ch
Eespircaay
one
occupahon COpD
Name Case
DOE
Age
gendes
Addrcss
3days bat
) NO
lyear Cexaces bated
Brcathlessness Sine N|H/o
Cough 3months
N)Hl
Fevea 3day nohccd
he NIH)
woben
bad on
lyeas
Patient zoas apporenly nomal 5tQ2S Odand
breathbl esSnes On clinmbing d/oov in onset to
2u0s 1nsidioUs bacl N JH)c
2p;//, 3 months an
tuit est pr0.goessal ground
2clreveal
hurryin9
on level to
CQuse breath lessncss
201th
which
he wse
fo
impaied his daily acivity, Yeceive
.
tal 20hexe be UOuld bas bech
VisTE the
hospi patient
I mon th Pave
ncbuli2a hon. From the past
zce
On hOme m ebul) 2abon heve cuse bcathlessn esS On COu
thoce doys
bacefo
Gbt loom. Not
alw uheeel,
boeathlessns
wallcing foo
in the ight or
a
AG hStory O0alc en/
d oun na m0
diupo/ vaoabOn
OnIinq
ugh 3om 3 months,
a4 co
pahent! complaints alw sputom Scanty in
and
insidiows in onset 777ueO im consistenea/
in Coloud/
dmoL0, oh:tc NO d) O)
7o /o0d t0qtd.
Smel/inc
70m -fou/ alw pastural vaoi
ahon
Vagiahon, Ond n
tpe
8 dayS On and d
Feves Since
a 20/th
Chills
medicabn
0hd iq0uo Opd elievCd
To vule out
. high
Bactesial
goade Feves
pneumonia
Acute Z3we weeks
elec
subacute 3-9
Cough
thaonic >8
weelcs
, Spoope ps +No
ChaOnic coLqh t NO Otheo despTvao7d X-00
ma finding
asth
*COuqh vaiant cough
daipping
3post nasalcough
X Habilual
Syp COpe
PO1 72 pOpilOhon
f chest
NO stoo
eubee2e app chte
N/H/O UR71 loss ana loss
ueqht
NJH/O ight Sueas,
ty
NIHO easy daiguabin |imb Swellin9
N)HlO al (oweY
NIH)o 0 bilater
pain
Cpiastaic
N/H/o Qlleogi
es
NO Icn Own beadache
pahen
Moning with Covice
N/H)o
0| contac
NiHl o
P,rway Stdo9
Clrke pheumonio) dotenshal LOhee2e
Parencbymal doy cough
Sputm
zessiVe
> bieathlesspes
Couqh
TG ethema
matted
modlosUm,
1mph mOde
-
dveihs, dconthoslS
migans.
- TB. ILD
al SmoiPg dboOs/s
CUbbing pulmona
Iciopothic bonchjalihs
Respratory pneumonia
intershal
desalamahve fail0e
Uo eSp)atc7d
TDe
plse Cco etenhon a
Hah vune tachyCavd
ataial
-mon focal
Irreglas
pulse)
Seen in cOPOrT pulse pressoe
failuse
zatp
Type D oespi
lnTpC 3 h
COPD
Acute Exacebahor
pulsus
parodoxUS Status asthmahc
, URT:
Nasal caitynomal
ccuty: Oval thTush poesent
alal
appegss n0Imal
pharynx
LRT B/L Symm o/
chest s booel shapeGnd
Toachea > centaal
be visa(is ed
Aper beot Con po -absen+
)3abon
2Se
-NO czia tecl
chest
accessodd
Veins,
w
o7
scars 0
uscles desp4
Siuses daedb
VISibe on
t
kypho solioss mot pDCsen
1 tercos tal dpace
No ndro oino
Palpakon
are Conjome
Inspeetoy findings Au
Trachea is Central al
sth in tercos}
in let
Apa beat palpable Iina
to midcoviCA
&pace Mecal ternpeea
tul e Vocat
Noloal lise Cl In Bauuel
- Movemen Chet!fmc) dhaped chet hu
apex beat is
Ayea' n
ot 1esth int ei costal
-Supraclavicela Spa
Mammaly
.0thee cal
Pleuulal uson
dplaCceghula
Pneumothoy on
- Female dueto
mnammo1 glono
Eccesve 1
Ppexis slited to
Measuremenis! baclc side
7ransverse Ast
AP
Chst ciycumlererne In both xprahon
Righs hemithorax andd 1nspirahon
Lt hemithora
chest Ezp onsion
Eespircaay
one
occupahon COpD
Name Case
DOE
Age
gendes
Addrcss
3days bat
) NO
lyear Cexaces bated
Brcathlessness Sine N|H/o
Cough 3months
N)Hl
Fevea 3day nohccd
he NIH)
woben
bad on
lyeas
Patient zoas apporenly nomal 5tQ2S Odand
breathbl esSnes On clinmbing d/oov in onset to
2u0s 1nsidioUs bacl N JH)c
2p;//, 3 months an
tuit est pr0.goessal ground
2clreveal
hurryin9
on level to
CQuse breath lessncss
201th
which
he wse
fo
impaied his daily acivity, Yeceive
.
