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A to-and-fro pericardial friction rub was present along the left sternal border. There were no signs of cardiac decompensation or pericardial effusion. The temperature increased to 103°F.

His trachea remained central, with a jugular venous pressure 3 cm above the sternal angle and a blood pressure of 110/65 mm Hg. On auscultation, breath sounds were absent throughout the left ...

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the right wrist. Also noted was a small area of abrasion or contusion below the right ear on the lateral aspect of the right cheek. A prominent dried abrasion was present on the lower left neck ...