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History and Physical Examination Findings for Heart Failure and Selected Alternative Causes Heart failure Alternative causes Symptoms Symptoms Abdominal swelling Abdominal swelling (liver failure) Dyspnea on exertion Anorexia, weight reduction (sarcoidosis) Edema Chest ache (coronary artery disease) Exercise intolerance Claudication (atherosclerotic disease) Fatigue Cough (pulmonary disease) Orthopnea Diarrhea or skin lesions (amyloidosis) Paroxysmal nocturnal dyspnea Dyspnea on exertion (pulmonary disease, valvular disease) Recent weight acquire Edema (liver or kidney failure) Physical examination fndings Neurologic issues (sarcoidosis) Abdomen: hepatojugular refux, ascites Palpitations (tachyarrhythmia) Extremities: cool, dependent edema Recent fevers, viral an infection (endocarditis, myocarditis, infection) Heart: bradycardia/tachycardia, laterally Syncope (bradycardia, heart block) displaced point of maximal impulse, Physical examination fndings third heart sound (gallop or murmur) Abdomen: distended, hepatosplenomegaly, tender, ascites (liver disease) Lungs: labored respiratory, rales Extremities: joint infammation/heat (rheumatologic disease) Neck: elevated jugular venous stress Heart: irregular price or rhythm (arrhythmia) Skin: cyanosis, pallor Lungs: wheezing (pulmonary disease) Neck: thyromegaly/nodule (thyroid disease) Skin: cyanosis (anemia), jaundice (liver failure) Information from references 3, eight, and 20 symptoms 7 dpo bfp purchase avodart 0.5mg line. 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