Clubbed finger tips usually means the person has lung or heart disease. It only makes sense if he smokes a lot of cigarettes (2 packs is a lot). The more he smokes everyday, the higher chance he could get the disease. Just to be sure, you might want to do tests for lung and heart disease. The coughing up blood might be a the result of smoking. It really depends on his state of shape and all of that stuff.
Answer: you might see little block-like structures if you look at any type of cell, if it is a plant cell you were looking at, you would be able to see the cell wall.
The medical Assistant should apologize for the inconvenience and explain to the patients in the waiting room that there was an emergancy at the hospital and reschedule their appointments.<span />