Answer Happy

Cardiac Failure – Case Study
3) Based on the patient documented information in their
chart, BELOW answer the following
question:
Would jugular venous distension be present with this type of
heart failure? State the rationale for your choice.
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Chief complaint:
A 67 year old man presents to the pulmonary clinic with history of
COPD. Along with the lung disease, he has developed pulmonary
hypertension and has been diagnosed with cor polmonale. 2+
pitting edema to the knees and the lower extremities have been
noted.
History:
Physical Exam:
A thin elderly man who appears older than his stated age
VS:
Pulse 110, regular
Respirations 28, labored
BP 115/86
Temperature 37.5, oral
Skin:
no lesions noted; prominent wrinkling in the face and neck
Chest:
increased AP diameter;
hyperresonant with poor diaphragmatic excursion (1 cm);
decreased breath sounds throughout without wheezing or crackles
Extremities:
decreased pulses throughout; no bruises; no cyanosis;
edema present as noted
Labs:
WBC....9700
Hgb.....17.2
Hct......53.5
Plt......356,000