A 55-year-old man comes into your office for follow-up of a chronic cough. He also complains of shortness of breath with activity. He reports that this has been getting worse over time. As you are interviewing the patient, you note that he smells of cigarette smoke. Upon further questioning, he reports smoking one pack of cigarettes per day for the past 35 years and denies ever being advised to quit. On examination, he is in no respiratory distress at rest, his vital signs are normal, and he has no obvious signs of cyanosis. His pulmonary examination is notable for reduced air movement and faint expiratory wheezing on auscultation. 

 

Be sure to listen until the end when I will be presenting four questions with multiple choice answers and check back on Friday to the May's Anatomy Podcast instagram page for the answers! 

 

Case Files: Family Medicine

 

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For nursing tips, my experiences, and more musings on the show, follow our Instagram @maysanatomypodcast or follow my personal account  @mayyazdi

 

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