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hi everyone a really fun day today on the reinhardts rundown we are partially through our copd series and well be focusing today on figuring out which copd assessment tool is the most clinically appropriate and also the most practical to implement in your practice if you havent yet watched our copd review on the hallmark symptoms well make sure to drop a link below for you and as we get going here keep in mind we definitely need to be using spirometry testing to confirm diagnosis of copd we know that functional status and symptom management though are still really critical to assess copd management in our patients now historically there are five scoring tools for copd symptom management the first is the mmrc the modified british medical research council breathlessness score its a mouthful while it rates the cardinal symptom of dyspnea and shortness of breath we know that copd symptoms really encompass much more than just shortness of breath and so this is really not one of my favo