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GPs 'should check COPD registers' as thousands may be misdiagnosed


Colin Malcomson @ 12.01. Before going off on a tangent, note the issue alluded to in the article are the spirometric features necessary to diagnose COPD and not regarding monitoring or treatment.I'm not sure that these have changed particularly. And smoking does not have to be a habit indulged in to get COPD- think alpha 1 antitrypsin deficiency. And before you say "But that is ever so rare", that is no reason to not entertain the possibility of COPD in a non-smoker if the history is suggestive. Iain Chalmers 2.31pm. Maybe the patients Cxray showed hyperinflation and coarsened bronchovascular markings suggesting COPD, or a careful history may have been taken which elicited progressive breathlessness and morning cough producing white spit which the patient hadn't thought to trouble you about. I've said it before and I will say it again- GPs are less than great at doing the basics well, and have a poor ability to analyse all the relevant information comprehensively.

Posted date

16 Jan 2019

Posted time