A 53-year old male, with a history of the chronic diffusive bronchitis, presented to the hospital symptoms of cardiopulmonary insufficiency, then resulted in the lethal outcome of the disease. An autopsy revealed increased volume and hyperinflation of lungs, which covered a mediastinum with their edges and keep their form when removed from the body and put at autopsy table. Gross investigation showed a pale grey colour of lungs and a crunch sound while making an incision of a pulmonal tissue. A pressing a finger on a lungs tissue creates a fossa. A mucopurulent exudate was determined within bronchis lumen. What is the most likely diagnosis?

GENERALISED LYMPHADENOPATHY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 53-year old male, with a history of the chronic diffusive bronchitis, presented to the hospital symptoms of cardiopulmonary insufficiency, then resulted in the lethal outcome of the disease. An autopsy revealed increased volume and hyperinflation of lungs, which covered a mediastinum with their edges and keep their form when removed from the body and put at autopsy table. Gross investigation showed a pale grey colour of lungs and a crunch sound while making an incision of a pulmonal tissue. A pressing a finger on a lungs tissue creates a fossa. A mucopurulent exudate was determined within bronchi’s lumen. What is the most likely diagnosis?

A	Chronic diffuse obstructive emphysema
B	Chronic focal emphysema
C	Intestinal emphysema
D	Primary idiopathic. emphysema

Explanation:

Detailed explanation-1: -Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that is defined as a productive cough of more than 3 months occurring within a span of 2 years. Patients typically present with chronic productive cough, malaise, and symptoms of excessive coughing, such as chest or abdominal pain.

Detailed explanation-2: -Chronic bronchitis affects the oxygen and carbon dioxide exchange because the airway swelling and mucus production can also narrow the airways and reduce the flow of oxygen-rich air into the lung and carbon dioxide out of the lung.

Detailed explanation-3: -Bluish fingernails, lips, and skin because of lower oxygen levels. Wheezing and crackling sounds with breathing. Swollen feet. Heart failure.

There is 1 question to complete.

MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY