Overview

• Condition in which you have symptoms of both Asthma and COPD
• ‘Persistent airflow obstruction with features of Asthma’

Making Diagnosis

Clinical Features:

• Difficulty Breathing
• Wheezing
• Coughing (with or without mucus)
• Tightness in Chest
• SOB

Investigations:

• ACOS involves 3 features compared with COPD alone:
  • more of a response to bronchodilators
  • increased reversibility of airflow
  • eosinophilic inflammation
• Spirometry

Management Plan