<prompt> A 65 year old man is scheduled for emergency laparoscopic appendectomy. He is a chronic smoker with history of severe COPD, diabetic and hypertensive, on insulin, metformin and antihypertensive medications, not on regular follow up. He also complains of dyspnea on walking more than a few meters. This patient would be assignedASA 3EASA 3ASA 4EASA 4  <response>: Elderly male patient poorly controlled diabetic and hypertensive, known smoker with COPD. His co-morbidities are constant threat to life. And since emergency appendectomy is done, it falls under ASA 4E. 