The examiner is assessing the pulmonary status of the patien…
The examiner is assessing the pulmonary status of the patient with chronic obstructive pulmonary disease and barrel chest. The examiner places their thumbs along the spinal processes at the level of the tenth rib, with their palms lightly in contact with the posterolateral surfaces of the patient. When the patient is asked to take a deep breath, there is little movement of the examiner thumbs. How should this be intrepreted?
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