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Your patient is a 67-year-old male who reports a history of 45 pack-years of cigarette smoking and frequent respiratory infections. He reports a chronic cough, which has recently become much worse. He is overweight and displays peripheral cyanosis. Auscultation of the chest reveals rhonchi. There is also noticeable jugular vein distention. You should suspect

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Your patient is a 67-year-old male who reports a history of 45 pack-years of cigarette smoking and frequent respiratory infections. He reports a chronic cough, which has recently become much worse. He is overweight and displays peripheral cyanosis. Auscultation of the chest reveals rhonchi. There is also noticeable jugular vein distention. You should suspect






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