LV.CHF.SOB Part 1
A 69 year old male presents to his physician’s office with a 3 week history of shortness of breath when climbing stairs. He sleeps with 3 pillows. He has been an insulin-dependent diabetic for 35 years. He has a 45 pack year history of cigarette smoking.
- Describe the patient.
- What is the chief complaint and differential diagnosis?
- How long has the patient had heart disease?
- How does the body regulate cardiac output?
- Describe the pathophysiology of RV-CHF
- Describe the clinical-pathologic correlation:
- Swollen feet
- RUQ discomfort
- Pitting edema
- Hepatomegaly with reflux
- c) Testing
- Pulmonary artery diameter/pressure
- Explain the findings to the patient