Patient Encounter Part 1

BE is a 62-year-old female with a history of known CAD and type 2 diabetes mellitus who presents for a belated follow-up clinic visit (her last visit was 2 years ago). She states that she used to be able to walk over one-half mile (0.8 km) and two flights of stairs before experiencing chest pain and becoming short of breath. Since her last visit, she has had increasing symptoms and has now progressed to shortness of breath (SOB) with walking only half a block and doing chores around the house. She also notes her ankles are always swollen and her shoes no longer fit, therefore she only wears slippers. Additionally, her appetite is decreased, and she often feels bloated. She also feels full after eating only a few bites of each meal.

What information is suggestive of a diagnosis of HF?

What additional information do you need to know before creating a treatment plan for BE?

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