Case Study Quiz - Chronic Bronchitis

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Case Study:  Harold, a 61-year-old male smoker, suffers from chronic bronchitis, which was diagnosed two years ago.   At that time he was treated with antibiotics, told to stop smoking and given a prescription for albuterol.  He attempted to give up smoking, but he says that, although he has cut back, he still smokes about half a pack a day.  He has been faithful about seeing his doctor for follow-up visits every six months, and has occasionally required antibiotic therapy when his bronchitis flairs up. On his most recent visit he reports that his dyspnea is getting worse, and he experiences wheezing whenever he does anything strenuous.  His doctor notes a slight bluish tint to his lips and mucous membranes, as well as peripheral edema and some enlargement of the liver. He informs Harold that his chronic bronchitis is getting worse and he is beginning to experience symptoms of cor pulmonale.