Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In this ‘Cardiology Case Challenge’, join your fellow doctors to discuss and answer today’s question regarding ‘a middle-aged smoker with progressive dyspnea?’. A 52-year-old man presented with purulent sputum production and progressive dyspnea.
The patient was on tiotropium bromide and albuterol for chronic obstructive pulmonary disease. He was a smoker who smoked nearly 40 packs in a year. Medical history included Type II Diabetes Mellitus Hyperlipidemia Coronary artery stenting Physical examination revealed Temperature: 100.5 F Pulse: 130 beats/min Blood pressure: 130/84 mmHg Oxygen saturation: 86% Respiratory rate: 28 breaths/min Barrel shaped chest Hepatojugular reflux Inspiratory crackles Ventricular gallop Pulsus paradoxus Source: Medscape