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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