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Physical Examination Findings Common physical findings in advanced emphysema include: Increased anteroposterior chest diameter Flattened diaphragm Decreased breath sounds Hyperresonant percussion note Prolonged expiratory phase Use of accessory muscles Note: Pursed-lip breathing is often observed

Current questionnaires tend to blend smoking and vaping into a single item, obscuring distinctions among former smokers, exclusive vapers, and dual users

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In working order, has patina and wear in keeping with age and use