Pulmo CPOD 2: Manifestation & Diagnosis

D. Clinical Manifestations
Complaints that can be enjoyed by people with diverse, the most is:
1. Cough; nature of the onset of cough, dry cough (non-productive) and arising after infection to be productive (produces sputum).
2. Shortness of breath; Sasak disease found in the breath that has been advanced. People will use the respiratory musculature to breathe.
3. Sputum or white mucoid; if there is infection, the sputum becomes will purulent or mukopurulent.

E. Diagnosis
Gold standard at this time is to diagnose CPOD with spirometer checks.
Can also determine the diagnosis with a view CPOD criteria below:
1. ANAMNESIS
If the clinical symptoms found 3 above factors and found the cause.
2. Physical examination
- Patients are usually visible with the lymphatic diameter antero-posterior chest wall increases.
- Fremitus tactics on the chest wall will be reduced does not even exist.
- Percuss chest hipersonor, heart decline, tuberculosis and heart limit is lower, hard of heart will be reduced.
- Voters will be reduced with the breath expires aft.
3. Vetting RADIOLOGIST
- If in the bronchitis will chronicle the shadow Tubular shadow form shadow lines that parallel out of the hills toward apex, and tuberculosis is increasing style
- If in the emphysema then thorax images show the existence of the inflation picture over the diaphragm and the lower flat, blood vessel contraction pulmonal, and adding to the distal style.