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[Verified Answer]: A 62 year old female with history of…

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A 62 year old female with history of rheumatic heart disease visits her family physician office for her annual check up. When speaking to the nurse the client describes noticing that she has shortness of breath when I’m walking 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 note jungle distinction. The clients only medication is furosemide for hypertension. On examination by the physician that sounds revealed the presence of a new heart murmur. Lab results sodium 140 ML per liter, potassium 4.0 MMOL per liter, creatinine 111UMOL per liter, EGFR 78 ML per minute per 1.73 m^2, BNP 1300 MG per liter, HDL 1.4 MMOL per liter, LDL 1.6 MMOL per liter, triglyceride fasting 1.5 MMOL per liter, haematocrit 0.41. Determine the disease that has developed in the client by examining the pattern of laboratory results. Also suggest an appropriate management strategy that could be implemented. Include discussion onbattle physiology and etiology of the clients condition. Rule out any further illnesses.Include references.

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