Question

The NP is doing a preoperative evaluation on a 72 year old who has been seen...

The NP is doing a preoperative evaluation on a 72 year old who has been seen in the practice for hypertension. The clinician hears an S-3 for the first time on cardiac exam. This increases the risk (an approximate 40% probability/ LR = 8.0) that this patient might have which of the following during the postoperative period?

Myocardial Infarction

Pulmonary edema

A-V dissociation

Severe aortic stenosis

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Answer #1

B. Pulmonary edema.

In older patients the S-3 indicates congestive heart faliure, the symptom of congestive heart faliure is pulmonary edema.

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