Question 1144

Question Answered step-by-step 57 yo man, comes to the ER with a new complaint of shortness of… 57 yo man, comes to the ER with a new complaint of shortness of breath that started 24 hours ago and and increased lower extremity swelling. He has mild, intermittent, left-sided substernal chest paint that does not radiate. Review of symptoms: weight loss of 40 pounds over last 6 months, fatigue, malaise, body aches, polydipsia, polyuria, chest pain, shortness of breath, abdominal fullness and lower extremity swelling. Last visit in the hospital: abdominal pain and fullness, urinary frequency, noturia for 2 moths, and liver masses shown on CT, consistent with metastatic disease of unknown primary.BP: 158/96 92% on 2L nasal cannula, RR: 26, HR: 100dyspnea, 3 cm of JVD present bilaterally, s1 normal, s2 present, S3 present, 2+ edema in lower extremities bilaterally, rales in anterior and posterior fields bilaterally, obeseAST: 60 ALT: 58total cholesterol: 250 mgLDL: 180 mgHDL: 15 mgTriglycerides 275 mgTroponin: 0.6 ng/ml X-rays show: cardiomegaly and Kelley lines, ejection fraction of 35%, impaired left ventricular relaxation, left and right atrial hypertrophy, right ventricular hypertrophy and pulmonary hypertension. 1.) what is the diagnosis? be specific- (ex: type of heart failure: right side vs left, systolic vs diastolic)2.) what labs and diagnostic tests are needed?3.) explain the pathogenesis for his condition, symptoms, and diagnostic test results?4.) what education is important for him? Health Science Science Nursing NURS 6670 Share QuestionEmailCopy link Comments (0)

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