tell me more about the effects of the 1st one
In severe COPD, vigorous coughing may lead to rib fractures or to a brief loss of consciousness.
Chronic obstructive pulmonary disease
In severe COPD, vigorous coughing may lead to rib fractures or to a brief loss of consciousness. 
what is the full form of c o p d Chronic obstructive pulmonary disease what are its signs? Shortness of breath, and a cough that produces sputum.
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Chronic obstructive pulmonary disease [SEP] Cough
Sputum may be swallowed or spat out, depending often on social and cultural factors. In severe COPD, vigorous coughing may lead to rib fractures or to a brief loss of consciousness. Those with COPD often have a history of "common colds" that last a long time.