17. A 42-year-old man presents to the emergency department with a complaint of increasing shortness of breath when walking to get his newspaper, difficulty breathing while lying flat, and a 4.5-kg (10-lb) weight gain over the past month. He is afebrile, his pulse is 75/min, and his blood pressure is 98/50 mm Hg. On exami- nation he smells of alcohol and has 2+ pitting edema in the lower extremities and a third heart sound. X-ray of the chest reveals cardio- megaly. What additional findings must be pres- ent to confirm this man's underlving diagnosis?

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach
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Author:White
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Chapter29: Neonatal Mechanical Ventilation
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17. A 42-year-old man presents to the emergency
department with a complaint of increasing
shortness of breath when walking to get his
newspaper, difficulty breathing while lying flat,
and a 4.5-kg (10-lb) weight gain over the past
month. He is afebrile, his pulse is 75/min, and
his blood pressure is 98/50 mm Hg. On exami-
nation he smells of alcohol and has 2+ pitting
edema in the lower extremities and a third
heart sound. X-ray of the chest reveals cardio-
megaly. What additional findings must be pres-
ent to confirm this man's underlying diagnosis?
Transcribed Image Text:17. A 42-year-old man presents to the emergency department with a complaint of increasing shortness of breath when walking to get his newspaper, difficulty breathing while lying flat, and a 4.5-kg (10-lb) weight gain over the past month. He is afebrile, his pulse is 75/min, and his blood pressure is 98/50 mm Hg. On exami- nation he smells of alcohol and has 2+ pitting edema in the lower extremities and a third heart sound. X-ray of the chest reveals cardio- megaly. What additional findings must be pres- ent to confirm this man's underlying diagnosis?
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