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Mr. Dan Griffith is a 65-year-old male who presented to the emergency department with
shortness of breath and chest tightness of recent onset.
He has a 7-year history of chronic obstructive pulmonary disease and is on oxygen at
home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of
98.9°F, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min.
1. Which of the following additional manifestations would be expected with a patient with
emphysema? (2 points)
A. Productive cough with thick sputum
B. A-P thoracic diameter of 1:1
C. Cyanosis
D. Edema

Respuesta :

c. Cyanosis

Emphysema is a type of chronic obstructive pulmonary disease (COPD) characterized by the destruction of the walls of the air sacs in the lungs, leading to abnormally large air spaces This condition results in the loss of elastic recoil in the lungs, making it difficult to exhale air

2. Given the characteristics of emphysema, the expected additional manifestations would be related to the impaired lung function and gas exchange

3 Considering the options:

A. Productive cough with thick sputum: This is a common manifestation of chronic bronchitis, another type of COPD, but not typically associated with emphysema.

B. A-P thoracic diameter of 1:1: This is a characteristic finding in patients with emphysema due to hyperinflation of the lungs, leading to a barrel-shaped chest.

C. Cyanosis: This can occur in patients with emphysema due to inadequate oxygenation of the blood, resulting from impaired gas exchange in the damaged lung tissue.

D. Edema: Edema is not a typical manifestation of emphysema.

4 Based on the manifestations expected with emphysema, the correct answer is:

C. Cyanosis

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