№ files_lp_3_process_7_020744
Problem-based learning clinical case scenario presenting a middle-aged smoker with chronic productive cough and acute exacerbation of obstructive airway disease for integrated discussion in undergraduate medical education.
Institution: Ziauddin University
Course/Module: Respiratory System
Program: 1st year MBBS
Session Type: Problem-Based Learning (PBL-3)
Date of PBL: 9 September 2025
Batch: XXX
Patient Age: 45 years
Patient Gender: Male
Clinical Setting: Emergency Room and OPD follow-up
Presenting Complaints: Chest tightness and shortness of breath
Relevant History: Chronic productive cough for 3 months; 15 pack-year smoking history
Physical Examination Findings: Clubbing, cyanosis, tachypnea, hypoxia, hyper-resonant chest, prolonged expiration, coarse crackles and rhonchi
Investigations: Chest X-ray; Pulmonary Function Tests (pre- and post-treatment)
Initial Management: Oxygen therapy, intravenous hydrocortisone, nebulized salbutamol, inhaled ipratropium bromide
Discharge Medication: Ipratropium bromide; Salmeterol/fluticasone combination inhaler
Follow-up: OPD visit after 5 days
Thematic Focus: Pathophysiology and management of obstructive airway disease with integration of anatomy, physiology, pathology, and pharmacology
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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