tal 20hexe be UOuld bas bech
VisTE the
hospi patient
I mon th Pave
ncbuli2a hon. From the past
zce
On hOme m ebul) 2abon heve cuse bcathlessn esS On COu
thoce doys
bacefo
Gbt loom. Not
alw uheeel,
boeathlessns
wallcing foo
in the ight or
a
AG hStory O0alc en/
d oun na m0
diupo/ vaoabOn
OnIinq
ugh 3om 3 months,
a4 co
pahent! complaints alw sputom Scanty in
and
insidiows in onset 777ueO im consistenea/
in Coloud/
dmoL0, oh:tc NO d) O)
7o /o0d t0qtd.
Smel/inc
70m -fou/ alw pastural vaoi
ahon
Vagiahon, Ond n
tpe
8 dayS On and d
Feves Since
a 20/th
Chills
medicabn
0hd iq0uo Opd elievCd
To vule out
. high
Bactesial
goade Feves
pneumonia
Acute Z3we weeks
elec
subacute 3-9
Cough
thaonic >8
weelcs
, Spoope ps +No
ChaOnic coLqh t NO Otheo despTvao7d X-00
ma finding
asth
*COuqh vaiant cough
daipping
3post nasalcough
X Habilual
Syp COpe
PO1 72 pOpilOhon
f chest
NO stoo
eubee2e app chte
N/H/O UR71 loss ana loss
ueqht
NJH/O ight Sueas,
ty
NIHO easy daiguabin |imb Swellin9
N)HlO al (oweY
NIH)o 0 bilater
pain
Cpiastaic
N/H/o Qlleogi
es
NO Icn Own beadache
pahen
Moning with Covice
N/H)o
0| contac
NiHl o
P,rway Stdo9
Clrke pheumonio) dotenshal LOhee2e
Parencbymal doy cough
Sputm
zessiVe
> bieathlesspes
Couqh
TG ethema
matted
modlosUm,
1mph mOde
-
dveihs, dconthoslS
migans.
- TB. ILD
al SmoiPg dboOs/s
CUbbing pulmona
Iciopothic bonchjalihs
Respratory pneumonia
intershal
desalamahve fail0e
Uo eSp)atc7d
TDe
plse Cco etenhon a
Hah vune tachyCavd
ataial
-mon focal
Irreglas
pulse)
Seen in cOPOrT pulse pressoe
failuse
zatp
Type D oespi
lnTpC 3 h
COPD
Acute Exacebahor
pulsus
parodoxUS Status asthmahc
, URT:
Nasal caitynomal
ccuty: Oval thTush poesent
alal
appegss n0Imal
pharynx
LRT B/L Symm o/
chest s booel shapeGnd
Toachea > centaal
be visa(is ed
Aper beot Con po -absen+
)3abon
2Se
-NO czia tecl
chest
accessodd
Veins,
w
o7
scars 0
uscles desp4
Siuses daedb
VISibe on
t
kypho solioss mot pDCsen
1 tercos tal dpace
No ndro oino
Palpakon
are Conjome
Inspeetoy findings Au
Trachea is Central al
sth in tercos}
in let
Apa beat palpable Iina
to midcoviCA
&pace Mecal ternpeea
tul e Vocat
Noloal lise Cl In Bauuel
- Movemen Chet!fmc) dhaped chet hu
apex beat is
Ayea' n
ot 1esth int ei costal
-Supraclavicela Spa
Mammaly
.0thee cal
Pleuulal uson
dplaCceghula
Pneumothoy on
- Female dueto
mnammo1 glono
Eccesve 1
Ppexis slited to
Measuremenis! baclc side
7ransverse Ast
AP
Chst ciycumlererne In both xprahon
Righs hemithorax andd 1nspirahon
Lt hemithora
chest Ezp onsion
