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Routine Cough in a Lao Immigrant - Answer C

Author(s): Dr. J. Carey Jackson

c) True.  A 60+ pk/yr smoking history puts him at high risk for COPD. His history of previous episodes of bronchitis are consistent with chronic bronchitis. It may well be that he has COPD with bronchiectasis and is progressing. He may be presenting with a reactive cough, or with another bout of bronchitis as part of the pattern of chronic bronchitis.  He deserves another chest x-ray and PFT’s since there is no record of previous studies.


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