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Predisposing Factors Precipitating Factors

Age = 56 y/o Smoking 35 pack years

Occupational Exposure

Inflammation

Inc. neutrophil elastase Inc. oxidative stress, Mucus hypersecretion


and matrix inflammatory mediators, Ciliary dysfunction
metalloproteinases cytokines

Destruction of alveolar Fibrosis and thickening of Edema and smooth


walls and capillaries the bronchial walls muscle contraction

Enlarged air Impaired gas Air trapping Narrowing of


spaces diffusion on expiration small airways

Chronic
Emphysema
bronchitis

Inc. lung Destruction of Air trapping


Airway Mucus
compliance capillary bed on expiration
obstruction Hypersecretion

Matched Inc. RV Alveolar


V:Q defect Inc. TLC hypoxia
Dec. VC

Inc. work of V:Q Mismatch Pulmonary


breathing Vasoconstriction

Hypoxemia Hypercarbia Pulmonary


Dyspnea Cachexia hypertension

Polycythemia Respiratory
Acidosis

Cyanosis

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