Heart Failure II

Cardiovascular System


{"ops":[{"insert":"A 71-year-old man comes to the physician with swelling of both legs and a 9-kg (20-lb) weight gain for the past 6 months. He has had intermittent wheezing and a chronic cough for several years. He uses an over-the-counter inhaler as needed. He has smoked one-half pack of cigarettes daily for 50 years. His blood pressure is 130\/80 mmHg. There is jugular venous distention.He has a barrel-shaped chest. There is dullness to percussion and decreased breath sounds over both lung bases. Diffuse crackles and wheezes are heard. The abdomen is distended, with shifting dullness. There is pitting edema to the thighs. Which of the following is the most likely diagnosis?"},{"insert":"\n"}]}

Background

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(A)

Cirrhosis
{"ops":[{"insert":"\n"}]}

(B)

Chronic kidney disease
{"ops":[{"insert":"\n"}]}

(C)

Cor pulmonale
{"ops":[{"insert":"\n"}]}

(D)

Ischemic cardiomyopathy
{"ops":[{"insert":"\n"}]}

References

{"ops":[{"insert":"SHOTAN A, DACCA S, SHOCHAT M, KAZATSKER M, BLONDHEIM DS, MEISEL S. Fluid overload contributing to heart failure. Nephrol Dial Transplant [online] 2005 Jul:vii24-7 [viewed 26 May 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16024828"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"VOELKEL NF, QUAIFE RA, LEINWAND LA, BARST RJ, MCGOON MD, MELDRUM DR, DUPUIS J, LONG CS, RUBIN LJ, SMART FW, SUZUKI YJ, GLADWIN M, DENHOLM EM, GAIL DB, NATIONAL HEART, LUNG, AND BLOOD INSTITUTE WORKING GROUP ON CELLULAR AND MOLECULAR MECHANISMS OF RIGHT HEART FAILURE.. Right ventricular function and failure: report of a National Heart, Lung, and Blood Institute working group on cellular and molecular mechanisms of right heart failure. Circulation [online] 2006 Oct 24, 114(17):1883-91 [viewed 26 May 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17060398"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"NAEIJE R. Pulmonary hypertension and right heart failure in chronic obstructive pulmonary disease. Proc Am Thorac Soc [online] 2005, 2(1):20-2 [viewed 26 May 2019] Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16113464"},{"insert":"\n","attributes":{"list":"ordered"}}]}

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