TY - CHAP M1 - Book, Section TI - Chronic Obstructive Pulmonary Disease A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 74-year-old woman and longtime smoker presents with fatigue and shortness of breath. She has not seen a physician for many years and says she has been basically healthy. On physical examination, she is found to be pale and mildly cachectic, and her lips are cyanotic. Her breath sounds are distant, although crackles can be heard in both lung bases. Her heart sounds are best heard in the epigastrium; a third heart sound is present. She has mild peripheral edema. Her resting pulse oximetry is 74%. Her chest X-ray (CXR) shows emphysema (Figure 58-1), and her echocardiogram confirms heart failure. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164347419 ER -