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Differences between Emphysema and Chronic Bronchitis


FeatureEmphysemaChronic bronchitis
Clinical Features  
CoughAfter dyspnoeastartsBefore dyspnoeastarts
SputumScantly mucoidCopius, purulent
Mucopurulent relapsesLess frequent More frequent
Pulmonary hypertensionLate and mildEarly and severe
Right ventricular failureLate and often terminalRepeated episodes
Respiratory failureLate and often terminalRepeated episodes
Diffusing capacityReducedNormal
Chest X -rayFeatures of hyperinflationIncreased bronchovascular
 bullae and tubular heartmarkings and cardiomegaly


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