55 year with dyspnea on exertion fatigue nausea and


55 year with dyspnea on exertion, fatigue, nausea and sometimes epigastric pain, trouble breathing at night. Patient feels okay when he lies at back or sits. Vital signs BP 180/110, pulse 88 resp= 20 temp 98.0. What are 3 possible differential diagnosis? what tests are needed ? What treatments are appropriate for the patient? patient has ankles swollen after 3 months? what is the cause for the swollen ankles?

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