PERIPHERAL VASCULAR 3 peripheral edema extending to knees bilaterally 2

Peripheral vascular 3 peripheral edema extending to

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PERIPHERAL VASCULAR: 3+ peripheral edema extending to knees bilaterally; 2+ dorsalis pedal pulses bilaterally NEUROLOGIC: Awake, alert, and oriented to person, place, and time Diagnostic results : Blood Work was drawn and the results are unknown at this time. The chest x-ray was ordered, and showed cardiomegaly, edema, and some haziness around the margins. The EKG results proved the patient was having cardiac events and not in NSR. Various assumptions are relied upon during the diagnoses. Inamdar & Inamdar (2016), postulate that B type natriuretic peptide has clinical significance both as a diagnostic and a prognostic marker of heart failure. Patients with a higher than 200pg/ ml of BNP have a 9% mortality rate while those with less than 200pg/ml have a mortality rate of 2%. Chest X-rays are used to evaluate the size of the heart and to find out if there is any alternative cardiopulmonary disease that could be causing the symptoms in the patient. An echocardiogram will assess the size, wall motion and thickness, and valve function. It also shows the ejection fraction of the heart, which is useful in therapy selection. Cardiac MRI (Magnetic Resonance Imaging) and CT are important diagnostic tests. An MRI will give high anatomical resolution to all aspects of the heart and the structures surrounding it. A .
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Differential Diagnoses Primary Diagnosis/Presumptive Diagnosis: Congestive Heart Failure Congestive Heart Failure Congestive Heart Failure presents with symptoms including shortness of breath, persistent coughing, edema, fatigue, nausea, or high heart rate (AHA, 2017). The patient present with all of these excluding the nausea. The x-ray and EKG were both indicative of CHF as well. The sudden weight gain with edema and ascites throw red flags, as well. Pulmonary Emboli Shortness of breath is one of the most common symptoms of pulmonary embolism (Duru et al., 2014). Although the patient does not have hypotension and hypoxemia, it is important to query pulmonary embolism especially in a patient who has risk factors predisposing him to the condition. Kidney Failure Chronic kidney disease is accompanied by high blood pressure and edema (Razmaria, 2016).
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