Accepted at: Feb, 04, 2025 10:03 a.m.
Author: alexlewis
Related Deck: 1675118865074
Accepted
Rationale for new note

GOLD guidelines
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Text

GOLD Guidelines

Initial pharmacological treatment for COPD in a patient with 2 moderate exacerbations yearly


{{c1::LABA + LAMA}}

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<p style="text-align: left;"><b>GOLD Guidelines</b></p><p style="text-align: left;"><u><i>Initial</i> pharmacological treatment</u> for <b>COPD</b> in a patient with&nbsp;<b><u>≥</u>2 moderate exacerbations yearly</b></p><p style="text-align: left;"><br></p><p style="text-align: left;">{{c1::LABA + LAMA}}</p>
Extra
≥2 moderate exacerbations
OR
 ≥1 leading to hospitalisation
Group E
LABA + LAMA
Consider LABA+LAMA+ICS if eosinophils ≥300μL
≤2 moderate exacerbations
(not leading to hospital admission)
Group A
A bronchodilator
Group B
LABA + LAMA
mMRC 0-1, CAT <10 mMRC ≥2, CAT ≥10
Extra
<style> strong { font-size: 12px; text-align: left; text-transform: uppercase; margin: 5px; color: #155724; display: inline-block; } table { max-width: 80%; border-collapse: separate; /* Allows cell spacing */ border-spacing: 8px; /* Adds padding between cells */ background-color: #ffffff; border-radius: 8px; overflow: hidden; box-shadow: 0px 2px 6px rgba(0, 0, 0, 0.2); font-size: 14px; margin: auto; display: block; } th, td { padding: 15px; text-align: center; border: 1px solid #ddd; font-weight: normal; /* Prevents Anki from making text italic */ font-style: normal; /* Ensures normal text rendering */ border-radius: 6px; } .group { background-color: #c3e6cb; /* Green for Groups A, B, E */ font-weight: bold; } .criteria { background-color: #f5c6cb; /* Light red/pink for symptoms/exacerbations */ } th { background-color: #007bff; color: white; font-weight: bold; } .hide-cell { visibility: hidden; /* Keeps space but hides content */ border: none; /* Removes border for cleaner appearance */ background: none; /* Removes background color */ } </style> <table> <tbody> <tr class="criteria"> <td style="width: 40%;">≥2 moderate exacerbations <br>OR<br>&nbsp;≥1 leading to hospitalisation</td> <td colspan="2" class="group" style="width: 60%;"><strong>Group E</strong><br>LABA + LAMA<br><small>Consider LABA+LAMA+ICS if eosinophils ≥300μL</small></td> </tr> <tr class="criteria"> <td style="width: 40%;">≤2 moderate exacerbations<br>(not leading to hospital admission)</td> <td class="group" style="width: 30%;"><strong>Group A</strong><br>A bronchodilator</td> <td class="group" style="width: 30%;"><strong>Group B</strong><br>LABA + LAMA</td> </tr> <tr class="criteria"> <td class="hide-cell"></td> <td>mMRC 0-1, CAT &lt;10</td> <td>mMRC ≥2, CAT ≥10</td> </tr> </tbody> </table>
Personal Notes
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Personal Notes
Missed Questions
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Missed Questions
Oxford Handbook
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Oxford Handbook
First Aid
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First Aid
AMBOSS
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AMBOSS
eTG Complete
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eTG Complete
Talley & O'Connor
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Talley & O'Connor
Additional Resources
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Additional Resources
Source
GOLD 2025 Report Accessed 31 January 2025
Source
<a href="https://goldcopd.org/2025-gold-report/">GOLD 2025 Report</a> Accessed 31 January 2025
One by one
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One by one
Tags
#Malleus_CM::#Subjects::Respiratory_Medicine::05_Lungs::01_Obstructive::COPD::08_Diagnosis/Investigations #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Respiratory_Medicine #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::General_Medicine #Malleus_CM::#Resources_by_Rotation::Emergency #Malleus_CM::#Resources_by_Rotation::Intensive_Care #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Geriatric_Medicine #Malleus_CM::#Resources_by_Rotation::General_Practice #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Cardiology #Malleus_CM::#Resources_by_Rotation::Internal_Medicine::Palliative_Care #Malleus_CM::#Yield::High #Malleus_CM::#Guidelines::International::GOLD