HISTORY OF PRESENT ILLNESS:  ,A 67-year-old male with COPD and history of bronchospasm, who presents with a 3-day history of increased cough, respiratory secretions, wheezings, and shortness of breath. 
HISTORY OF PRESENT ILLNESS : , A 67 - year - old male with COPD and history of bronchospasm , who presents with a 3 - day history of increased cough , respiratory secretions , wheezings , and shortness of breath .