A 67-year-old hospitalized man complains of shortness ofbreath for the past hour. Although lying in the bed, he isbreathing quickly and appears nervous. He was admitted4 days earlier after being hit by a car and was found to have adisplaced tibial fracture, which required immediate operativeintervention. Chest radiograph at admission showed a 5-cmlung mass suspicious for cancer. The patient has a 60 pack-yearsmoking history. He has had a persistent nonproductive coughfor the past several months but denies any other symptoms.What is the most likely cause of his dyspnea?A. Lung massB. Pulmonary embolismC. Rib fractureD. AnxietyE. Deconditioning
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