A 68 year old man with a 45 pack year smoking history has progressive dyspnea, chronic productive cough, and bilateral leg swelling. Physical examination shows elevated jugular venous pressure, a right ventricular heave, hepatomegaly, and peripheral edema. Lung examination reveals diffuse wheezes. Which of the following is the most likely cause of this patient's edema?
- A)Right ventricular failure due to pulmonary hypertensionGABARITO
- B)Tricuspid valve vegetation from intravenous drug use
- C)Primary left ventricular systolic failure
- D)Acute mitral valve rupture
- E)Constrictive pericarditis after viral infection
Explicação
Right ventricular failure due to pulmonary hypertension is correct. Chronic lung disease can cause hypoxic vasoconstriction of the pulmonary vasculature, leading to pulmonary hypertension and cor pulmonale. The elevated JVP, right ventricular heave, hepatomega... Ver explicação completa e trilha adaptativa →