52-year-cid man comes to the emergency department with shortness of breath and dry cough

52-year-cid man comes to the emergency department with shortness of breath and dry cough. The patient has been feeling weak

over the last several days with some dyspoea on exertion, which he attributes to work-related stress and fatigue. Earlier this morning,

he woke up with persistent breathing difficulty that prompted him to come to the emergency department. The patient has a history of

mild intermittent asthma for which he occasionally uses an albuterol inhaler. His family history is insigniricant The patient’s

temperature is 37.1 C (98 8 F), blood pressure is 117/72 mm Hg, pulse is 89/min, and respirations are 18/min. LabOfatory analysis

reveals a markedly elevated serum brain natriuretic peptide level. Which of the following clinical signs would best correlate with this

rinding in this patient?

  • QA Cyanosis
  • Q B Extremity edema
  • QC Neck bruit
  • Q D Periumbilicalbruit
  • QE Third heart sound
  • QF. Wheezing

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