Congestive heart failure Quiz: Ace Your Exams
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An 83-year-old woman with a history of myocardial infarction 4 months ago, for which a right coronary artery stent was placed, presents to the emergency department with worsening dyspnea on exertion and fatigue. The patient has not experienced a fever, cough, or chest pain but does mention gaining 15 lbs (6.8 kg) in the past few weeks. Temperature is 36.5°C (97.7°F), pulse is 84/min, blood pressure is 112/76 mmHg, respirations are 18/min, and oxygen saturation is 95% on room air. On examination there is jugular venous distention and hepatomegaly. Laboratory studies are shown below. Which of the following additional physical examination findings may be seen?
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