Proposed comorbidity checklist during routine consultations for COPD
Past medical history | Symptoms | Physical examination | Screening tests |
High blood pressure Diabetes mellitus Dyslipidaemia Inactivity/exercise Smoking GORD Falls Osteoporosis/fractures Psychological disorders Other respiratory disease Usual treatment History of exacerbations | Angina pectoris Dyspnoea on exertion Orthopnoea Palpitations Claudication Weight changes Musculoskeletal pain Snoring, apnoea and daytime sleepiness Sinus issues Dental issues Swallowing disorders Depression or anxiety | BMI Pulse palpation Arterial blood pressure SpO2 Focus on respiratory, cardiovascular and musculoskeletal systems | Low-dose thorax CT scan Resting ECG Echocardiography CTCA and calcium score 5-step approach for osteoporosis Anxiety and depression scores (HADS, HSCL-25, CCQ, BDI) EAT-10 or other screening tests for dysphagia Blood tests: Haemoglobin, iron studies BNP or NT-proBNP Fasting lipid profile Fasting blood glucose level, HbA1c Vitamin D, serum calcium, phosphate Creatinine |
SpO2: oxygen saturation measured by pulse oximetry; NT-proBNP: N-terminal pro-BNP; HbA1c: glycated haemoglobin.