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[Expert Solution]: A 62-year-old female with a history of…

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A 62-year-old female with a history of rheumatic heart disease visits her family physician’s office for her annual check-up. When speaking to the nurse, the client describes noticing that she has “shortness of breath when I’m working in the garden, and it’s getting worse. Plus, my ankles are more swollen all the time, even on days that I don’t work in the office. I can barely get my shoes on!” On examination, the nurse notes jugular vein distention. The client’s only medication is furosemide for hypertension. On examination by the physician, heart sounds reveal the presence of a new heart murmur. The client’s biochemistry results are presented below. Serum Result sodium 140 mmol/L potassium 4.0 mmol/L creatinine 111 μmol/L eGFR 78 ml/min/1.73 m2 BNP 1300 ng/L HDL 1.4 mmol/L LDL 1.6 mmol/L Triglyceride (fasting) 1.5 mmol/L Blood Result hematocrit 0.41 Determine the disease that has developed in this client by examining the pattern of laboratory results. Also suggest an appropriate management strategy that could be implemented. (10 marks) For full marks, include all aspects from the point values listed in the grading criteria.

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