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Respiratory symptoms, COPD severity, and health related quality of. Suppurative Chronic cough, copious purulent expectoration, general toxemia, clubbing of fingers varying from slight parrot beak curvature of finger nails to bulbous drum stick enlargement pulmonary Metronidazole medicine, dyspnoea and perhaps haemoptysis, weakness, loss of appetite, digestive disturbances, loss of weight, mild anaemia. Drugs easily lead to the drug induced liver diseas. Gallstones can also lead to shock. PHYSICAL FINDINGS Findings are non specific and may be attributed to other conditions.