TY - CHAP M1 - Book, Section TI - Chronic Obstructive Pulmonary Disease A1 - Andrus, Miranda R. A1 - Pinner, Nathan A. A2 - Sutton, S. Scott PY - 2019 T2 - McGraw-Hill's NAPLEX® Review Guide, 3e AB - Chronic obstructive pulmonary disease (COPD) is a preventable chronic disease of the airways characterized by gradual, progressive loss of lung function. COPD patients have airflow limitation that is not fully reversible. The airflow limitation is associated with an abnormal inflammatory response of the lung to noxious particles or gases. Emphysema and chronic bronchitis are often present in COPD, but patients must also have abnormal spirometry to be formally diagnosed with COPD. Emphysema is an abnormal permanent enlargement of the airspaces distal to the terminal bronchioles, accompanied by destruction of their walls and without fibrosis. Chronic bronchitis is inflammation of the bronchioles with mucus hypersecretion and chronic productive cough. Because most patients exhibit some features of emphysema and chronic bronchitis, the appropriate emphasis of COPD pathophysiology is on small airway disease and parenchymal damage that contributes to chronic airflow limitation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1158315655 ER -