clinical examination
1] dyspnoea is present patient accessory muscle of respiration are hyperactive
2]chest may be barrel shaped on inspection and hyper-resonant on percussion
3]wheezing is audible
4]cyanosis may be present
5]Auscultation of chest show presence of rhonchi
6]in some case basal crept are also present along with rhonchi .raised JVP hepatomegaly and oedema feet are indicative of corpulmonale
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