1 Week Of Progressive in Medicine / Internal Medicine — 72yo Woman | Cardiology | SMLE Q#17821
SMLE Question #17821
Medicine / Internal Medicine
Cardiology
Objective: OBJ-IM-CARD-001
Last updated: February 2026
A 72-year-old woman with chronic heart failure presents with 1 week of progressive bilateral leg swelling and fatigue. She reports mild exertional dyspnea without chest pain, vomiting, or diarrhea. Examination shows pitting edema to the mid-shins, mild jugular venous distension, and bibasilar crackles. She is alert with no seizures or confusion. What is the most appropriate management?
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