Question

 Patient Case Question 4. Identify all of this patient's risk factors for chronic obstructive pulmonary disease and note which of them is the single most significant risk factor.

 Patient Case Question 5. Identify all of the clinical manifestations in this patient that are consistent with chronic bronchitis.

 Patient Case Question 6. Identify all of the clinical manifestations in this patient that are consistent with emphysema.

 Patient Case Question 7. Identify all of the clinical manifestations in this patient that are consistent with pulmonary hypertension and cor pulmonale.

 Patient Case Question 8. To which stage of development has this patient's COPD progressed? Patient Case Question 9. Which serious condition is indicated by the patient's arterial blood gas analysis?

 Patient Case Question 10. The patient has a strong history of alcohol abuse, which can cause liver dysfunction. Are there any indications that liver function has been compromised? Patient Case Question 11. Explain the apparent disparity in this patient's two major renal function tests (i.e., BUN and Cr).

 Patient Case Question 12. Would this patient benefit from home oxygen therapy?

 Patient Case Question 13. Is there any reason to believe that an infection caused this

 patient's relapse of chronic obstructive pulmonary disease?

 Patient Case Question 14. Is the patient in this case study alpha-1-antitrypsin deficient? Patient Case Question 15. Create a figure legend for the illustrations shown in Patient Case Figure 14.1.

Patients Chief Complaints Im falling apart. Ive been having more trouble breathing, my cough has gotten worse in the pastSocial History • Patient is a recently retired beef products worker • Married once and divorced at age 35, has not remarriedVital Signs See Patient Case Table 14.1 Patient Case Table 14.1 Vital Signs 510 32 and labored BP 165/95 RR НT 110 and regu• TMs intact • (-) tinnitus and ear pain • Nares clear • (+) pursed lip breathing • Oropharynx clear with no mouth lesions •Pulmonary Function Tests 1.67 L (45% of expected) FEV, • FVC = 4.10 L (85% of expected) FEV,/FVC = 0.41 (expected = 0.77) ChePatient Case Question 4. Identify all of this patients risk factors for chronic obstructive pulmonary disease and note which

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