The Rational Clinical Examination
David L. Simel, Drummond Rennie
Donald R. Holleman Jr, David L. Simel
Clinical ScenariosDo These Patients Have Airflow Limitation?
airway obstruction, chronic obstructive airway disease
"In each of the following cases, the clinician needs to decide whether
the patient has airflow limitation. In case 1, a 63-year-old man
who has smoked 2 packs of cigarettes per day for the past 47 years
presents with decreased exercise tolerance caused by shortness of
breath. In case 2, a 35-year-old woman complains of coughing, wheezing,
and shortness of breath every autumn. In case 3, an 18-year-old
man is brought to an emergency department, with extreme difficulty breathing
that began earlier that evening...."
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