Coding for the respiratory system in icd10cmpcs trisha wills, md, ccs, cpc ahimaapproved icd10cmpcs trainer. It is currently a major cause of disability, and its the third leading cause of death in the united states. Pink puffer definition of pink puffer by the free dictionary. Dec 18, 2008 these are two terms related to chronic obstructive pulmonary disease copd. Pdf file of the complete article 769k, or click on a page image below to browse page by page. Paul kleinschmidt, md, consulting staff, department of emergency medicine, womack army medical. Emphysema results from destruction of the airways distal to the terminal bronchiole which also includes the gradual destruction of the pulmonary capillary bed and thu. Pulmonary embolism refers to the obstruction of the pulmonary artery or one of its branches by a thrombus that originates somewhere in the venous system or in the right side of the heart. Pink puffers are patients with copd where the pathology is widespread emphysema 1. Chronic obstructive pulmonary disease copd is a type of obstructive lung disease characterized by longterm breathing problems and poor airflow.
Please practice handwashing and social distancing, and check out our resources for adapting to these times. Jul 18, 2008 pink puffer cuz the reddish complexion and the pt. Pdf blue bloater, pink puffer and other phenotypes of copd. It would be hopeless trying to get people who are not interested in knowing more about difference between pink puffer and blue bloater to read articles pertaining to it. The terms pink puffer and blue bloater, have been around for many years, but do we really know what they mean and how serious it can be for a person. Both can be caused by lung diseases such as chronic bronchitis or emphysema which impede movement of oxygen from atmosphere to blood, causing cyanosis, and increase the strain on the heart leading to failure and an accumulation of fluid in the tissues oedema. Blue bloater vs pink puffer the blue bloater versus pink puffer phenotypes are used to describe the typical presentation of chronic bronchitis and emphysema respectively. A chronic obstructive pulmonary disease which is characterized by two categories of sufferers who may either be the pink puffers or the blue bloaters. Furthermore, exacerbations seem to coincide with the rise in acute respiratory viral infections influenza, parovirus etc.
In the patient who has significant airflow obstruction, an increased frc. You can select pages in the visual interface or just type in the number of the pages you want to extract. Sep 12, 2019 whats the difference between the blue bloaters chronic bronchitis and the pink puffers emphysema. People with emphysema have been known as pink puffers or type a due to their frequent pink complexion, fast respiratory rate and pursed lips, and people with chronic bronchitis have been referred to as blue bloaters or type b due to the often bluish color of the skin and lips from low oxygen levels and their swollen ankles. These are older terms the pink puffer classically described a patient with emphysema thin, pink means oxygenated. In this way, you are updated on the developments of difference between pink puffer and blue bloater. Differences between chronic bronchitis and emphysema. We would like to think that dyspnea, like pain, serves as an earlywarning sign of developing disease, respiratory or cardiac. Pink puffer was published in the british medical journal in 1968 and refers to the terms first being used around 1958.
What is the pathophysiology of pink puffers and blue. Chronic obstructive pulmonary disease copd a pink puffer is a person where emphysema longterm lung damage is the primary underlying pathology a blue bloater is a person where the primary underlying lung pathology is chronic bronchitis long term cough with mucus these terms are commonly used as medical slang, but never seen in nclex questions musculoskeletal system age. Nov 06, 2016 best places to find nursing school scholarships nursing degree info what qualities should you look for when choosing a nursing school. Table 154 emphysema and chronic bronchitis predominant bronchitis predominant emphysemaage yr 4045 5075dyspnea mild. This is related to the oxygen and carbon dioxide levels in the blood oxygenation, difficulty breathing dyspnea and complications like cyanosis. Blue bloater definition of blue bloater by medical.
