A 43-year-old woman comes to the office due to lower extremity edema that has developed over the last 2 weeks.  She has no cough, shortness of breath, chest pain, or leg pain.  Medical history is significant for diet-controlled type 2 diabetes mellitus and hypertension.  Her antihypertensive regimen was recently adjusted to improve blood pressure control.  Blood pressure is 133/80 mm Hg and BMI is 27 kg/m2.  Physical examination shows bilateral pedal edema but is otherwise unremarkable.  Which of the following is most likely responsible for this patient's symptoms? A.Amlodipine B.Hydrochlorothiazide C.Losartan D.Metoprolol E.Ramipril

causes of Unilateral Edema ?

complaining of excessive urination and constant hunger and thirst. She has no other complaints and no past medical history. Her family history is significant for hypertension, type 2 diabetes mellitus, and hyperlipidemia. She does not smoke but lives a sedentary lifestyle. On examination, she is afebrile with a blood pressure of 134/88 mmHg, heart rate of 84 beats per minute, and respiratory rate of 14 breaths per minute. The rest of her examination is normal. The patient is scheduled for a return visit to have fasting laboratory tests drawn. At her return visit, her blood pressure is 138/86 mmHg. Her fasting glucose is 156 mg/dL, and urine albumin-to-creatinine ratio is 200 mg/g. What is the next step in management for this patient?

A 48-year-old man presents to the hospital with swelling of the abdomen and legs. He first noticed shortness of breath with exertion several months ago, and has had a few episodes where he momentarily became lightheaded and lost consciousness. Now the symptoms have been progressing with increased dyspnea and edema. He reports that he has always lived a healthy lifestyle and has no past medical history. There is no family history of any cardiac or pulmonary disease, or any cancer. He was born in Brazil and moved to the United States at the age of 43. He does not smoke or drink alcohol. On cardiac examination, the apex is displaced laterally with an S3 on auscultation. Estimated central venous pressure is 15 mmHg, and there are faint crackles at the base of his lungs. He has hepatomegaly with shifting dullness and bilateral pitting edema of the lower extremities. An ECG is normal, with no visible Q waves. Which infectious etiology is most likely responsible for this patient's disease?

A 45-year-old woman presented with exertional dyspnea. Fourteen years earlier the patient was diagnosed with arterial hypertension with a blood pressure of 170/105 mm Hg. Her blood pressure at presentation was 155/95 mm Hg. Physical examination was remarkable for lower-extremity edema, and abdominal enlargement due to ascites. Transthoracic echocardiogram showed left ventricular ejection fraction of 28% (reference range: 50-57%). Which of the following is the patterns of cardiac failure seen in this patient?

A 24-year-old woman comes to the office due to pressure-like, substernal chest pain that occurs when she exercises.  The patient began noticing the pain approximately 6 months ago when she started to exercise to lose weight.  Prior to that, her lifestyle was largely sedentary.  She has no associated nausea, vomiting, diaphoresis, dyspnea, palpitations, or syncope.  The patient has no significant past medical history but was told as a child that she has a "murmur."  She has no significant family history of heart disease.  Blood pressure is 130/70 mm Hg on the right and 105/55 mm Hg on the left, and pulse is 72/min and regular.  BMI is 29 kg/m2.  A palpable thrill is present in the suprasternal notch.  There is a loud midsystolic murmur best heard at the first right intercostal space.  The lungs are clear to auscultation.  What is the most likely cause of this patient's chest pain?