Approach to lower airway obstruction (pediatrics) Quiz: Ace Your Exams

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A three-year-old girl presents to her primary care provider for re-evaluation of a chronic cough. Since infancy, the girl has had numerous respiratory infections. She also has been experiencing large foul-smelling stools, and poor weight gain since infancy. She is currently 3rd percentile for weight and 15th percentile for height. Temperature is 37.3°C (99°F), pulse is 115/min, respiratory rate is 28/min, blood pressure is 100/55, and oxygen saturation is 97%. On physical exam, the patient is thin-appearing. She appears comfortable and has no increased work of breathing. Diffuse rhonchi are heard throughout the lungs bilaterally. Which of the following additional physical findings would be expected on examination?  

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