A 70-Year-Old Man Comes to the Emergency Department Due to Severe

A 70-year-old man comes to the emergency department due to severe right-sided chest pain and shortness of breath after a fall.  While doing yard work, the patient fell off of a ladder, striking his back on several large stones.  Immediately afterward, he felt sharp pain over his posterior chest and had trouble catching his breath.  Blood pressure is 120/80 mm Hg, pulse is 88/min, and respirations are 24/min.  Chest x-ray is shown in the exhibit.  Physical examination of the right side of the chest would most likely reveal which of the following?

A) Bronchophony
B) Dullness to percussion
C) Increased diaphragmatic excursion
D) Prolonged expiration
E) Subcutaneous crepitus
F) Wheezing

Correct Answer:

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