S.M. is a 25-year-old man in the clinic today for worsening shortness of breath. He smoked one pack of cigarettes per day from ages 18-20, but states he has not smoked in 5 years. 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, PaO2 71, HCO3- 26. Select a potential diagnosis for S.S. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain S.S.’s physical exam and lab findings?
S.M. is a 25-year-old man in the clinic today for worsening shortness of breath. He smoked one pack of cigarettes per day from ages 18-20, but states he has not smoked in 5 years. 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, PaO2 71, HCO3- 26. Select a potential diagnosis for S.S. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain S.S.’s physical exam and lab findings?
Chapter9: A Breath Of Fresh Air
Section: Chapter Questions
Problem 1CP
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S.M. is a 25-year-old man in the clinic today for worsening shortness of breath. He smoked one pack of cigarettes per day from ages 18-20, but states he has not smoked in 5 years. 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, PaO2 71, HCO3- 26.
- Select a potential diagnosis for S.S. and describe the pathophysiology of that diagnosis.
- How does the pathophysiology explain S.S.’s physical exam and lab findings?
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