A 52-year-old man presents to your office for an acute visit because
of coughing and shortness of breath. He is well known to you because of
multiple office visits in the past few years for similar reasons. He has
a chronic “smoker’s cough,” but reports that in the past 2 days his
cough has increased, his sputum has changed from white to green in
color, and he has had to increase the frequency with which he uses his
albuterol inhaler. He denies having a fever, chest pain, peripheral
edema, or other symptoms. His medical history is significant for
hypertension, peripheral vascular disease, and two hospitalizations for
pneumonia in the past 5 years. He has a 40 year history of smoking and
continues to smoke two packs of cigarettes a day.
What is the probable diagnosis?
What are other possible diagnoses?
At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?
Please be specific and precise with answers. A table format or bullet
points would be beneficial in presenting your information with clarity
or organization.
Reference for management of the case study:
2023 Global Strategy for Prevention, Diagnosis, and Management of COPD (download the pocket guide) https://goldcopd.org/2023-gold-report-2/
A 52-year-old man presents to your office for an acute visit because of coughin
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