| Feature | Emphysema | Chronic bronchitis |
| Clinical Features | ||
| Dyspnoea | Severe | Mild |
| Cough | After dyspnoeastarts | Before dyspnoeastarts |
| Sputum | Scantly mucoid | Copius, purulent |
| Mucopurulent relapses | Less frequent | More frequent |
| Cyanosis | Absent | Present |
| Pulmonary hypertension | Late and mild | Early and severe |
| Right ventricular failure | Late and often terminal | Repeated episodes |
| Respiratory failure | Late and often terminal | Repeated episodes |
| Investigations | ||
| Haemotrocit | Normal | Increased |
| Pao2 | Normal | Low |
| PaCo2 | Normal | High |
| Diffusing capacity | Reduced | Normal |
| Chest X -ray | Features of hyperinflation | Increased bronchovascular |
| bullae and tubular heart | markings and cardiomegaly |
Differences between Emphysema and Chronic Bronchitis
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