MS, your 62-year-old male patient, missed his

MS, your 62-year-old male patient, missed his last annual appointment scheduled 6 weeks ago. Today, he describes his cc as SOB with ADL’s. He also reports coughing for the past 2 months when he wakes up in the morning. He states he clears his throat frequently. PMH HLD (Tricor 145mg daily), HTN (Olmesartan 20 mg PO daily). Smoked cigarettes for 2-3 years in 20’s. Post bronchodilator spirometry results Test Result (% Predicted) % Change FEV1/FVC 60 4 FEV1 61 3 FVC 62.8 4 1. What is the interpretation of results 2. What is the Interpretation of reversibility/GOLD severity grading with references 3. What is the most likely diagnosis 4. What is the treatment strategy with rationale with references SCIENCE

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