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    Patient case study on obesity hypoventilation syndrome
    Relate case study to a 60 year old man who has COPD and a high BMI came into A&E with chronic dysneoea, decreasing O2 stats. right ventricle dilatation. Very likely cor pulmonale(Differential diagnosis) secondary to chronic COPD – compensated Type 2 respirator failure diagnosis is right heart failure, pulmonary hypertension secondary to
    Chronic hypoxia treatment plan: NIV at night, fluid restriction – sleep studies to confirm OHS.
    atleast 15 references from journals, books etc. avoid websites
    Also include self reflection as a student on the ward  ( on assignment brief)

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