T
Endocrine, Respiratory EXAM WITH
Q&A 100% ACCURATE ANSWERS
source
r. Blue is a 68-year-old local antiques dealer who presents because he has been
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feeling very tired for the last few months. He reports that he has had trouble getting
enough air and has had a persistent productive cough for the last few years. On a
recent trip to an estate sale, he couldn't walk the block or so from his parking spot to the
auction block without having to stop and cough multiple times. As such, he missed all
the good pieces and is still upset about it. He says he has to work very hard to get a
breath. He started smoking about 2 packs a day starting "circa the late 1960's" and
hasn't considered quitting ever. On physical exam, he has very loud rhonchi. On
spirometry, the following pattern is seen (normal is shown for comparison). Given what
you know about spirometry and Mr. Blue's likely diagnosis, your next thought is?
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