
Introduction
A long-standing cough is sometimes considered a normal consequence of smoking or ageing. However, persistent cough and increasing breathlessness can be signs of COPD.
The Case
A patient with a history of smoking visited the clinic with chronic cough, phlegm production and breathlessness while walking.

Evaluation
A detailed respiratory assessment was performed. Pulmonary function testing can help evaluate airflow limitation.

Management
Depending on the patient’s condition, management may include smoking cessation, inhaled medicines, vaccinations, pulmonary rehabilitation and regular monitoring.
Takeaway
Persistent cough, sputum production or breathlessness should not be ignored, particularly in people with a history of smoking.
