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A 55 year old male presents to his PCP for his annual examination. The patient reports...

A 55 year old male presents to his PCP for his annual examination. The patient reports that he has been feeling "somewhat sluggish and getting tired quickly" for the past 2 1/2 months. (Patient also states "Doc, you know me. I'm a meat and potato guy.") Vitals significant for BP 120/60, HR 104, RR 18. Patient is 5'10" and weighs 210 lbs. Physical examination significant for a third heart sound and mild clubbing.

What are the differential clinical diagnoses?

What laboratory and/or ancillary tests would you recommend at this time?

What procedure would you recommend to the patient?

What is the pathogenesis to this disorder?

What patient education should be included with this visit?

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Answer #1

s the old uen reportz , put扱Jeand and au neyn, 4 ja lo lly.mh.can victi. 다 fatigue nhích bbinr. the patient noau suttuina Ron-tong ute heat- e. patient wa sulfuin choles terl live Echa cardioa ra M Matnet Raorante ainy CoNpletr blrve enina Renin t Angiotins, nodLn Argiotinein - Angiotensin Ⅱ LI Periphera vasoconu bituon Celuma plouma volume cardiae oorblo Congestrre heart filue

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