Reference no: EM133965031

Question

What are differential diagnosis forA 67-year-old female was recently discharged from the hospital a week ago from an NSTEMI s/p DES x 2 and PE. She reports recently developing left-sided pleuritic pain, which improves with sitting up and worsens when laying down. Pain is non-radiating without diaphoresis or nausea/vomiting. She denies fever or chills. Reports shortness of breath that initially was with activity but has progressed too constantly. She has a non-productive cough that worsens at night when lying flat. Reports swelling to lower extremities and had to remove rings due to hand swelling. She also has noticed that her pants feel tighter, and her abdomen is distended. She does not have a scale at home to check for weight gain. Home Medications: Eliquis 5mg BID PO Prednisone 40mg Daily PO Atorvastatin 40mg PO @ HS HCTZ 25mg Daily PO Fluticasone inhaler 2 puffs daily ALLERGIES: No Known Drug Allergies PMH: NSTEMI s/p DES x2 Hypertension Hyperlipidemia COPD PE SURGICAL/PROCEDURES: Heart Cath with DES SOCIAL: Smoke history: Daily for 50 years ETOH abuse/use history: Denies Substance abuse/use history: Denies FAMILY HX: Unknown REVIEW OF SYSTEMS: As per HPI. Objective Temp: 98.3 Heart Rate: 161 Respiratory Rate: 28 Blood Pressure: 152/88.