Copd emphysema pink puffer and some other handy illustrations acidosis, alkalosis and the pink puffer and the blue bloater nursing nerds see more. Chronic obstructive pulmonary disease and emphysema author. They are actually physical descriptions of patients who suffer from emphysema and chronic bronchitis. Several studies have shown some link between bacterial colonization of the upper and the lower airways of patients and acute exacerbations of copd. I have heard the terms pink puffers and blue bloaters is seldom used these days. Chronic bronchitis classically produces the blue bloater, who is obese, edematous, cyanotic, and happy with increased paco2. They usually present with shortness of breath and pursed lip breathing. Pink ears and noses on frosty mornings are due to the reluctance of hb to unload oxygen. The blue bloated means a patient with chronic bronchitis poorly oxygenated blue and overweight. Study flashcards on blue bloaters vs pink puffers at. A person suffering from advanced copd with primarily emphysema rather than chronic bronchitis. Scribd is the worlds largest social reading and publishing site.
Pink puffers are sonamed because the emphysema drastically increases the effort required to inhale and exhale, causing facial flushing pinkish coloration and obviously labored breathing puffing. Copd a disease of airflow obstruction that is not totally reversible chronic bronchitis emphysema welcome to the city of carcinoma. Pdf nonemphysematous chronic obstructive pulmonary disease. By definition, pink puffers were thin in appearance with a frequent history of weight loss while blue bloaters showed no marked weight loss and tended to be overweight.
Copd is a progressive disease, meaning it typically worsens over time. Emphysema is caused by a breakdown of the alveolar and bronchisl elastin, creating a weakness in the capacity for the lung tissue to perform exhalation. As a result of these processes, tidal breathing may take place at lung volumes as high as 1 to 2 l above normal levels. Are pink puffers more breathless than blue bloaters. Smoking generally produces a mixture of the two to some degree, and you can have emphysema patients become blue bloaters and chronic bronchitis patients become pink puffers. Jan 15, 1983 are pink puffers more breathless than blue bloaters. Copd a chronic, progressive lung disease in which there is poor airflow in the lungs, characterized by wheezing, shortness of breath with. Rearrange individual pages or entire files in the desired order. Characterisation of phenotypes based on severity of. Pink puffer blue bloater chronic obstructive pulmonary.
Emphysema is defined pathologically as enlargement of distal air spaces chronic bronchitis is defined clinically as cough productive of sputum occurring on most days in 3 consecutive months over 2 consecutive years. There is currently no cure for copd, but treatment options such as stem cell therapy can prevent more damage and improve the patients quality of life. Pink puffer is a generalized term for a person who is thin, breathing fast and is pink. Blue bloaters and pink puffers chronic bronchitis vs emphysema chronic obstructive pulmonary disease copd is a progressive lung disease that affects millions of americans. Chronisch obstruktive lungenerkrankung wissen fur mediziner. Chronic obstructive pulmonary disease copd mcmaster. A person suffering from advanced copd with primarily chronic bronchitis rather than emphysema. The lungs become hyperinflated and a patient has the sense of not being able to fully exhale. Know the signs and symptoms pink puffers and blue bloaters copd is a chronic lung condition that makes it difficult for you to breathe. Copd chronic obstructive pulmonary disease is a class of lung ailments of which emphysema and bronchitis are two major players. As charming as their names sound, pink puffer is not the furry little pink creature that you are tempted to imagine nor is the blue bloater a big and friendly blue giant. Airflow limitation in chronic obstructive pulmonary disease copd is caused by a mixture of small airway disease and emphysema, the relative contributions of which may vary among patients.
