Does this patient really have chronic obstructive pulmonary disease?
	    		
		   		
	    	
    	
    	
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Sandra HUI
			        		
			        		
			        		
			        			1
			        			,
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Choon How HOW
			        		
			        		;
		        		
		        		
		        		
			        		Augustine TEE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. SingHealth Internal Medicine Resident, Changi General Hospital, 2 Simei Street 3, Singapore
			        		
			        			2. sandra.hui@mohh.com.sg.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Diagnosis, Differential;
				        		
			        		
				        		
					        		Disease Progression;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Pulmonary Disease, Chronic Obstructive;
				        		
			        		
				        		
					        		diagnosis;
				        		
			        		
				        		
					        		Referral and Consultation
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Singapore medical journal
	            		
	            		 2015;56(4):194-quiz 197
	            	
            	
 
            
            
            	- CountrySingapore
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Chronic obstructive pulmonary disease (COPD) is a condition commonly encountered by primary care practitioners. The disease should be detected in its early stages to prevent disease progression and to reduce the burden of symptoms. Early treatment also results in improved mortality and reduced morbidity. COPD should be differentiated from other similar conditions such as asthma, as the basis of treatment differs in these conditions, and misdiagnosis can lead to poorer patient outcomes. Non-pharmacological treatment such as smoking cessation and vaccinations are important in the management of COPD, while pharmacotherapy such as bronchodilators and antimuscarinics are the mainstay of therapy in COPD. Referral to a specialist is recommended when there is progression of the disease or uncertainty regarding the diagnosis.