,HISTORY OF PRESENT ILLNESS:, A 48-year-old African-American male with a history of coronary artery disease, COPD, congestive heart failure with EF of 20%-25%, hypertension, renal insufficiency, and recurrent episodes of hypertensive emergency, admitted secondary to shortness of breath and productive cough. 
,HISTORY OF PRESENT ILLNESS : , A 48 - year - old African - American male with a history of coronary artery disease , COPD , congestive heart failure with EF of 20%-25 % , hypertension , renal insufficiency , and recurrent episodes of hypertensive emergency , admitted secondary to shortness of breath and productive cough .