By vgreene, 7 April, 2023 Patient Type Header (Long) Dyspnea, chronic cough/sputum, and/or COPD risk factors Does this Patient Type contain sub types? No Patient Type Details Confirm dx w spirometry pre post bronchodilator in pts 40 yo w chronic sx and or exposure risk factors If possible test for SARS CoV 2 prior to spirometry PFTs and delay if test is positive If COPD confirmed perform complete assessment see below DDx of chronic cough asthma lung CA TB bronchiectasis left HF ILD CF idiopathic chronic allergic rhinitis postnasal drip syndrome upper airway cough syndrome GERD ACE inhibitors DDx of COPD asthma CHF bronchiectasis TB obliterative bronchiolitis diffuse panbronchiolitis Sx risk factors CXR HRCT may help distinguish Once dx confirmed by spirometry initial assessment includes If discordance between sx and level of airflow obstruction consider additional tests and impact of comorbidities e g IHD Table 1 Calibri 16 pt