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morning cough with excessive mucus production for the past 5

Thread: morning cough with excessive mucus production for the past 5

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  1. Asclepius1's Avatar

    Asclepius1 said:

    morning cough with excessive mucus production for the past 5

    A 51-year-old male smoker presents with fever and a cough productive
    of greenish-yellow sputum. The patient states that he has had a
    morning cough with excessive mucus production for the past 5 years.
    Which of the following abnormalities would most likely be found in
    this patient?

    A. Apical cavitary lesions on x-ray
    B. Curschmann spirals in his sputum
    C. Elevated salt levels in his sweat
    D. Enlarged hilar lymph nodes on x-ray
    E. Increased Reid index
     
  2. pathologyguy said:
    Sounds like he has chronic bronchitis.

    My answer is E. increased reid index.

    The Reid index measures the gland to wall ratio (normally glands are 1/3 of wall thickness as measured from epithelial basement membrane to cartilage). The ratio is increased in chronic bronchitis.
    Real definition of chronic bronchitis:

    # A patient has chronic bronchitis when he or she has a

    * persistent, productive cough
    * for at least 3 months
    * in at least 2 consecutive years.
     
  3. alidhmy@hotmail.com said:
    what about the other four choices
     
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