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What is the most likely diagnosis, and what is the next best step in management?

The most likely diagnosis in this patient is heart failure with preserved ejection fraction (HFpEF), which is a type of heart failure where the heart's pumping function is normal (ejection fraction ≥50%), but there is impaired filling of the heart. This condition often presents with symptoms of fluid overload, such as shortness of breath and bilateral pitting edema (indicative of systemic congestion), which are present in this patient.

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sridigi2

Lvl 2
5mo ago
Updated: 2/11/2025

A) Rheumatoid Arthritis; start methotrexate.

B) Systemic lupus erythematosus (SLE); start hydroxychloroquine.

C) Psoriatic arthritis; start topical corticosteroids.

D) Osteoarthritis; start acetaminophen.

E) Gout; start colchicine.

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sridigi2

Lvl 2
5mo ago

What else can I help you with?

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