Description
A 36 year old ex smoker presents for inguinal hernia repair. He says he is fit, although he gets short of breath on climbing stairs and had to stop playing football last year. He is thin and appears mildly short of breath having just walked to his bed, but is not wheezy. His ECG, CXR and spirometry are also shown, Figures 1-3. He was seen in the chest clinic recently and a CT scan of his chest was performed (Figure 4)
Q1. Describe his ECG (Figure 1).
Q2. Describe his spirometry, what does this imply (Figure 2)?
Q3. Describe his CXR (Figure 3)
Q4. What does his CT scan show (Figure 4)?
Q5. What respiratory problems does he demonstrate and describe the likely underlying medical condition?
Q6. How will this affect your anaesthetic technique?

