Your patient is a 66-year-old man who is extremely thin but has a noticeably distorted barrel-shaped chest. He reports a history of dyspnea that has recently gotten worse. You note that he purses his lips when breathing but that hypoxia is not apparent. You should

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Your patient is a 66-year-old man who is extremely thin but has a noticeably distorted barrel-shaped chest. He reports a history of dyspnea that has recently gotten worse. You note that he purses his lips when breathing but that hypoxia is not apparent. You should