A man in his 80s with a history of chronic obstructive pulmonary disease (COPD) presented with progressive dyspnoea and purulent sputum. His oxygen saturation was 91% on room air. Physical examination revealed the use of accessory respiratory muscles, such as the prominent hypertrophy of the
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Taiki Nishiba
BMJ Case Reports
Shimane Prefectural Central Hospital
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Taiki Nishiba (Wed,) studied this question.
www.synapsesocial.com/papers/69d0aefd659487ece0fa4efe — DOI: https://doi.org/10.1136/bcr-2026-272272