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Figure 1.

A 36-year-old obese woman presents with upper right back pain 10 days after a normal child birth. Pain is worse on coughing. Otherwise, she is fit and well.

  • No shortness of breath
  • Normal oxygen saturation
  • Patient is afebrile
  • Auscultation: Reduced breathing sounds in right base, fine crackles on right

View Figure 1, take these findings into account, and consider what your next steps would be. Resolution of the case is described on the next page.

Upper Right Back Pain
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