Pleural effusion Quiz: Ace Your Exams
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A 68-year-old man presents to the emergency department with increasing dyspnea, nonproductive cough, fatigue, and 10-lb weight gain in the past week. He has not experienced recent chest pain or fever. His past medical history is significant for myocardial infarction 6 months ago, and frequent hospitalizations for decompensated heart failure since. His most recent echo demonstrated an EF of 30%. Temperature is 37 °C (98.6 ℉), pulse is 115/min, blood pressure is 146/88 mmHg, respiratory rate is 16/min, and SpO2 is 92% on room air. On examination, there is decreased expansion of the right chest wall with inspiration. Rales are noted on auscultation of the left and right upper lung fields. Breath sounds are diminished or absent in the middle and lower right lung fields. Jugular venous distention and lower extremity edema are also present. Which of the following additional physical examination findings would likely be present?
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