Connie is alert and oriented.
Vital signs:
• BP = 124/82, P = 88 bpm and regular
• T = 98.1
• O₂ Sat = 93% RA
• Wt = 195 pounds; Ht = 5' 7"; BMI = 30.5
Significant findings on exam include a central venous pressure (CVP) assessed at approximately 10 cm H20. S3 and a 2/6 systolic murmur heard over mitral area upon auscultation. There is hepatojugular reflux (HJR). She has 1+ pitting edema to mid shin bilaterally. EKG done immediately reveals normal sinus rhythm with no acute abnormalities; heart rate of 90. 2. What additional diagnostics would you like to obtain? Provide rationale for each diagnostic.
