Create a discussion of a minimum of 300 words with the following
Question: Does my patient have significant aortic stenosis?
Need Help Writing an Essay?
Tell us about your assignment and we will find the best writer for your project
Write My Essay For MeA 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.
Meds
aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd
PE
HR 90, regular
PB 134/70
Labs
chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)
CV
RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.
PMI is mildly enlarged and sustained
Neck
Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux
CXR
Xray shows cardiomegaly and mild vascular redistribution
ECG
Unchanged with an incomplete LBBB pattern
Clinical Diagnosis
Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).
Clinical Questions
Is this patient’s worsening CHF due to significant aortic stenosis?
Please elaborate why you think it may be aortic stenosis according to the patient’s symptoms and how do you assess each symptom.
Save your valuable time by using our professional essay writing service. We assure you of exceptional quality, punctual delivery, and utmost confidentiality. Every paper we provide is meticulously crafted from scratch, precisely tailored to your instructions, and completely free of plagiarism. Trust us to deliver excellence in academic writing.
Together we can improve your grades. Our team of competent online assignment writers provides professional writing help to students in all academic levels. Whether you need a narrative essay, 5-paragraph essay, persuasive essay, descriptive essay, or expository essay, we will provide you with quality papers at student friendly price.