Case
COPD

Age: 65
Sex: Male
Race: Thai

History
History of present illness:
Chronic dyspnea and cough for 5-6 years, cyanosis, white sputum in the morning, smoking


Physical Exam
Temperature:
37

Heart rate:
96

Blood pressure:
120/80

Respiratory rate:
32

Chest:
incresing in AP diameter, suprasternal notch retractiondecrease in chest distention, decrease in breath sound, no crepitation

Laboratories:
pH = 7.36
PaO = 50
PaCO2 = 45
HCO3 = 34




Comments
The following are comments made by other users of this site and are not in any way an opinion of thirdspace.org or its staff.


ted60167/5/2004 - 10:17:29 AM
Chronic bronchitis

arlequin12/1/2004 - 4:57:25 AM
EPOC

arlequin12/1/2004 - 5:00:46 AM
EPOC

sunriser798/19/2005 - 12:46:53 AM
Cronic bronchitis

ahmad_khalis8/30/2006 - 6:30:50 PM
His history suggests chronic bronchitis. Where there is productive cough for years. Physical examination shows emphysema. Thus my provisional diagnosis will be chronic obstructive pulmonary disease

ahmad_khalis8/30/2006 - 6:31:21 PM
His history suggests chronic bronchitis. Where there is productive cough for years. Physical examination shows emphysema. Thus my provisional diagnosis will be chronic obstructive pulmonary disease

ahmad_khalis8/30/2006 - 6:32:30 PM
His history suggests chronic bronchitis. Where there is productive cough for years. Physical examination shows emphysema. Thus my provisional diagnosis will be chronic obstructive pulmonary disease

ahmad_khalis8/30/2006 - 6:33:26 PM
His history suggests chronic bronchitis. Where there is productive cough for years. Physical examination shows emphysema. Thus my provisional diagnosis will be chronic obstructive pulmonary disease

viveka8/30/2007 - 9:37:27 AM
history suggestive of chronic bronchitis progressing to copd

dr.manaf7/20/2009 - 4:06:50 AM
I think its chronic bronchits and we need chest x-ray to determines whether there is emphysema or not

dr.manaf7/20/2009 - 4:07:53 AM
I think its chronic bronchits and we need chest x-ray to determines whether there is emphysema or not

reem diva8/23/2009 - 2:16:28 PM
ithink it isnot emphysema because his sputum white not forthy he is asmoker he may developed atumor

Dr.Moosa3/19/2010 - 5:37:19 AM
From the history and PE...I think he has COPD OF chronic bronchitis...

hassan2/19/2012 - 12:02:47 AM
I think he has chronic bronchitis


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