Congestive heart failure Quiz: Ace Your Exams
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An 83-year-old woman presents to the emergency department with progressive dyspnea on exertion and swelling of the abdomen and legs. The patient has also recently developed fatigue and early satiety. Temperature is 37.0°C (98.6°F), pulse is 96/min, blood pressure is 110/78 mmHg, respirations are 18/min, and oxygen saturation is 94% on room air. On physical examination, there is an elevated jugular venous pulsation and pitting bilateral lower extremity edema. On auscultation, a holosystolic murmur at the left lower sternal border and an S3 gallop are heard. Lungs are clear to auscultation. Additionally, hepatomegaly and abdominal distention with a fluid wave are present. A chest radiograph shows clear lung fields. Which of the following findings would most likely be seen on echocardiogram?
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