If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 13

A 63 year old male who is known to have chronic obstructive pulmonary disease presents with worsening breathlessness and swelling of his ankles.

In this patient which of the following physical signs would make you suspect that the patient has left ventricular failure?

a)   Bilateral basal crepitations

b)   Pitting ankle oedema

c)    Pulsus alternans

d)   Elevated JVP

e)   Third heart sound

 

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