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Nurbaya Pakpahan is a 42-year-old married Christian Batak woman who works as a farmer. She has been experiencing shortness of breath for 2 years that has worsened in the past 3 weeks. On examination, she appears well but in poor condition. She has pale conjunctiva, dullness to percussion of the lungs, and crackles on auscultation. There is also edema in both lower extremities. Based on her symptoms and examination, the preliminary diagnosis is congestive heart failure due to hypertensive heart disease with

Author

Izaac Jdev

Language

EN