Quick History and physical for CHF
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1. Obtain a focused history looking for
- dyspnea on exertion
- ankle swelling
- orthopnea
- cough with frothy sputum
- weight gain
- history of MI
- smoking
- prior diagnostics
- [echocardiogram|echo]]
- heart cath.
2. Perform a focused physical exam looking for
- increased JVP
- rales
- bilateral lower dullness on chest percussion
- labored breathing
- S3 gallop
- hepatomegaly
- ascites
- positive hepatojugular reflux
- jaundice, anasarca.