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A Patient Is Admitted with Dyspnea and Fluid Overload

Question 62

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A patient is admitted with dyspnea and fluid overload. Chest X-ray reveals bilateral pleural effusion, right greater than left, and pulmonary congestion with possible congestive heart failure. BNP is elevated, confirming congestive heart failure. Echo shows a mild pulmonary hypertension and aortic valve stenosis. The patient is receiving medication for atrial fibrillation and has alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses:
Congestive heart failure
Pulmonary hypertension
Aortic valve stenosis
Atrial fibrillation

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