A 62-Year-Old Man Is Evaluated for Persistent Dry Cough and Exertional

question 351

Short Answer

A 62-year-old man is evaluated for persistent dry cough and exertional dyspnea that has progressed over the past year.  He has had difficulty accomplishing normal daily activities.  The patient has no significant medical history and takes no medications.  He smoked cigarettes for 10 years and quit 25 years ago.  The patient works as an investment banker and does not use alcohol or illicit drugs.  Vital signs are normal.  Physical examination shows bilateral inspiratory crackles and digital clubbing.  CT scan of the chest is shown in the exhibit.  Which of the following changes are most likely present in this patient's lung tissue?

A)A
B)B
C)C
D)D
E)E

• A)A
• B)B
• C)C
• D)D

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Definitions:

Premature Advice

guidance or recommendations given before fully understanding a situation or the needs of the person being advised, often leading to ineffective or inappropriate solutions.

Enthusiasm

Enthusiasm is the intense excitement, interest, or approval someone shows toward something, which can inspire others and positively impact various aspects of personal and professional life.

Squirms

Movements or gestures that are indicative of discomfort, restlessness, or impatience, often characterized by small, wriggling motions.

Fidgets

Small, restless movements, often performed unconsciously, that can be a sign of anxiety, boredom, or concentration.