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Medgeeks Clinical Review Podcast

Dec 13, 2018

Today, I want to review the evaluation and management of an acute COPD exacerbation. 

We have a 65 year old obese male who's a former smoker of 30 years (1 pack/day), but quit 5 years ago. 

He has a past medical history of COPD on 3L nasal canula, coronary artery disease, GERD, and type 2 DM.

He's presenting with a 3 day history of subjective fever, increasing cough, increasing sputum production, and shortness of breath.

On exam, he has bilateral wheezing. 

First let's treat the vitals:

  • fever = tylenol
  • tachycardia = EKG and former EKG
  • hypoxia = high flow oxygen first line

Now, that we've got the base down, we can start to manage the underlying cause: COPD exacerbation.

I'll walk you through every step of the way in today's podcast. 


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