Question

a 63-year-old woman with a 3-day history of hypertension, hyperlipidemia, and myocardial infarction presents to the emergency room with shortness of breath at rest. she has found it difficult to walk short distances due to shortness of breath. additionally, she complains of orthopnea, nocturnal dyspnea, and generalized abdominal discomfort. she denies cough, fever, chills, diaphoresis, anxiety, chest pain, pleurisy, cough, nausea, vomiting, diarrhea, rashes, lightheadedness, and syncope. she is well nourished and afebrile, but tachypnic and diaphoretic. there is a diminished first heart sound, s3 gallop, laterally displaced pmi, bibasilar rales and dullness to percussion, and expiratory wheezing noted. the abdominal exam reveals distension, with hepatomegaly in the right upper quadrant. there is 2 pitting edema of the lower extremities to the level of the mid calf, and the extremities are cool. question: what additional finding is expected in this patient?

Answer 1

additional finding is expected in this patient Elevated jugular venous distension Patient has CHF.

What is CHF ?

A weakened heart condition that causes fluid buildup in the feet, arms, lungs, and other organs. •Symptoms include shortness of breath, fatigue, arrhythmias, and edema. •Treatments include medications, heart surgery, or transplantation. •Involves Cardiology, Surgery.

What is life expectancy with CHF ?

According to one study, persons with heart failure live 10 years less than people without the condition. According to another study, persons with chronic heart failure had survival rates between 80% and 90% for the first year, but that fell to between 50% and 60% for the fifth year and then to just 30% for the final ten years.

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