MODULE 4- Case 1


Manzoor is a 53 year old man who has been coming to the outpatient department of your district general hospital, on and off for several years. He describes himself as suffering from 'lack of air' and takes salbutamol tablets 4mg tds.

He complains of shortness of breath and wheeze on exertion, worse going uphill but also on the flat for the past 1 year. He has had a chronic cough for about 4 years, usually bringing up white sputum, occasionally yellow. He has no history of fever.

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