[Answered]: A 72-year-old man with a history of heart failure,…

A 72-year-old man with a history of heart failure, and chronic kidney disease experienced a fall from a stepladder about 0.75 meters high, which led to a significant injury to his left shoulder and the left side of his body while engaging in carpentry work. Following the incident, he sought medical attention at a clinic the same day, complaining of worsening difficulty in breathing, persistent pain in his left shoulder, pain in the left side of his chest, and in the upper abdomen. On physical examination, ecchymosis, and tenderness was noted over the left anterior chest wall over the 2nd, 3rd and 4th ribs with _________ breath sounds heard over the left middle and lower lung zones, and a ________ percussion note over the affected area. His is oxygen saturation in room air was 83% blood pressure: 95/60 mmHg. His hemoglobin was 8.1 g/dL, demonstrating a significant drop from his baseline value of 13.9 g/dL. A chest X-ray revealed the presence of abnormal findings on the left thoracic cavity, with no evidence of air leakage. The patient was subsequently transferred to the emergency department where he was treated accordingly. image 1.jpg Based on your diagnostic assessment, please identify the clinical findings observed during the physical examination of this patient that best correspond to the aforementioned blank spaces. A 72-year-old man with a history of heart failure, and chronic kidney disease experienced a fall from a stepladder about 0.75 meters high, which led to a significant injury to his left shoulder and the left side of his body while engaging in carpentry work. Following the incident, he sought medical attention at a clinic the same day, complaining of worsening difficulty in breathing, persistent pain in his left shoulder, pain in the left side of his chest, and in the upper abdomen. On physical examination, ecchymosis, and tenderness was noted over the left anterior chest wall over the 2nd, 3rd and 4th ribs with _________ breath sounds heard over the left middle and lower lung zones, and a ________ percussion note over the affected area. His is oxygen saturation in room air was 83% blood pressure: 95/60 mmHg. His hemoglobin was 8.1 g/dL, demonstrating a significant drop from his baseline value of 13.9 g/dL. A chest X-ray revealed the presence of abnormal findings on the left thoracic cavity, with no evidence of air leakage. The patient was subsequently transferred to the emergency department where he was treated accordingly. image 1.jpg Based on your diagnostic assessment, please identify the clinical findings observed during the physical examination of this patient that best correspond to the aforementioned blank spaces. Abated – dull Increased, clear Shrill – dissonant Vibrant – pleural jarring Sibilant – hyperresonance High-pitch – resonant Loud – Hight-Pitch