University of Chicago & The Donald W
Pulmonary hypertension is most likely secondary to CHF. Patient is currently fluid overloaded, as he complains of orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema and has 1+ pitting edema on exam. Symptoms are similar to prior CHF exacerbation in 2/06. Plan: Diuresis with furosemide, start with 40 mg IV and increase if needed. ................
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