Found unresponsive on the steps of the local public library

Reference no: EM133701273

Question

A cachectic 65-year-old woman is brought in by paramedics. She is believed to be homeless and was found unresponsive on the steps of the local public library. Her vital signs indicate a temperature of 100.0 °F, heart rate of 112 beats/min, and a blood pressure of 96/56 mmHg. On examination, scleral icterus and several spider angiomas on her chest are noted. Her jugular venous pressure is not detectable, and heart sounds are normal. Abdominal examination is notable for bulging flanks, a dull note to percussion of dependent areas of her abdomen, and a positive fluid wave. She has no masses noted on abdominal examination. Examination of her extremities reveals 2+ pitting edema to the midcalf. Which of the following is the most likely etiology of her physical examination findings? Nephrotic syndrome. Ovarian cancer. Heart failure. Cirrhosis of the liver. Malnutrition.

Reference no: EM133701273

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