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Elderly Female with Symptoms of Heart Failure
Cardiology·Advanced·82y female
Case focus
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82yr/ female· Emergency Departmentpresenting with Progressive difficulty in breathing and bilateral lower limb swelling
History of Present Illness
The patient is an 82-year-old female who presented with progressive difficulty in breathing, bilateral lower limb swelling, exertional dyspnoea, paroxysmal nocturnal dyspnoea, and intermittent chest pain. The symptoms had gradually worsened over the past few weeks, limiting her daily activities and exercise tolerance.
Past Medical History
Known history of hypertension, on antihypertensive medication although adherence and specific medications are not immediately available
Past Surgical History
None
Medications
Antihypertensive medication, although specifics are not known
Allergies
NKDA
Family History
None reported
Social History
Subsistence farmer from a rural district in Uganda, with limited access to healthcare services
Review of Systems
Exertional dyspnoea, paroxysmal nocturnal dyspnoea, lower limb oedema, and chest pain. No documented fever, productive cough, haemoptysis, or recent infectious illness