The Rational Clinical Examination
David L. Simel, Drummond Rennie
Airflow Limitation
Donald R. Holleman Jr, David L. Simel
Clinical Scenarios—Do These Patients Have Airflow Limitation?
Topics Discussed:
airway obstruction, chronic obstructive airway disease
Excerpt:
"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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