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You are seeing S.F., a 74-year-old. Hispanic male in the office this morning for difficulty breathing. Background: S.F. presents with increased dyspnea on exertion that has become progressively worse over the last 3 days. You observe that he is using…

Physical examination: Vital Signs: Height: 5’0” Weight: 150 pounds BMI: 29.3 BP: 120/64 T: 98.0 oral P: 68 regular R: 16, non-labored HEENT: Normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. NECK:…