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Differences between Emphysema and Chronic Bronchitis


 

FeatureEmphysemaChronic bronchitis
Clinical Features  
DyspnoeaSevereMild
CoughAfter dyspnoeastartsBefore dyspnoeastarts
SputumScantly mucoidCopius, purulent
Mucopurulent relapsesLess frequent More frequent
CyanosisAbsentPresent
Pulmonary hypertensionLate and mildEarly and severe
Right ventricular failureLate and often terminalRepeated episodes
Respiratory failureLate and often terminalRepeated episodes
   
Investigations  
HaemotrocitNormalIncreased
Pao2NormalLow
PaCo2NormalHigh
Diffusing capacityReducedNormal
Chest X -rayFeatures of hyperinflationIncreased bronchovascular
 bullae and tubular heartmarkings and cardiomegaly

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