Bloated 2

Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This elderly gentleman has presented with chronic, progressive dyspnea - a symptom found in a wide variety of cardiac and pulmonary conditions.\n\nExamination reveals peripheral pitting edema, an elevated jugular venous pressure (JVP) and tender hepatomegaly - findings suggestive of right sided venous congestion.\n\nHowever, the absence of cardiomegaly and bibasal crackles show that left sided congestion is absent.\n\nIn addition, note the presence of a palpable and loud second heart sound - this is suggestive of pulmonary hypertension, and provides a likely cause for the isolated right sided congestion.\n\nBut why does he have pulmonary hypertension ? Primary pulmonary hypertension is very rare at this age - this is almost certainly secondary to a"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.