Case Study: Ms. Briggs a 64-year-old woman Ms. Gloria Briggs…
Case Study: Ms. Briggs a 64-year-old woman Ms. Gloria Briggs works as a librarian and presents with a 6-week history of fatigue and increasing shortness of breath. She believes that these symptoms are related to recent renovations at the library, which have reactivated her asthma; however, her nebulizer and inhaler have not relieved her symptoms. Gloria reports that her dyspnea is worse with ordinary activity and lying flat, but she is comfortable sitting. She has not experienced chest pain. She complains of her legs swelling and shoes “pinching.” She can no longer take her brisk lunchtime walk and has gained weight. Her history includes hypertension, type 2 diabetes (T2DM), and dyslipidemia; she is a nondrinker and quit smoking 7 years ago. Physical examination: o Height: 5 ft 6 in; weight: 165 lb (body mass index : 26.6 kg/m2) o Blood pressure (treated): 140/92 mm Hg o Heart rate: 116 bpm; respiratory rate: 22; temperature: 98.4°F o 1+ pitting edema ankles; S3 heart sound; bilateral rales at lung bases o Mild cardiomegaly Laboratory findings: o Random blood glucose: 125 mg/dL o Lipids (treated): total cholesterol 200 mg/dL, low-density lipoprotein cholesterol 105 mg/dL Medications: o Furosemide 20 mg/d; lisinopril 20 mg/d; simvastatin 20 mg/d, metformin 2000 mg/d, divided doses Electrocardiogram: o No arrhythmias After reviewing everything above you are pretty sure of Ms. Briggs current problem and her diagnosis, but you also know that this diagnosis has the following: – select the correct answer.