ABSTRACT

A 66-year-old woman has presented with shortness of breath and a cough. She has been feeling unwell for a week, with a cough productive of green sputum. She is known to have chronic obstructive pulmonary disease (COPD) and has had multiple previous hospital admissions with infective exacerbations. She is on treatment with inhaled bronchodilators and inhaled corticosteroids. She gave up smoking two years ago.