A 58-year-old man comes to the physician because of a 5-day history of progressively worsening shortness of breath and fatigue. He has smoked one pack of cigarettes daily for 30 years. His pulse is 96/min, respirations are 26/min, and blood pressure is 100/60 mm Hg. An x-ray of the chest is shown. Which of the following is the most likely cause of this patient's findings? A) Left ventricular failure B) Tricuspid regurgitation C) Spontaneous pneumothorax D) Acute respiratory distress syndrome E)
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A thorough examination of the lungs involves inspection, percussion, palpitation, and auscultation. The examination usually begins with the back, with percussion and auscultation starting lateral to the upper spine and then moving down, alternating between the left and the right side for comparison. The right middle lobe is best assessed from the front. Abnormalities on one side of the lung, e.g., dullness to percussion, increased tactile fremitus, or dry crackles, should always be compared to t
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