A 79-year-old woman presents at the Emergency Department with generalized complaints: constantly feeling tired and unwell. Her heart rate was in the range of 110 – 120 beats per minute and her blood pressure was 150/100. She complaints of dry cough and gasping of air. She also states that over the last 2 weeks she has noted that her breathing difficulty has severely limited her activities and has increased to persist even at rest, especially when lying down. She also reports of sudden awakening at night. On enquiry, she reports a recent weight gain along with a general reduction in her state of health. She explains that she has diabetes Type 2 (diet-controlled) from the last 5 years and hypertension since she was 40 years old. Her father died at age 85 due to ‘old age’, her mother died at age 88 after a hip fracture, and a brother age 80 alive with no significant history. She is on Minoxidil 10mg po bid for her hypertension, and has no known drug allergies. She denies any chest pain, fever, chills, abdominal pain, nausea, vomiting or changes in bowel habits. Upon investigation, serum troponin I was 1.1 ng/mL and chest x-ray show evidence of interstitial edema and some early alveolar edema. IDENTIFY OR DIAGNOSE THIS DISEASE.
A 79-year-old woman presents at the Emergency Department with generalized complaints: constantly
feeling tired and unwell. Her heart rate was in the range of 110 – 120 beats per minute and her blood
pressure was 150/100. She complaints of dry cough and gasping of air. She also states that over the
last 2 weeks she has noted that her breathing difficulty has severely limited her activities and has
increased to persist even at rest, especially when lying down. She also reports of sudden awakening at
night. On enquiry, she reports a recent weight gain along with a general reduction in her state of health.
She explains that she has diabetes Type 2 (diet-controlled) from the last 5 years and hypertension since
she was 40 years old. Her father died at age 85 due to ‘old age’, her mother died at age 88 after a hip
fracture, and a brother age 80 alive with no significant history. She is on Minoxidil 10mg po bid for her
hypertension, and has no known drug allergies. She denies any chest pain, fever, chills, abdominal pain,
nausea, vomiting or changes in bowel habits. Upon investigation, serum troponin I was 1.1 ng/mL and
chest x-ray show evidence of interstitial edema and some early alveolar edema.
IDENTIFY OR DIAGNOSE THIS DISEASE.
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