303
Clinical8516010126101140179258296358429467
task.5246601012647117172251283
At8518390128101140
the1026839012862131194
appointment1255839012885154224294333402442552612682721
with20128390128122161200270
the2317839012862131194
therapist,2546839012861130193240302371410465503539
patient3120839012892154193232294364403
Petrov35588390128101163201248317388
Sidor39808390128101140209279326
Andreevich43418390128123192263310372434504542605674
(date5051839012869138201238301
of5387839012892138
birth8511080012870110157195264
23.07.1956)11511080012871140176246316351420490560630677
with186410800128101140179249
complaints21481080012863133243311350413451522560614
of27981080012871118
cough29511080012863132202272342
in33291080012839109
the34741080012839109172
morning368210800128109177224294334403473
hours,41901080012871141211258311347
periodically45721080012871133180218288358397459522560599670
with527610800128101140178248
the8511321012839110172
discharge105713210128110149203266335398445514576
of166913210128109156
transparent18591321012879127188257312382444491553623661
sputum25561321012893164234272343452
of304113210128111158
mucous323313210128149217280350421476
character374313210128107176239286348409449511557
in43351321012878148
a451813210128103
small46551321012895205264304343
amount,503313210128102211279350420459494
shortness8511563012855125195242280351412467521
of140815630128239285
breath172815630128239286347408447518
during228215630128237307354392463532
physical285015630128237308379431471534596634
exertion,351915630128232302364410449488557628664
rapid421815630128215276345385454
fatigability.470815630128215278316355425487556595634673712783816
Smoker's8511805012878188256327389436461515
cough14021805012885156225295366
in18031805012861131
the19701805012862132195
mornings220018050128133200247318357427498552
bothers27871805012893163202271334381435
for32571805012870141188
more348018050128133201248310
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2041261805012893163
years,43251805012894154217263318354
complaints47141805012885154264332371434473543582636
of53861805012892138
shortness8512046012855125195242280351412467521
of14082046012885132
breath15752046012886133195257295365
of19762046012886132
varying21442046012886149196266303374443
severity26232046012870133202264311349388459
-31152046012867
about32172046012878148217288327
1535792046012885156
years,37702046012886147209256310346
first41512046012863102149203241
periodically44282046012885148195232303373411474536574614684
during51452046012887158204243313382
significant851228701285594164233273320358421483552592
physical14772287012875144215268307370432470
exertion,19832287012866135198245283322392462497
for25152287012851121167
the27172287012844113176
last29282287012843105159198
3-431612287012874124194
years33912287012874135197244299
they37252287012842113175245
are40032287012867114176
of42142287012875122
a43712287012866
constant44712287012867137206261300363432471
character.49772287012866136198245307370408471517551
Exacerbation8512529012886155218281343390459522559599669738
3162525290128125
times17852529012893131241302357
a217725290128117
year,232925290128125186248295330
treated26942529012894141203265304366435
on316525290128124194
an339525290128116186
outpatient361625290128124194233303366404443505575613
basis.426525290128124185240280334369
Did466925290128156195264
not496925290128123194233
take52372529012893155224287
medications85127710128109170241280343405443483552622677
regularly,15632771012860122191262300363410448517552
for21502771012860131178
the23632771012852123185
last25822771012853116169208
year28252771012885145207254
with312827710128102140180249
pronounced34132771012883130199270339409480542604674
shortness41212771012869138209255294364427481535
of46922771012883130
breath48572771012883130193254293363
used52552771012883138200269
only8513012012870141179250
salbutamol.11343012012872135174244314353416526594633669
CAT183830120128111212296
1921683012012888159
points.23623012012887157196266305359395
mMRS280930120128109232325403
–32483012012889
2.33733012012888123
Height353130120128119181219288359398
168,39643012012887157227262
weight426230120128118180219289359398
6646953012012887158
kg.48883012012887156192
BMI511530120128111236282
=54323012012896
23.48513254012870141176245
kg/m2.17813254012870141179289358393
WC285932540128133224
=37693254012879
8045333254012870141
cm53593254012862172
Smokes8513495012878188256327389444
for13313495012848119166
4515323495012872142
years17093495012874134197243298
on20433495012873144
average22223495012866135198243306376438
126953495012873
pack28043495012872135197266
of31063495012872119
cigarettes32603495012864103174236283345383422485539
per38343495012872135182
day40513495012872135205
until42903495012873144183222261
the45873495012841111173
present47953495012874121182237299369407
time,5238349501284280190250285
worked85137360128101171218288351420
for13073736012847115163
2515053736012870139
