MEDICAL DIAGNOSIS CASE Harvard Case Solution & Analysis


Question 3

            According to the BMI Index factors, the patient is technically underweight (Classification", 2012). The calculations could be seen in the excel spreadsheet.

Patient Statistics

Height of Patient


Weight of Patient



Height of Patient (inches)






Patient Weight



Question 4

            The risk factors for Chronic Obstructive Pulmonary Disease for this patient are many such as follows:

  • The significant long term smoking of the patient. The more years the patient has been smoking this is becoming a significant risk (Excellence., 2012).
  • Another risk factor could be the deficiency of Alpha-1 Antitrypsin (AATD).

            Looking at all the above risk factors for Chronic Obstructive Pulmonary Disease for this patient, currently smoking is the only most significant risk factor for this patient.

Question 5

            The clinical manifestations which are consistent with chronic bronchitis are the cough of the patient, production of the mucus also called as sputum, shortness of breath, fatigue and also chest discomfort. The patient might have developed chronic bronchitis as a result of excessive cigarettes smoking (Holland AE, 2012).

Question 6

            The clinical manifestations in this patient which are consistent with emphysema are that the patient has a difficulty in breathing and this might have begun gradually without any other symptoms (Spencer, Karner, Cates, & Evans, 2011). The patient is so short of breath at a time that he is not able to perform the daily tasks and that the patient experiences difficulty in breathing even when he is at rest. Moreover, upon the arrival of the patient and on the emergency table, few sounds of auscultation were heard and the patient was also having difficulty in climbing up onto the table of the examiner. He was also experiencing difficulty in completing a single sentence without a long pause. ....................

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