What is your leading diagnosis


Problem: A 72 year old patient presents to the ER because of swollen feet. On exam you note S3 and S4 upon ascultation of the heart, jugular vein distention and ascites in the abdomen. What is your leading diagnosis?

  • Left-sided heart failure
  • Right-sided heart failure
  • Pericarditis
  • Hypertrophic cardiomyopathy

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