RT Book, Section
A1 Smith, Mindy A.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164347419
T1 Chronic Obstructive Pulmonary Disease
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164347419
RD 2024/04/18
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.