A 57-year-old woman with bullous emphysema and very severe airflow limitation with a forced expiratory volume in the first second of 18% predicted, presented to an outside facility with worsening… Click to show full abstract
A 57-year-old woman with bullous emphysema and very severe airflow limitation with a forced expiratory volume in the first second of 18% predicted, presented to an outside facility with worsening cough, sputum production and shortness of breath. She had been hospitalised multiple times in the last 6
               
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