Question

In: Anatomy and Physiology

A 150 lb., 63-year-old man is experiencing exertional dyspnea, shortness of breath, mild cyanosis, and marked...

A 150 lb., 63-year-old man is experiencing exertional dyspnea, shortness of breath, mild cyanosis, and marked slowing of forced expiration. He is chronically fatigued from the action of breathing and appears to have a "barrel chest." In addition, he has been a smoker for 40 years. The doctor describes his condition as a "progressive disease that directly affects the site of gas exchange in his lungs."

What is the disorder of this man? Be as specific as possible. (Hint: more specific than "COPD").

Solutions

Expert Solution

Diagnosis : Emphysema

63 yr old man with history of chronic smoking, with dyspnea, mild cynosis, and marked slowing of forced expiration and Barrel shaped chest are all suggetive of emphysema.

Emphysema is a type of chronic obstructive airway disease caused due to permanent dilatation of airway distal to terminal bronchole. It leads to air trapoing, hyperinflation of lungs and hence barrel shape chest wall.

Sydney Mullin answered 1 year ago
Next > < Previous

Related Solutions

A 150 lb., 63-year-old man is experiencing exertional dyspnea, shortness of breath, mild cyanosis, and marked...
A 150 lb., 63-year-old man is experiencing exertional dyspnea, shortness of breath, mild cyanosis, and marked slowing of forced expiration. He is chronically fatigued from the action of breathing and appears to have a "barrel chest." In addition, he has been a smoker for 40 years. The doctor describes his condition as a "progressive disease that directly affects the site of gas exchange in his lungs." What treatments would you recommend for this patient?
A 155 lb., 60-year-old man had a chronic productive cough, exertional dyspnea, mild cyanosis, and marked...
A 155 lb., 60-year-old man had a chronic productive cough, exertional dyspnea, mild cyanosis, and marked slowing of forced expiration. His pulmonary function and laboratory tests follow: Frequency 15 breaths/min Alveolar ventilation 4.1 L/min Vital capacity (VC) 2.2 L Functional residual capacity (FRC) 4.0 L Total lung capacity (TLC) 5.2 L Maximum inspiratory flow rate 252 L/min Maximum expiratory flow rate 21 L/min PaO2 63 mm Hg PaCO2 38 mm Hg Pulmonary function tests after bronchodilator therapy: Frequency 15 breaths/min...
Chief Complaint: 68-year-old man with a cough and dyspnea ("shortness of breath") for the past week....
Chief Complaint: 68-year-old man with a cough and dyspnea ("shortness of breath") for the past week. History: Daniel McDonald, a 68-year-old white male with a 40-pack-year smoking history suffered from chronic bronchitis for which he had been on antibiotics for several months. Two weeks ago, he began coughing up a bloody sputum ("hemoptysis"). In the past week he's become increasingly short of breath. A routine chest X-ray revealed two silver dollar-sized opacities on the right side of the carina. Bronchoscopic...
Chief Complaint: 68-year-old man with a cough and dyspnea ("shortness of breath") for the past week....
Chief Complaint: 68-year-old man with a cough and dyspnea ("shortness of breath") for the past week. History: Daniel McDonald, a 68-year-old white male with a 40-pack-year smoking history suffered from chronic bronchitis for which he had been on antibiotics for several months. Two weeks ago, he began coughing up a bloody sputum ("hemoptysis"). In the past week he's become increasingly short of breath. A routine chest X-ray revealed two silver dollar-sized opacities on the right side of the carina. Bronchoscopic...
A 63-year-old man who is complaining of severe shortness of breath is brought by ambulance to...
A 63-year-old man who is complaining of severe shortness of breath is brought by ambulance to the ED. He is 5 ft, 11 in (71 in) and weighs 175 lb (79.5 kg). His vital signs are blood pressure = 175/115 mm Hg; heart rate = 140 beats/min and the rhythm is irregular; f = 22 to 24 breaths/min; and he has a normal temperature. His lips are cyanotic, his neck veins are distended, and both of his ankles show evidence...
A 67-year-old man presents to your office with worsening cough, sputum production, and shortness of breath....
A 67-year-old man presents to your office with worsening cough, sputum production, and shortness of breath. He is a smoker for the past 50 years. He is known to have Chronic Obstructive Pulmonary Diseases (COPD). He was in his usual state of health until one week ago until he got a common cold and since then he has a hacking cough and increased sputum production. this is all information I have 1. What are the two major clinical disorders/diseases are...
A 67-year-old man presents to your office with worsening cough, sputum production, and shortness of breath....
A 67-year-old man presents to your office with worsening cough, sputum production, and shortness of breath. He is a smoker for the past 50 years. He is known to have Chronic Obstructive Pulmonary Diseases (COPD). He was in his usual state of health until one week ago until he got a common cold and since then he has a hacking cough and increased sputum production. this is all information I have 1. What are the two major clinical disorders/diseases are...
A 75-year-old man, Patrick R., presented to the emergency department with fever, shortness of breath, chest...
A 75-year-old man, Patrick R., presented to the emergency department with fever, shortness of breath, chest pain, and severe, extremely productive cough. Patrick had been a heavy smoker for almost 50 years before he quit 7 years ago, when he was diagnosed with emphysema. Patrick occasionally used oxygen at home when he had difficulty breathing, and on presentation he was using portable oxygen because of his severe respiratory distress. A chest X-ray revealed a right lower lobe infiltrate, and Patrick...
Daryl is a 32?year?old man who presents with a 6?month history of shortness of breath even...
Daryl is a 32?year?old man who presents with a 6?month history of shortness of breath even during activities that require only minor exertion. He has noticed increasing limitation in his exercise capacity and denies wheezing, cough, or phlegm production. He has smoked for 15 years and continues to smoke. Daryl's father has been told he has early compensated cirrhosis but has never drank alcohol; his mother is in good health. Daryl’s serum protein electrophoretic results are shown below:     Adult...
A 9-year-old female with cystic fibrosis presented to the pulmonary clinic with persistent exertional dyspnea and...
A 9-year-old female with cystic fibrosis presented to the pulmonary clinic with persistent exertional dyspnea and cough with scant sputum production. Physical assessment revealed normal vital signs, but she had an oxygen saturation of 91% while breathing room air. Her weight had fallen from 68.2 kg to 65.5 kg over the last 3 months. Cardiovascular assessment was completely normal. Lungs demonstrated coarse breath sounds bilaterally and were moderately decreased. The abdomen was normal, extremities demonstrated mild clubbing, and there was...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT