system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 65-year-old woman comes to the physician for a 18-month history of gradual enlargement of her fingertips and a 2-month history of a hoarse voice. She has had decreased appetite after a respiratory tract infection 3 months ago and a 8-kg (17.6-lb) weight loss during this period. The patient has never smoked. She was diagnosed with obstructive sleep apnea 10 years ago and uses a CPAP mask at night. She retired from her job as an administrative assistant at a local college 5 years ago. She appears tired. Her vital signs are within normal limits. Physical examination shows increased convexity of the nail fold and painful swelling of the soft tissue of her fingers and ankles. There is no discoloration of her lips and oral mucosa. There is faint wheezing in the right upper lung field. This patient's condition is most likely associated with which of the following findings?
assistant
Miosis