Case Study – 58 Year Old Male with Cough & Shortness of Breath Complete DDx & COPD Exam Findings (Chamberlain University)

Case Study – 58 Year Old Male with Cough & Shortness of Breath Complete DDx & COPD Exam Findings (Chamberlain University)Comprehensive case study analysis for advanced differential diagnosis and physical assessment practice. Patient Case: - Name: John Barley, 58‑year‑old male farmer - Chief Complaint: Progressive cough and shortness of breath (1 month) - History: - White phlegm for past two winters - Cigarette smoking, possible chemical exposures - No orthopnea, PND, or leg swelling - No recent travel or TB exposure - Past Medical History: Rare medical visits, otherwise unremarkable Clinical Reasoning: - Initial DDx: Acute vs chronic bronchitis, COPD, pneumonia, panic disorder, other pulmonary causes - Teaching Point: Duration distinguishes acute vs chronic bronchitis; chronic bronchitis involves long‑term inflammation and structural changes - COPD Consideration: Patient’s smoking history + chronic phlegm production raise suspicion Physical Exam Findings: - Vitals: Temp 98.9°F, HR 94, RR 22, BP 128/78 - General: Mild dyspnea - HEENT: Normal - Neck: Supple, no masses or lymphadenopathy - (Further exam findings can be expanded for COPD assessment: barrel chest, prolonged expiratory phase, wheezing, decreased breath sounds, use of accessory muscles, cyanosis, clubbing) Complete case analysis included Differential diagnosis reasoning explained Physical exam findings consistent with COPD Perfect for assignments, simulations, and exam prep