Does the patient have risk factors for chronic bronchitis?

Charles is a 56-year-old male who has smoked nearly a pack of cigarettes a day for about 30 years. Today he is having a cardiopulmonary stress test because he has been complaining of exercise-induced dyspnea that is alleviated by an inhaler. Charles will also be receiving the results of prior CBC and arterial blood gas readings. Charles coughs up some mucus before the test. After the test, Charles coughs violently and spits up blood.

1. What is dyspnea?

2. What is the cardiopulmonary stress test going to measure?

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3. Does the patient have risk factors for chronic bronchitis?

4. Does the patient have risk factors for emphysema?

5. What would you expect the values for spirometry, cardiac function, and lung elasticity (compliance) to show if this patient has chronic bronchitis?

6. What would you expect the values for spirometry, cardiac function, and lung elasticity (compliance) to show if this patient has emphysema?

7. Which presentation do you expect for Charles? Why?

8. What do you expect the CBC and ABG results to show for this patient?

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