[Verified Answer]: Are these findings consistent with…

Are these findings consistent with diagnosis of COPD? If yes, what Stage of COPD using the GOLD criteria? • Records Review Unable to determine when last pneumoccal vaccine was given – Patient and wife don’t recall “a pneumonia shot” – Does know he got his “flu shot” last month at a grocery store In a patient with COPD, assessment of symptoms should include the following? A. Severity of breathlessness B. Sputum production C. Wheezing D. Weight loss/anorexia E. All of the above • JS current symptoms include the following: – Unable to speak in full sentences for the past several hours per wife – Cough productive but unknown color of sputum – Audible wheezing since last night per wife – Mild chest tightness – Dyspnea • His wife has noted no change in his alertness or mental status • When you inquire, the wife states that JS usually has a cough, worse in the morning, productive of gray sputum, gets short of breath if he walks more then 10 feet, and has episodes of wheezing if he gets sick (e.g. with an upper respiratory infection). • He usually is able to help around the house with light work and fixing things. • Physical examination – Vital Signs: BP 128/74; P 68, reg; RR 32; Ht 5ft 6 in; Wt 122 lbs; T 101.5 °F oral – Unable to speak in full sentences, audible wheezing, alert and oriented – Pertinent positives: • General: audible wheezing, no accessory muscle use • Nails: tar stains, clubbing • Chest: increased anteroposterior (AP) diameter; diffuse wheezing to auscultation • Heart: regular, no murmurs