What is your educated hypothesis

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Reference no: EM133915039

Question

Joe Ritter, a 74-year-old retired bricklayer, has a 40-pack-year tobacco history and a history of COPD. Today, he presents to the emergency department in respiratory distress with retracting respirations of 26 breaths/min, BP is 154/76 mm Hg, pulse is 120 beats/min, and temperature is 37°C. His skin color is pale gray, his chest is barrel-shaped, and he uses accessory muscles to breathe; he appears anxious and is sitting in a tripod position. His nail beds are bluish in color; his oxygen saturation by pulse oximetry is 72%. Chest auscultation reveals wheezes and decreased-to-absent breath sounds in bilateral bases. Hyperresonance is noted upon chest wall percussion. Chest x-ray showed atelectasis bilaterally in the bases. Mr. Ritter coughs with minimal amounts of clear sputum.

Finally, what do you think is the possible reason or reasons for his symptoms or simply put, what is your educated hypothesis?

Reference no: EM133915039

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