Key Points

Two weeks later she presented with complaints of abdominal fullness and a 1 lb weight gain, without dyspnea or peripheral edema. The blood pressure was 100/80 mm Hg, the pulse 85, and the neck veins now 12 cm in height. There was a grade I/VI mitral regurgitant murmur and moderate hepatomegaly, with no peripheral edema. ................
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