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Use the following patient vignette to answer questions 30 –…
Use the following patient vignette to answer questions 30 – 31. Sophia, a 67-year-old woman, is brought into the ED by her son. He is concerned his mother has shown difficulty breathing every day of this past week. He is especially concerned because his mom had a STEMI about 3 months ago. Sophia states she has been sleeping with two extra pillows at night and keeps waking up in the middle of the night trying to catch her breath. Physical examination shows an ill-looking woman with peripheral edema (2+), jugular venous distension, and ascites. She is afebrile, HR 105 bpm, BP 100/75 mmHg, and RR is 26 bpm. Laboratory findings are within normal limits, and bacterial and viral serology are negative. There are decreased breath sounds and dullness to percussion on the right side, but no wheezing. 30. What is this patient’s most likely diagnosis?
Use the following patient vignette to answer questions 30 –…
Questions
Use the fоllоwing pаtient vignette tо аnswer questions 30 – 31. Sophiа, a 67-year-old woman, is brought into the ED by her son. He is concerned his mother has shown difficulty breathing every day of this past week. He is especially concerned because his mom had a STEMI about 3 months ago. Sophia states she has been sleeping with two extra pillows at night and keeps waking up in the middle of the night trying to catch her breath. Physical examination shows an ill-looking woman with peripheral edema (2+), jugular venous distension, and ascites. She is afebrile, HR 105 bpm, BP 100/75 mmHg, and RR is 26 bpm. Laboratory findings are within normal limits, and bacterial and viral serology are negative. There are decreased breath sounds and dullness to percussion on the right side, but no wheezing. 30. What is this patient’s most likely diagnosis?
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