD) is a chronic, slowly progressive disorder characterised by airways obstruction (FEV1 < 80% predicted and FEV1/FVC ratio < 70%) which does not change markedly over several months. The impairment of lung function is largely fixed but is partially reversible by bronchodilator or other. Historically, the term 'chronic bronchitis' was used to define any patient who coughed up sputum on most days of at least 3 consecutive months for more than 2 successive years (provided other causes of cough had been excluded) and 'emphysema' referred to the pathological process of a permanent destructive enlargement of the airspaces distal to the terminal bronchioles. Although 'pure' forms of these two conditions do exist, there is considerable overlap in the vast majority of patients. COPD is an important cause of activity limitation in the population. In the United States, about 12 million people suffer from COPD. It is second only to heart disease as a cause of disability that forces people to stop working. It is the fourth most common cause of death, accounting for more than 120,000 deaths per year in the United States. COPD affects men more often than women, but men and women die as a result of COPD at about equal rates.

Educational goal:

1. Determine main aetiological factors of COPD.

2. Learn the modern classification of COPD.

3. Define the clinical symptoms of COPD.

4. Make the plan of additional investigation of the patient and analyze their results.

5. Make the clinical diagnosis of the patient with COPD.

6. Prescribe the proper treatment.

The student must know:

1. Aetiology and pathogenesis of COPD.

2. Clinical symptoms of COPD.

3. Modern classification of COPD.

4. Methods of diagnostics of COPD.

5. Methods of treatment of COPD.

The student must be able:

1.To choose the symptoms of COPD from the history data.

2. In examination of the patient to choose the symptoms of COPD.

3. To make the scheme of investigation.

4. To define the type and the severity of the COPD.

5. To determinate the treatment depending on the type and degree of COPD.

6. To prescribe the proper treatment for the patient with COPD.