Case Study: COPD vs Asthma Patient 1: COPD Name: Mr. James Smith Age: 68 Occupation: Retired factory worker History: 40 pack-year smoking history Progressive shortness of breath over the past 3 years Chronic productive cough (especially in the morning) Occasional wheezing No history of allergies Exacerbations triggered by respiratory infections Clinical Findings: Barrel-shaped chest Decreased breath sounds Prolonged expiration Use of accessory muscles for breathing FEV1/FVC ratio: 55% (post-bronchodilator) Chest X-ray: Hyperinflated lungs, flattened diaphragm 1. Management Plan:
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