Case Study D Man With Shortness Of Breath A 37 Year Old Man In The Clinic Today For Worsening Shortness Of Breath He F 1 (35.06 KiB) Viewed 12 times
Case Study D Man With Shortness Of Breath A 37 Year Old Man In The Clinic Today For Worsening Shortness Of Breath He F 2 (35.06 KiB) Viewed 12 times
Case Study D Man With Shortness Of Breath A 37 Year Old Man In The Clinic Today For Worsening Shortness Of Breath He F 3 (35.06 KiB) Viewed 12 times
Case study D: Man with shortness of breath A 37-year-old man in the clinic today for worsening shortness of breath. He first noticed decreasing activity tolerance at age 28, at which time an x-ray revealed some hyperinflation consistent with mild emphysema. He had been smoking one pack of cigarettes per day since age 15 and quit at age 28. However, his shortness of breath has continued to progress. Physical examination reveals a thin man in moderate respiratory distress. There is marked increase in the anteroposterior diameter, distant lung sounds, and occasional expiratory wheeze. Blood gases on room air are as follows: pH 7.42, PaCO2 40, PaOz 71, HCO3- 26. PFT results are as follows: 35-45 75-100 22-26 Predicted Normal Predicted FEV 1 3.8 L FVC 4.8 L FEV 1 /FVC> 70% TLC 7L Pre-bronchodilator Percentage of Predicted 16 29 44 130 Post-bronchodilator Percentage of 18 35 40 130
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