Patient Encounter Part 1

A 49-year-old man with a medical history of hypertension presents to the clinic complaining of shortness of breath that began about 3 to 4 years ago. His symptoms have gradually gotten worse since then. He is now unable to walk 100 yards without having to stop and rest. He also has a daily cough that is usually productive of yellowish sputum. He smokes about one and a half packs of cigarettes a day and has done so for the last 30 years. He also drinks on average six to seven beers a day. He does not have any significant occupational exposures to dust, gases, or fumes.

What information is suggestive of COPD?

What risk factors does he have for COPD?

What additional information do you need to know before creating a treatment plan for this patient?

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