Emphysema

Alternate Name: See Also Bronchitis, Chronic

Test:

Sputum microscopy (lymphocytes & poly,morphs), sputum culture (+ with intercurrent in­fection), S.alpha i-antitrypsin (L), B.p0, (L if se vere), S.pH (L), RCC (H), PCV (H)

Sign:

Barrel chest, Jacobsen-Holdsnedt phenomenon,papilloedema, pink puffer, thoracic tympany

Dd:

Chronic bronchitis, asthma, silicosis, asbestosis,TB, sarcoidosis, lung cancer, bronchiectasis,CCF

Phys:

Hyperinflation of thalung due to chronic bronchi­olitis. Airway resistance is increased and respire. tory effort greater