Diminished breath sounds and activity intolerance

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What are your top three differentials for a 54 year old male with increased shortness of breath for 6 to 8 weeks, diminished breath sounds, activity intolerance, mild fingernail clubbing, history of daily smoking and environmental exposures Prebronchodilator FEV1/FVC ratio of 0.66.

Reference no: EM133766012

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