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This case involves a 74-year-old female, Martha Wilmington, presenting with dyspnea, edema, and a heart murmur. Upon examination, distended jugular veins and a low-pitched systolic murmur were observed, as well as a third heart sound. The murmur is likely caused by pulmonic valve stenosis due to the patient's history of rheumatic fever. The third heart sound indicates congestive heart failure. Increased abdominal swelling and edema are due to elevated systemic venous pressure from the heart condition. A treatment plan would include medications to reduce cardiac workload and the use of support stockings to manage edema.
This case involves a 74-year-old female, Martha Wilmington, presenting with dyspnea, edema, and a heart murmur. Upon examination, distended jugular veins and a low-pitched systolic murmur we…