[Verified Answer]: Patient ProfileD.B

Patient ProfileD.B. is a 63-year-old electrician who came to the emergency department complaining of shortness of breath, morning cough, and swelling in his lower extremities.Subjective DataHas smoked one pack of cigarettes daily for over 30 yearsHas difficulty breathing when he walks Has been sleeping in a recliner to make it easier to breathe His shoes are tight at the end of the dayObjective DataPhysical ExaminationBlood pressure 125/90, pulse 90, temperature 98.4deg F, respirations 32Increased anterior-posterior diameterBreath sounds diminished with prolonged expiration2 peripheral edema bilateral lower extremitiesThin with muscle wastingRespirations laboredDiagnostic StudiesArterial blood gases: pH 7.32, SaO2 86%, PaCO2 55 mm Hg, PaO2 70 mm HgChest x-ray shows hyperinflation of lungsFEV1 65% . What complication associated with the diangosis of COPD does D.B. also have? What clinical manifestation led you to that and what is the cause of it?