A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient’s condition? Select one: A. Exacerbation of his COPD B. Acute pulmonary embolism C. Spontaneous pneumothorax D. Rupture of the diaphragm

A 59-year-old male with a history of emphysema complains of an acute worsening of his dyspnea and pleuritic chest pain following a forceful cough. Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia. What is the MOST likely cause of this patient’s condition?
Select one:
A. Exacerbation of his COPD
B. Acute pulmonary embolism
C. Spontaneous pneumothorax
D. Rupture of the diaphragm

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