A 75-year old woman presents with progressive shortness of breath over the last four months. She has a history of hypertension and COPD. She uses albuterol inhaler with a minimal relief. Her shortness of breath worsens when she walks and during sleep. She has no fever and her vital signs are within normal limits. X-ray shows mild cardiomegaly and mild increase in interstitial markings. What is your initial diagnosis? (A) Pneumonia (B) Heart failure (C) Acute coronary syndrome (D) Complicated COPD
Posted on: Tue, 15 Jul 2014 19:21:42 +0000
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