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The SAMU calls you for an old woman, 68 years old. She has a past history of high blood pressure and Horton disease, treated by corticotherapy for 10 years. She is a heavy smoker (30 packs a year) She has difficulty in breathing. This is getting worse when she lies down. The saturation is 85%, blood pressure 180/90, Heart rate 110/min, T° 37,8. Here is the lung auscultation.

What do you hear?

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