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\author{harpieee}
\pdfinfo{
  /Title (chronic-obstructive-pulmonary-disease-copd.pdf)
  /Creator (Cheatography)
  /Author (harpieee)
  /Subject (Chronic Obstructive Pulmonary Disease (COPD) Cheat Sheet)
}

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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Chronic Obstructive Pulmonary Disease (COPD) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{harpieee} via \textcolor{DarkBackground}{\uline{cheatography.com/71374/cs/18453/}}}
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}harpieee \\
  \uline{cheatography.com/harpieee} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 4th January, 2019.\\
   Updated 4th January, 2019.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{document}
\raggedright
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% Set font size to small. Switch to any value
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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\bf{COPD}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Encompasses pulmonary emphysema and chronic bronchitis} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Not reversible} \tn 
% Row Count 3 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\bf{PULMONARY EMPHYSEMA}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Destruction of alveoli, narrowing of bronchioles, and trapping of air resulting in loss of lung elasticity} \tn 
% Row Count 3 (+ 3)
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\end{tabularx}
\par\addvspace{1.3em}

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\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{CONTRIBUTING FACTORS}}}}  \tn
% Row 0
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Cigarette smoking (main causative factor) & Exposure to air pollution \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Passive smoke inhalation & Alpha-antitrypsin deficiency (inability to break down pollutants) \tn 
% Row Count 7 (+ 4)
% Row 2
\SetRowColor{LightBackground}
Advanced age & Occupational dust and chemical exposure \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.78712 cm} x{2.18988 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{MANIFESTATIONS}}}}  \tn
% Row 0
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Dyspnea w/ productive cough & Fatigue \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Difficult exhalation, use of pursed lip breathing & Clubbed fingernails \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Wheezing & Weight loss \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
Crackles & Respiratory acidosis w/ hypoxia \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Barrel chest & Shallow, rapid respirations \tn 
% Row Count 10 (+ 2)
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\bf{CHRONIC BRONCHITIS}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Inflammation and hyper secretions of mucus in the bronchi and bronchioles caused by chronic exposure to irritants} \tn 
% Row Count 3 (+ 3)
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% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Cigarette smoking (main causative factor))} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Exposure to air pollution and other environmental irritants} \tn 
% Row Count 3 (+ 2)
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% Row 0
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Productive cough & Thick, tenacious sputum \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Hypoxemia & Respiratory acidosis w/ hypoxia \tn 
% Row Count 4 (+ 2)
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\begin{tabularx}{5.377cm}{X}
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% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Chest x-ray} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Pulmonary function tests: air remains trapped in lungs} \tn 
% Row Count 3 (+ 2)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Pulse oximetry: often less than 90\%} \tn 
% Row Count 4 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{ABGs: Chronic respiratory acidosis} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Computed tomography (CT)} \tn 
% Row Count 6 (+ 1)
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% Row 0
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 3 (+ 2)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Position pt upright and leaning forward} \tn 
% Row Count 4 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Schedule activities to allow for frequent rest periods} \tn 
% Row Count 6 (+ 2)
% Row 4
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% Row Count 7 (+ 1)
% Row 5
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% Row Count 9 (+ 2)
% Row 6
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% Row Count 10 (+ 1)
% Row 7
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% Row Count 11 (+ 1)
% Row 8
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% Row Count 12 (+ 1)
% Row 9
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% Row Count 14 (+ 2)
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% Row 0
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Bronchodilators & Beta-adrenergic agents \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Cholinergic antagonists & Corticosteroids \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
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% Row Count 6 (+ 2)
% Row 3
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% Row Count 7 (+ 1)
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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% Row 0
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
% Row 2
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% Row Count 3 (+ 1)
% Row 3
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% Row Count 4 (+ 1)
% Row 4
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% Row Count 5 (+ 1)
% Row 5
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% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
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% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
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% Row Count 8 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\begin{tabularx}{5.377cm}{X}
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% Row 0
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% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
% Row 2
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% Row Count 3 (+ 1)
% Row 3
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% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Laryngeal Cancer} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
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% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}