0:00
I'm presenting a COPD case study.
My name is Wissam Chatila.
0:06
KM is a 58-year-old man,
diagnosed with emphysema in 2010.
He presents to my clinic
for a second opinion
for management of his COPD.
He has no significant
past medical history.
He has no prior history of
cardiovascular disease or metabolic
diseases.
He is a retired airport
technician and former smoker.
He quit one year ago, and no
other history of illicit drug
use and/or prior exposures.
His family history is
significant, with a brother
who has a history of asthma.
0:45
He had three exacerbations per year
over the last two or three years,
some requiring hospitalizations.
He had two pneumonias
over the last two years,
in addition to his exacerbations.
He has no wheezing,
by history, but has
a slight cough, minimally
productive, with
occasional clear mucus production.
His mMRC score is 3.
That is, he is breathless with
mild to moderate activity.
He stops for breath
after walking 100 yards
or after a few minutes
on level ground.
He gets substantial
relief with the use
of albuterol nebulizer
treatments that he
takes three or four times per day.
