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Chronic Obstructive Pulmonary Disease
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Certified
for 1 AMA PRA Category 1 Credit™
Co-Sponsored
by
the
University
of
Alabama
School
of
Medicine
Division of Continuing Medical Education
and
Alabama Quality Assurance Foundation
| Release
Date: April 3, 2007 |
Expiration
Date: April 3, 2010
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| TARGET
AUDIENCE: |
| Primary
care physicians |
| OBJECTIVES: |
| Upon
completion of this CME activity,
physicians and other healthcare professionals
should be able to: |
- Recognize patients at risk for developing COPD.
- Monitor the progression of COPD.
- Add medications to treat COPD in an evidence-based step wise manner.
- Recognize conditions that can mimic COPD exacerbations.
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| Top of Page |
| SOURCE: |
| FACULTY: |
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Terrence Shaneyfelt, MD , MPH
Assistant Professor of Medicine
University of Alabama at Birmingham
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| DISCLOSURE: |
| The faculty listed has no commercial affiliations to disclose.
Because of the nature of preliminary
studies, some products mentioned are
unlabeled and investigational. Dosages,
indications, and methods of use of
drugs mentioned in this publication
may reflect the experience of the authors,
clinical literature, or other resources.
Therefore, please see the full prescribing
information before using any licensed
product mentioned.
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| CME
PARTICIPATION: |
| To
participate in this online course
for CME credit, please review the
objectives before beginning the program.
Complete the course and the self-assessment
test before April 5, 2010 to receive
CME credit. Your certificate will
then be available online. This process
should take approximately 1 hour. |
| ACCREDITATION: |
|
The
University of Alabama School of
Medicine is accredited by the Accreditation
Council for Continuing Medical
Education to provide continuing
medical education for physicians.
The
University of Alabama School of
Medicine designates this educational
activity for a maximum of 1 AMA
PRA Category 1 Credit™.
Physicians should only claim credit
commensurate with the extent of
their participation in the activity.
The
boards of nursing in many states,
including Alabama, recognize Category
1 continuing medical education
courses as acceptable activities
for the renewal of license to practice
nursing.
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| DISCLAIMER: |
| Dosages,
indications, and methods of use of
any drug referred to in this publication
may reflect the clinical experience
of the authors, clinical literature,
or other clinical resources. Therefore,
please see the full prescribing information
before using any product mentioned.
UAB is an equal opportunity/affirmative
action institution. |
| INTRODUCTION: |
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Chronic obstructive pulmonary disease is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The airflow limitation is usually progressive and characterized by a mixture of small airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema).
COPD can be classified into 4 stages based on post-bronchodilator FEV1. Spirometry is essential for diagnosis and provides a description of the severity of pathologic changes in COPD.
COPD is the 4th leading cause of death in the United States and is projected to be the 3rd leading cause of death worldwide by 2020. It is estimated that 4-6% of adult white males and 1-3% of adult white females have COPD. These are probably underestimates as COPD is usually not diagnosed until clinically apparent and often advanced.
The economic and social burden of COPD is high. COPD expenditures for health care costs were estimated at $37.2 billion in 2004.
Because of these factors the Global Initiative for Chronic Obstructive Lung Disease has developed a program to improve the knowledge of epidemiology, socioeconomics, public health and health education of COPD (http://goldcopd.com)
The recommendations made in this CME module are based on recommendations of the GOLD Initiative [1] and a joint statement of the American Thoracic Society/European Respiratory Society.[2]
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| Case
1: |
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Mr. S is a 56-year-old male who presents to your office for a yearly check-up. He has no complaints today. He is employed as a landscaper. Prior to working as a landscaper he was employed as a painter. He smokes 1 pack of cigarettes per day for the past twenty years. He denies cough or dyspnea. Physical examination reveals no evidence of wheezing or changes in airflow on chest auscultation. You order a screening cholesterol, prostate specific antigen (per patient request), and fecal occult blood testing on three consecutive stool samples.
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