A 66-year-old man presents with progressive shortness of breath and a cough productive of yellowish sputum. Clinical Scenarios
His symptoms have been going on for the past 2 years. He has a smoking history of one pack per day for the past 47 years. On examination he is very thin and in moderate respiratory distress. Lung examination reveals a barrel chest and poor air entry bilaterally, with moderate inspiratory and expiratory wheezing. Lower extremities shows some pitting oedema.
What are the differential diagnoses?
What is the most likely diagnosis?
What tests would you request and what treatment would you advise?
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