TY  - CHAP
M1  - Book, Section
TI  - Chapter 56. Chronic Obstructive Pulmonary Disease
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  74-year-old  woman  and  longtime  smoker  presents  with  fatigue  and  shortness  of  breath.  She  has  not  seen  a  physician  for  many  years  and  says  she  has  been  basically  healthy.  On  physical  examination,  she  is  found  to  be  pale,  mildly  cachectic,  and  her  lips  are  cyanotic.  Her  breath  sounds  are  distant,  although  crackles  can  be  heard  in  both  lung  bases.  Her  heart  sounds  are  best  heard  in  the  epigastrium;  a  third  heart  sound  is  present.  She  has  mild  peripheral  edema.  Her  resting  pulse  oximetry  is  74%.  Her  chest  X-ray  (CXR)  shows  emphysema  (Figure  56-1)  and  her  echocardiogram  confirms  heart  failure.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57673612
ER  -