After a Fall, a 70-Year-Old Man Arrives at the Emergency

After a fall, a 70-year-old man arrives at the emergency department with severe right-sided chest pain and shortness of breath. The patient fell off a ladder while doing yard work, striking his back on several large stones. He immediately felt sharp pain over his posterior chest and struggled to catch his breath. The blood pressure is 120/80 mm Hg, the pulse rate is 88/minute, and the respiration rate is 24/minute. The exhibit includes a chest x-ray. 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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