Question

Jim was a smoker for the past 20 years. He has been gradually experiencing breathing difficulties, tachycardia, tachypnea, and wheezing. The doctor notices that he has a barrel chest and distended neck veins. The x-ray shows translucent-appearing lungs and a depressed or flattened diaphragm. Based on the most probable diagnosis, what would be another common symptom?

   a.  
purulent sputum

    b.  
weight loss

    c.  
digital clubbing

    d.  
night sweats

Answer 1

Ans) a. Purulent sputum

Explaination:

- Studies of smokers with chronic bronchitis have shown that purulent yellow or green sputum is associated with intense neutrophilia and possible bacterial infection.

- In patients with asthma, it is widely believed that purulent sputum can also be the result of eosinophilia.