years16803736012870130193239294
in20103736012839108
contact21533736012863133202241303366404
with259237360128102140179249
welding287637360128102163202272310381451
aerosol.33623736012863125172241296365404439
SI38363736012878125
=39963736012879
4541093736012871140
pack/years.42853736012870132194263302373433496543597633
Objective85141120128101171210272335374412483545
data14324112012898161199262
.16954114012635
On176441120128101171
examination,19714112012891161223333369440503542580651720756
the27624112012868138201
condition29994112012892162231301341379419488558
is35914112012869123
satisfactory.37504112012884147184224278325387450488557605675709
Diffuse449541120128131170217263334389451
cyanosis.49804112012892162223293363419457512547
Swelling8514354012878179241280320358429498
of13854354012899146
the15664354012867138201
neck18024354012898161222291
veins.212943540128100161200270325361
Respiratory252543540128123184238308347394456495565612682
rate32404354012877139178241
2135164354012899168
per372043540128100162208
1396343540128100
minute.409843540128139176247317356418454
The458743540128115184247
chest48694354012892161224278316
is52214354012868122
of537943540128100146
emphysematous8514595012862173241311382435497608668707777847902
shape,17874595012897166229298361396
pulmonary221845950128110181220329397468530577647
sound28994595012896167236306375
with331045950128143181220289
a363545950128104
boxy377345950128112181251322
tint,41284595012880120189229264
breathing442645950128112159221282322391430500570
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buzzing138448370128107176239301339409480
rales18994837012884145183246300
from22344837012883130200310
both257748370128107177216286
sides.28984837012891130200265319355
Heart328648370128139200263309348
sounds36704837012890161231300371425
are41304837012899146207
muffled,437348370128144212259306345408478514
rhythm49224837012883154224262332442
is53974837012875130
correct,8515078012862133180227289350389425
accent13115078012875136198261330369
of17155078012883130
the18795078012852121184
II20975078012860106
tone22395078012852121191254
over25285078012882152214261
the28245078012850121184
pulmonary30425078012883152191300367438501548618
artery.36935078012875122161224271341374
HR411550780128101194
–43445078012887
8244665078012884153
per46555078012883144191
148815078012882
min.501150780128110146217252
The52995078012898168230
abdomen8515320012862133202273382442513
is1399532001284095
soft,15305320012854123171210245
the18105320012839109171
liver2016532001284079149212258
at23095320012863102
the24465320012839109171
edge26525320012864133203266
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the31055320012839110172
costal33115320012863133188227289327
arch36745320012863110172241
is3951532001283993
dense,40805320012870133202257320355
painless.44705320012870132172241280342396451486
There49925320012886155218264326
are53535320012863110171
no8515560012870141
peripheral10265560012870133180217288358420467528567
edemas16295560012862131194303363418
of20825560012871117
the22345560012839109172
lower24415560012839108210272319
extremities.27955560012862131170217279388425464504566621657
SpO2=96%.34895560012878147249318398467537654689
Data85159370128101163202265
from115159370128116163232341
previously152559370128140187249319358429498552591661
performed222059370128139202249295366412521581651
additional290759370128131202272311349389458529591630
instrumental357259370128107177232271318387496556627666729768
research437559370128115176231294356403464535
methods:494459370128179238278348419488543582
R-graphy8516179012894140211258320389459529
of141461790128103150
the15996179012873143205
chest:18396179012896166228281321359
pulmonary223461790128103173211321389459522569639
fields29066179012880119182221292346
of328661790128104151
increased34726179012872142205251313375429491562
transparency,40696179012871118181250304375436483545616679749782
pulmonary488661790128103174212322390460523570640
pattern8516420012870133172210273320389
is3055642001283994
enhanced.49656420012862133202265335397459528564
ECG:8516661012886179280319
rhythm12056661012854124195232303412
sinus,16516661012861101171241296332
HR202366610128101194
8022526661012877148
per24366661012876139186
126576661012876
min.,277666610128110146217252288
blockade30986661012877116186249318381451513
of36466661012877124
the38056661012846116178
right4018666101285493163232272
bundle43256661012877147218287326388
branch47496661012877124186255318387
block.51726661012876115193254325359
Spirography:8516903012878148188234304374421483552622693730
FEV1161669030128104190291360
–20126903012896
43%,21446903012895166283318
FEV1/FVC249769030128102188289358398476578671
=320269030128103
59%.33406903012897166284318
CAT369369030128120221306
=403469030128105
1941736903012896166
points.43746903012895166204274313367403
mMRC481269030128135257351445
=529269030128105
354326903012895
points.8517143012870141179249288342378