Aquifer Internal Medicine End Of Case Questions

Which of the following physical examination findings is most consistent with right-sided heart failure? A. Abdominojugular reflux B. Bibasilar crackles C. Pitting pedal edema D. Sustained apical impulse E. Systolic murmur at right upper sternal border - ANSWER>>The answer is A. From IM 04. You are evaluating a 53-year-old male in the emergency department who is presenting with a chief concern of shortness of breath. He reports a one-day history of progressively worsening dyspnea on exertion, productive cough, and subjective fever. His past medical history includes chronic obstructive pulmonary disease (COPD) and ischemic cardiomyopathy with a stable ejection fraction (EF) of 40%. Which of the following physical exam findings is most supportive of an infectious etiology of his shortness of breath? A. Absent breath sounds on one side B. Bibasilar crackles and mild wheezes C. Diminished inspiratory effort D. Increased fremitus and egophony over part of the lungE. Tachycardia with normal breath sounds on exam - ANSWER>>The answer is D. From IM 28. While on call in the hospital, you are called to the bedside of a female who was admitted four hours ago with severe pneumonia. Her breathing has become more shallow, she is increasingly lethargic and her oxygen