Demonstrates to the reader that any clinical problem most likely has several alternative solutions and indeed that rarely do they present as the textbook example.

A concluding section authored by one of the editors summarizes the key points and draws together the different contributions made.

1. Improvement of Symptoms in a Very Severe 52 Year-Old COPD Patient after Lung Volume Reduction Surgery
2. Patients with Very Frequent Exacerbations of COPD: Clinical Stabilisation after the Prescription of Inhaled Corticosteroids
3. Reduction of the Level of Dyspnea in an End-Stage COPD Patient
4. A COPD Patient with Bronchospasm Episodes after the Inhalation of Tobacco Smoke
5. Improvement in Exercise Capacity after Correct Calorie Uptake in a Severe Patient with Emphysema
6. A 36 Year-Old Patient with Stage I -- GOLD, Misdiagnosed as Asthmatic
7. Reduction in the Levels of Dyspnea, Improvement in Exercise Capacity and Clinical Stabilisation in a 68 Year-Old Patient with COPD
8. Clinical Approach to a COPD Patient with Muscular Hypotrophy
9. Improvement of Function and Health Status in a Severe Disabled Patient with COPD
10. A 62 Year-Old Never-Smoker Patient with COPD Caused by Occupational Exposure
11. Body Mass Index as a Prognostic Factor in COPD
12. Multiple Vertebral Fracture in a COPD Patient on Long-Term Inhaled Corticosteroids
13. Managing Acute Respiratory Failure during Exacerbation of COPD
14. Difficult Weaning in a COPD Patient with Acute Respiratory Failure after Use of Benzodiazepines
15. Suspected Exacerbation of COPD in a 56 Year-Old woman with Atrial Fibrillation
16. Antibiotics Allergy in a COPD Patient with Frequent Bacterial Exacerbations
17. Tuberculosis Re-exacerbation in a Very Severe COPD Patient on Chronic Oral Steroids
18. A 58 Year-Old Woman with COPD and Acute Fever after Visiting Some Relatives in the Countryside (Farmers' Lung)
19. Higher than Expected Rest Hypoxemia in a 67 Year-Old COPD Patient with only Mild Airway Obstruction
20. A 52 Year-Old Woman with Mild COPD and Important Oxygen Desaturation during Exertion
21. Hemi-Diaphragmatic Paralysis after Coronary By-pass in a 69 Year-Old COPD Patient