Pulmonary pathophysiologic processes

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Case Study: A 72-year-old male presents to the primary care clinic with worsening shortness of breath and a dry hacking persistent cough in the last 2 months. The patient is a retired firefighter with 48 years of service. He retired 2 years ago after he was diagnosed with COPD due to "smoking cigarettes". He reports that he started having a decrease in his ability to handle physical requirements of the job. The patient originally thought that his shortness of breath was related to his COPD but became concerned when he developed the cough. The patient is 6'0 " and weighs 194 pounds. His BP is 128/84, pulse is 70, resp 28, slightly labored, pulse ox 94%, and temp 98.2F. Physical exam reveals labored breathing, reduced chest expansion, fine end inspiratory crackles, and mild wheezing bilaterally. Lab studies are nonspecific. Chest x-ray reveals small bilateral parenchymal opacities with a multinodular pattern.

1. The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.

2. Any racial/ethnic variables that may impact physiological functioning.

3. How these processes interact to affect the patient.

Reference no: EM134007070

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