The terms, pink puffer and blue bloater, were certainly in use by anaesthetists and respiratorists for some time prior to the publishing of james and dysons 1981 paper. A challenge to the seven widely believed concepts of copd. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Also, at least among patients with chronic obstructive lung disease, there appear to be congenital or acquired intrinsic variations in sensitivity to respiratory sensations, leading to the old concept of two types of copd patients. So, heres our copd lexicon blue bloater and pink puffer edition. The blue bloaters represent those who have chronic bronchitis. A descriptive term for a patient with copd and severe emphysema, who has a pink complexion and dyspnea. Pink puffer blue bloater free download as word doc. The day the blue bloater met the pink puffer 20 virginia ems conference chronic obstructive pulmonary disease. A pink puffer is a person where emphysema is the primary underlying pathology. Blue bloater is a generalized term referring to a person who is blue and overweight. Find out about copd including symptoms, diagnosis, treatment, patient stories, support, and more from a copd community perspective.
Blue bloater definition of blue bloater by medical dictionary. Dec 03, 2018 rarely are they seen in medical literature these days. Blue puffers pink bloaters bloatware freezer best evm. Pink puffers and blue bloaters from a medical perspective. Pink puffer synonyms, pink puffer pronunciation, pink puffer translation, english dictionary definition of pink puffer. Blue bloaters are sonamed because impaired airflow leads to cyanosis bluish coloration and fluid retention bloating. Mar 2, 2017 image result for pink puffer vs blue bloater.
Pink puffer definition of pink puffer by medical dictionary. Its an old term for what we would now recognize as severe emphysema. Pdf on oct 1, 2011, strambu irina and others published blue bloater, pink puffer and other phenotypes of copd find, read and cite all the research you. Frequencies of the pink puffer and blue bloater subtypes of copd by severity of airflow. Dec 26, 2016 in this video from armando hasudungan shared in october 2015, chronic obstructive pulmonary disease copd is discussed using two metaphors. What do the terms pink puffer and blue bloater mean. Chronic obstructive pulmonary disease copd a pink puffer is a. Referring to patients who have got the condition primary caused by emphysema, a person with this condition will develop weight loss as the symptom, and hisher body will appear a puffing reddish complexion while breathing, so its called pink puffer. Pink is a college girls mustshop destination for the cutest bras, panties, swim and loungewear. Chronic bronchitis vs emphysema comparison pulmonology. Pdf nonemphysematous chronic obstructive pulmonary. Both terms are a bit coarse and are usually tossed about in the lunch room of medical facilities. Whats the difference between the blue bloaters chronic bronchitis and the pink puffers emphysema.
Phenotypes of copd classified purely based on severity of emphysema. Choose from 12 different sets of pink puffer flashcards on quizlet. Usually, to split a pdf you have to spend a lot of money on premium software. To be effective as an earlywarning system, dyspnea should be absent in the absence of disease, its severity should correlate with the severity of lung function impairment, and it should be unpleasant enough to call attention to itself. The main symptoms include shortness of breath and cough with sputum production. No, they are not names of mythical characters from a fantasy novel. Jan 14, 20 the blue bloater and pink puffer types of copd.
Their main symptom is breathlessness which is progressive, because their blood gases are relatively normal, their skin is of good colour and in the case of caucasians, has a pink colour. Pdf on oct 1, 2011, strambu irina and others published blue bloater, pink puffer and other phenotypes of copd find, read and cite all the research you need on researchgate. As you recall, emphysema results from destruction of the airways distal to the terminal bronchiolewhich. Pink puffer versus blue bloater one of the students wished for clarification between the clinical phenotypes of pink puffer versus blue bloater in copd. Nonemphysematous chronic obstructive pulmonary disease is associated with diabetes mellitus. Only people interested in difference between pink puffer and blue bloater. Know about the signs and symptoms of chronic obstructive pulmonary disease copd, blue bloater and pink puffer do not develop until the later stages of this disease. Chronic obstructive pulmonary disease copd causes, types. The terms im referring to here are blue bloaters and pink puffers. Apr 15, 2011 our class presentation for n316, wsu college of nursing. Nov 9, 2018 image result for pink puffer vs blue bloater. The concept of blue bloater copd without emphysema and therefore with normal dl co is contradicted by pathological studies and ct scans. No doctor is going to come out and diagnose you will get blue bloater disease.