A 45-year-old man presented with a complaint of an increasingly persistent cough that produced moderately thick, white mucus. The patient stated that the cough had been present for several years and was particularly severe in the morning on awakening. His wife was more bothered by the cough than he was and had sent him to the physician so that he might be convinced to stop smoking.
On questioning, the patient, who was about 30 lb overweight and had been smoking two packs of cigarettes per day for 20 years, had no other ailments. The physician recommended that he stop smoking, and the patient was lost to follow-up.
Ten years later, the patient reappeared in obvious distress, coughing with wheezing sounds in his chest and complaining of "tightness" in his chest. The condition had arisen after the patient developed an upper respiratory tract infection. He complained that the wheezing and tight feeling in his chest had occurred on other occasions over the past few years, but that he was currently suffering more than usual. Pulmonary function tests showed some decrease in FEV1. The patient was treated with bronchodilators and antibiotics, and responded satisfactorily.
Over the next several years, the patient's wife began bringing the patient for his visits. She noted that he had increasing somnolence and some personality changes, and he complained of morning headaches.
Laboratory tests repeatedly showed:
Pulmonary function tests revealed:
The patient was finally admitted to the hospital markedly cyanotic with distended neck veins and an enlarged, tender liver. After a progressively downhill course, the patient died.
Questions to answer
patient suffered from chronic obstructive pulmonary
COPD causes airflow obstruction and make it difficult to breathe.
along with breathing difficulty, pain , discomfort, cough,
2. ethilogy, in this particular case smoking can be taken as one
of the main causes for copd.
3. most likely underlying mechanism that give rise to this disease was 1. Persistant cough
2. smoking and 3. Lack of care.
4. Abnormal functions in this patient - increasing somnolence and some personality changes, and he complained of morning headaches.
Get Answers For Free
Most questions answered within 1 hours.