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Files https://carrington.instructure.com/courses/8999/files/folder/Case%20Study' 20assignments?preview-2568247 e Gallery BeautyImported From IE rax and Lungs.docx Chapter 18 Thorax and Lungs ?.?. is a 69-year-old man who presents to the outpatient office with a hacking, raspy cough. Subjective Data PMH: HTN, DM Cough is productive, bringing up green phlegm Runny nose, sore throat Denies fever Sore throat pain when swallowing No history of smoking or seasonal allergies Complains of fatigue Objective Data Vital signs: T 37 P 72 R 14 BP 134/64 Lungs:+Rhonchi bilateral upper lobes, wheeze 02 Sat # 98% acer

Explanation / Answer

From the above presented clinical features of Mr M.C, he is suspected to have Chronic obstructive pulmonary disease (COPD).

Chronic obstructive pulmonary disease is caused by obstructed airflow in the lungs and air passage. This can be due to long term exposure to irritants in the form of gases, fumes and smoking. Chronic bronchitis and emphysema are two common condition that contribute to COPD.

Clinical manifestations: Shortness of breadth, especially during physical activities, wheezing chest tightness, chronic cough which may be green or yellow color, fatigue, weight loss, sore throat pain while swallowing, running nose. Rhonchi and respiratory wheeze is common characteristic of COPD.

Risk factors: The people who is at risk of developing COPD are those exposed to tobacco smoke, people with asthma who smoke, occupational exposure to dust and chemicals, exposure to fumes from burning fuels, age of 40 years and above,

Prevention is to prevent smoking and exposure to harmful chemical fumes and gases and other irritants. Use of protective equipment to prevent occupational hazards.

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