Use the following patient vignette to answer questions 22 –…
Use the following patient vignette to answer questions 22 – 23. Mr. Plum, a 68 y.o. man, is seen in your office for a chief complaint of dyspnea and cough. His vitals are 128/80 mmHg blood pressure, 72 bpm, 26 RR. The patient is afebrile. Physical inspection reveals rales at the lung bases. The rest of the physical exam is within normal parameters. Past history reveals episodes of recurring lung infections over the last 12 years. The patient indicates that the current symptoms started about 9 months ago and have progressively worsened since. Mr. Plum has been smoking 1 pack per week since age 17. More recently, he has decreased his cigarette consumption but has not stopped completely. Mr. Plum has worked in a manufacturing plant for house insulation material for more than 20 years. He is now retired following the recent closure of the plant after an Environmental Health & Safety inspection. Based on the symptoms and the patient’s history, which of the following is the most likely cause of the patient’s condition?
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