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Dyspnea on minimal exertion in a 92-year-old male, involving accessory muscle use and raised jugular venous pressure, suggests severe systemic...
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Jim is a 69-year-old male who comes in today complaining of dyspnea on exertion, and you have noted that he has gained about 25 pounds since his last visit 7 months ago. He tells you that he is not sleeping at night because of a constant cough, and he thinks he has a cold because he is coughing up pink frothy "spit". He is extremely fatigued because of his lack of sleep. Your examination reveals bilateral 3 pitting edema with his lower extremities being cool to the touch, distended abdomen, hep
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