CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 68-year-old male who has COPD presents with edema to his feet and ankles, jugular venous distention, and an enlarged abdomen. What should you suspect?
A
Acute hepatic failure
B
Left ventricular failure
C
Acute renal failure
D
Right ventricular failure
Explanation: 

Detailed explanation-1: -COPD and Right-Sided Heart Failure This occurs when low oxygen levels due to COPD cause a rise in blood pressure in the arteries of the lungs, a condition known as pulmonary hypertension. This increase in pressure places excess strain on the heart’s right ventricle as it works to pump blood through the lungs.

Detailed explanation-2: -Left ventricular failure may cause blood to back up into the lungs and cause pulmonary edema. This edema can lead to pulmonary hypertension and excessive strain to the right atrium and ventricle. The fluid will again back up, this time into the vena cava, and can cause liver pathologies and cause portal hypertension.

Detailed explanation-3: -The main sign of right-sided heart failure is fluid buildup. This buildup leads to swelling (edema) in your: Feet, ankles and legs.

Detailed explanation-4: -A patient with right ventricular failure would most likely present with: an enlarged liver. A prolonged PR interval: indicates an abnormal delay at the AV node.

There is 1 question to complete.