= dey | productive
= ang spetvm ? olor? = chronic sputom producti
= pecttern Of cough — chronic Ciyh! may be interment
VW theceghort th dong
ven? Wiser oF int CTA VTA
ob
= Progeessivedly worsening?
= niggrmverting [rekwung fruters
= worsen on exertient
= pursstent?
Fever
= hy | low greek:
= neaintek wil dhills # ogpes
= thawing foters? — mustiuation, tepid sponyany ?
Rist footer hy
= Sealey = Wee
ceeupetional dust | cemienl
= dvr daar mr pallstaen
= Seth feo biamess [rel busning ber coking % heat ng in prong Vented sunlings
[SHA 2f LORD ia finery mambte, neaynbert, Uellanyie, et werk= dvtdeor wir palltven
(= Grndity £09 _biomess jyul_ burning [0 ny fhe 1s Peery Vertaal bevelngs
= Hx 06 WOPD in frmig mrmber, neignbove, y ort wove
Pargt merci hy
= Wstony of peroistent | Cewttunt Cepirnise, deseare,
+
|
Dan tentment pal contno,
= Aiidhood ost hone?
Chrome Obstextive primonnes disense Copp)
te patient iS m bo yuer ale. gett yman who s oo kenown smoker.
|The symptoms ace slowly “ie resively es he Nas been supgtting prom
copie stay _nilments per they pest Tdeys: He hes teen sohaled enedcation
rt Denn 2005
[= The petient iS mlttedy nt stayt with Serio brt commen complication of
LAPD when he streted to develop blerterel petting ulema, Lower extreme
—telaerne te pehiact_sicth_ CaP is_vevally sign 9¢ vor pulmonale (pvlmonary
|__hypertynsion and nght dud henct grilvey). COPD eekes the hunct wort.
@bazic”|! rh. “i which pump» loo, phe lng cow
of poor a rerssck .,movrrt Of
cthe bleed cmsing vlood versed +o vanstrct. Many cf ibe cesilat
the mlvecl ace usted in she disease Drogas matiy dhe heard
[ bedee -to fot wood throvt fwer canstictad blord vessels As
_fesvit oy ths 2 H0rt, the cifht vemblely bigots trlngil whe htact wills
| thivtewn nek thee s