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54-year-old man comes to him primary care physician because of gradually worsening shortness of breath. He also...

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Medical Sciences

54-year-old man comes to him primary care physicianbecause of gradually
worsening shortness of breath. He also expresses concern that herlips turn blue when she
ascends stairs. On physical examination, the physician notesincreased anteroposterior (AP)
diameter of her chest, hyperresonance on percussion of lung fields,and increased respiratory
effort. The patient’s blood pressure is 110/70 mm Hg and her pulseis 90/min. He has had well-
managed diabetes for 10 years and a 30-pack-year history ofsmoking. The patient is sent for
evaluation of him lung function.
Which is most likely during forced expiration?

Answer & Explanation Solved by verified expert
4.0 Ratings (620 Votes)

The condition of the patient shows that he is suffering from emphysema.

Etiology

Book picture Patient picture
  • Cigarette smoking
  • Air pollution
  • Alpha 1 Antitrypsin deficiency
  • Inherited diseases like Marfan's syndrome, Menkes' syndrome
  • Cigarette smoking

Clinical Manifestation

Book picture Patient picture
  • Dyspnea
  • Cough with or without expectoration
  • wheezing
  • loss of weight
  • peptic ulceration
  • hypercapnia
  • barrel chest
  • Dyspnea
  • wheezing
  • barrel chest ( increase in anteroposterior diameter)

Diagnosis

Book picture Patient
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