NR 509 You are examining a 60-year-old male with a long-stan, Lecture notes of Accounting

Download NR 509 You are examining a 60-year-old male with a long-stan and more Lecture notes Accounting in PDF only on Docsity! NR 509 You are examining a 60-year-old male with a long-standing history of COPD. The patient reports smoking since he was a teenager. Which of the following physical examination finding(s) are expected with the patient presentation? Select all that apply. A. AP diameter that exceeds 0.9 B. generalized hyperresonance to percussion over the lung fields C. increased length of expiration D. jugular vein pressure that is decreased during expiration E. cough with scant, mucoid sputum The physical examination findings expected in a patient with a long-standing history of Chronic Obstructive Pulmonary Disease (COPD) who has been smoking since his teenage years are:  A. AP diameter that exceeds 0.9  B. generalized hyperresonance to percussion over the lung fields  C. increased length of expiration  E. cough with scant, mucoid sputum Explanation COPD is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It is typically caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. A. AP diameter that exceeds 0.9 In COPD, especially in the emphysema subtype, the anteroposterior (AP) diameter of the chest may increase, leading to a barrel-chest appearance. This is due to hyperinflation of the lungs. B. Generalized hyperresonance to percussion over the lung fields Hyperresonance on percussion is a common finding in COPD. This is due to the presence of trapped air in the lungs, which gives a lower-pitched, hollow sound. C. Increased length of expiration Patients with COPD often have prolonged expiratory phases due to obstructed airflow. This is a result of loss of elastic recoil in the lungs and collapse of the small airways during expiration. D. Jugular vein pressure that is decreased during expiration This is not typically associated with COPD. Jugular venous pressure (JVP) may increase in heart failure, but it is not a common finding in COPD. E. Cough with scant, mucoid sputum