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Anorexia and weight loss often develop and suggest a worse prognosis.
Patients with severe disease experience tachypnea and respiratory disturb with naive activities.
The respiratory rate increases proportionally to disease severity.
Using of accessory respiratory muscles and paradoxical indrawing of lower intercostal spaces is evident.
Elevated jugular venous pulse, and peripheral edema are observed.
Thoracic read-through reveals hyperinflation, diffusely decreased breath sounds, hyperresonance on percussion.
Anthonisen NR Prognosis in chronic obstructive pulmonary disease, results from multicenter clinical trials Am Rev Respir Dis Sep 1989;140 ,S95-9
Indication of Source
100 Days of Weight Loss, Linda Spangle, 2006
Daily Word for Weight Loss, Colleen Zuck, Elaine Meyer, Janie Wright, 2001
Dr. Shapiro’s Picture Perfect Weight Loss Shopper’s Guide, Howard M. Shapiro, 2001
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