Smoking history comes to primary care physician

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Reference no: EM133586453

Question

A 65 years old woman with a 60-pack smoking history comes to her primary care physician after 3 months of shortness of breath (SOB) and dry cough. Until recently, she was able to walk four blocks to her local grocery store without SOB; however, now she is able to walk only one block before stopping and rest. She has been waking from sleep with difficulty breathing and feels uncomfortable lying flat in bed. Her physical examination is notable for crackles at the lung bases. There is no evidence of hepatosplenomegaly or jugular venous distention. What is the most likely diagnosis? What symptoms help differentiate right HF from left HF? What is the pathophysiology (pathological mechanism) of this patient's condition? This patient is at risk for which other conditions? What is the point of adding a diuretic for HF? What is the purpose of adding a positive inotropic drug for HF?

Reference no: EM133586453

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