Shock Quiz: Ace Your Exams
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An 87-year-old male is brought to the emergency department with worsening shortness of breath. Per paramedics, the patient was found down at his assisted living facility with increased work of breathing. Yesterday, the patient was in no acute distress but was noted by nursing staff to be acting “more confused” than usual. The patient’s past medical history is notable for coronary artery disease, hypertension, and type II diabetes mellitus. Temperature is 38.9°C (102°F), pulse is 140/min, respirations are 32/min, blood pressure is 79/50 mmHg, and O2 saturation is 89% on room air. On physical exam, the patient is obtunded, ill appearing, and has both suprasternal and intercostal retractions. Laboratory findings are demonstrated below:

This patient is likely to have which of the following additional clinical findings?

This patient is likely to have which of the following additional clinical findings?
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