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A 67-year-old male on chemotherapy for non-Hodgkins lymphoma presents to the Emergency Department with a 6-hour history of fever. He endorses some nausea and fatigue. He has no cough or rhinorrhea. He denies abdominal pain. On questioning, he reports that he has had some urinary frequency. His vitals at the time of presentation are as follows: T 38.4 HR 107 BP 115/62 RR 14. His bloodwork is pending. Which of the following is the LEAST appropriate physical exam maneuver to perform?