Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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A stocky 50 yr old male smoker presents to the medical clinic complaining of a productive mucoid cough for the last three years. PE reveals an obese male with an unremarkable PE. A CXR shows increased peripheral lunk markings. An ABG demonstrates a PaO2 of 53 mm Hg and a PCO2 of 54 mm Hg.
1) What is the most likely diagnosis?
2) What reatment, if any, should be instituted?
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| darkhorse
Forum Elite
Topics: 56
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chronic bronchitis....stop smoking
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When going gets tough, the tough gets going
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| tamerbashir
Forum Elite
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| cool doctor
Forum Junior
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I think he needs oxygen
the indication for oxygen in COPD pts is PO2<55
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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1) Chronic bronchitis
2) Tx: O2 therapy, Cessation of smoking. Additionally inhaled beta agonists and anticholinergics (ie ipatropium bromide) may reduce dyspnea, and bronchospasm. Steroids (inhaled) may benefit those patients with a reversible inflammatory component.
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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