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3. Case Study
Sam brings a 71-year-old man to the emergency department. He claims that her father has experienced breathing problems for many years, but now he’s worse. The patient is alert and has trouble completing sentences because of apparent shortness of breath and pursed-lip breathing. His temperature is 100.8o F; his respiratory rate is 28 breaths per minute, with diminished breath sounds. Low-flow oxygen is administered, and the patient appears to be in less distress. A chest radiograph reveals diaphragms that are lowered and flattened with blunted costophrenic angles, and possible presence of bullae.
•What disease process do these radiographic findings suggest? Explain.
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