Q. A 53-year-old woman comes to the emergency department due to shortness of breath (dyspnea). The patient is currently on the third chemotherapy cycle for advanced breast cancer. Her medical history is significant for diabetes, hypertension, and mild diastolic dysfunction. She has a history of smoking 20 cigarettes daily but stopped smoking after her cancer diagnosis.
Vital signs show a blood pressure of 130/70 mm Hg that drops to 100/60 mm Hg during inspiration, heart rate 100/min, respiratory rate 17/min, and temperature is 36.9 degrees Celsius.
Which of the following clinical findings would you expect to find during the clinical examination of this patient?