Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington, a 74-year-old woman...

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Chief Complaint: 74-year-old woman with shortness of breath andswelling. History: Martha Wilmington, a 74-year-old woman with ahistory of rheumatic fever while in her twenties, presented to herphysician with complaints of increasing shortness of breath(\"dyspnea\") upon exertion. She also noted that the typical swellingshe's had in her ankles for years has started to get worse over thepast two months, making it especially difficult to get her shoes ontoward the end of the day. In the past week, she's had a decreasedappetite, some nausea and vomiting, and tenderness in the rightupper quadrant of the abdomen. On physical examination, Martha'sjugular veins were noticeably distended. Auscultation of the heartrevealed a low-pitched, rumbling systolic murmur, heard best overthe left upper sternal border. In addition, she had an extra, \"S3\"heart sound. 9. What is the general term describing Martha'scondition? 10. How might Martha's body compensate for the abovecondition? 11. Martha is started on a medication called digoxin.Why was she given this medication, and how does it work?

Question:

Two weeks after starting digoxin, Martha returns to thephysician's office for a follow-up visit. On physical examination,she still has significant hepatomegaly and pitting edema, and issignificantly hypertensive (i.e. she has high blood pressure). Herphysician prescribes a diuretic called furosemide (or \"Lasix\"). Whywas she given this????

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Answer & Explanation Solved by verified expert
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9 The general condition describing Marthas condition is Congestive heart failure The heart is unable to pump blood to meet the body demands in the required amount and hence its efficiency has been reduced Tenderness in the right upper quadrant shows an inflammation in the liver as it covers the whole of right upper quadrant in humans The distension of the jugular veins shows the inefficiency of the valves to    See Answer
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