QuestionSBA
QuestionChoice
Enlargement of the liver and spleen occurs secondary to venous congestion caused by right-sided heart failure. In acute cases, it can be tender.
10026735
a
Hepatosplenomegaly
QuestionChoice
"Orthopnoea" - this is usually indicative of **left**-sided heart failure and cardiogenic pulmonary oedema
10026739
e
Shortness of breath when the patient lies down
QuestionChoice
This is a feature of pulmonary oedema, a characteristic feature of **left**-sided heart failure.
10026737
c
Cough producing of pink-tinged sputum
QuestionChoice
This indicates pulmonary oedema which is a characteristic feature of **left**-sided heart failure, not right.
10026736
b
Crackles on auscultation of her lungs
QuestionChoice
Due to her peripheral oedema, the patient is more likely to have an increase in weight since last visiting her GP. This is "water weight" from the accumulation of excess fluid in her tissues.
10026738
d
Weight loss
Concept
Chapter
2693
5916
Right heart strain
Topic
134
Cardiology
17745
A 67-year-old female with a history of COPD presents to her GP complaining of swollen legs. After a full examination, the GP is concerned that she may have developed right heart strain due to her history of chronic lung disease.

Which of the following examination signs would likely be seen in keeping with the diagnosis?
a