General health evaluation

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Reference no: EM134005836

Scenario: You are seeing an 89-year-old male who has a history of smoking 2 packs of cigarettes a day for 69 years.

He quit smoking cold turkey when he was 78 years old.

He is in your office for a general health evaluation. He reports ongoing challenges with 'belching' but other than that he conveys that he is feeling pretty good.

He is on no routine medications.

During your interview with the patient you note that he utilizes pursed lip breathing. At times you note a faint 'whistling' sound associated with his respiratory effort.

In conducting your review of systems he reports a cough, particularly in the mornings, productive for thick clear to white sputum.

When queried about shortness of breath he does indicate that he gets SOB more easily than he used to.

His breath sounds are course and diminished in the lower lobes bilaterally.

Reference no: EM134005836

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