This case highlights the value of spirometry

A 63-YEAR-OLD male presents for review and titration of anti-hypertensive medication. He is relatively new to your practice and you are in the process of addressing lifestyle issues.

Other past medical history includes hypercholesterolaemia, obesity, type 2 diabetes, chronic lower back pain and depression. He drinks three standard drinks per day and denies illicit drug use. He has smoked 20 cigarettes per day over the last 40 years. He has tried to quit without success but has not attempted recently due to a lack of motivation.

He initially denies respiratory symptoms, however on direct