Problem: A 46-year-old male, presents to the primary care office reporting a productive cough. He states that this has been ongoing for several months, maybe even a year; however, it is concerning to him so he would like to discuss this with you. Past Medical History • Denies any significant medical history Physical Examination • Height: 70 inches; weight: 230 lb Social History • Smokes one pack of cigarettes per day for the past 15 to 20 years • Unsuccessful prior attempts at smoking cessation due to work-related stress Labs • Forced expiratory volume in one second/forced vital capacity (FEV1/FVC): 68 (range 76.5-88) • Forced vital capacity (FVC): 4.09 (range 2.4-4.1) • GOLD staging: Stage 1 chronic obstructive pulmonary disorder (COPD; mild) • COPD assessment test (CAT) score: 7. Need Assignment Help?