When we first meet Dory, she's just swimming around minding her own business when suddenly she bumps into Marlin and instantly offers to help him hunt down his son.
Chronic obstructive pulmonary disease (COPD) is a leading cause of death and disability internationally. Alveolar hypoxia and consequent hypoxemia increase in prevalence as disease severity increases.
These cases result in usually painless swelling of the face and neck, with an immediate onset, the crepitus (crunching sound) typical of subcutaneous emphysema, and often with subcutaneous air visible on X-ray. One of the main causes of subcutaneous emphysema, along with pneumothorax, is an improperly functioning chest tube.