Mrs. Jones calls your office stating that she is tired and h…
Mrs. Jones calls your office stating that she is tired and has swollen feet. You work her into your schedule immediately. She is a 72-year-old woman with a history of hypertension. She does not take daily diuretics but has Lasix at home “just in case”. She took one this morning. It is not on your medication list, and you don’t know the strength. Her blood pressure in the office is 160/82 mmHg and her weight is up 12 pounds since you saw her a month ago. Her last echocardiogram was 3 months ago and demonstrated an ejection fraction of 55%. Her primary complaints are tiredness and a cough for the past week. On exam you note jugular venous distention of about 6 cm, and she has pulsatile hepato-jugular reflux, clear lung sounds in all fields, and an irregular heart rate at 100. No S4 or S3. Abdomen is soft, but a little distended you think. She has 2(+) dependent edema to almost her knees, bilaterally. Based on the assessment and findings noted above, which of the following diagnostic tests will help you decide how to treat Mrs. Jones? Select all correct answers.