S3 heart sound, pulmonary crackles

Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?

Asthma

Nocturnal allergies

Valvular disease

Heart failure How To Draft An MLA Essay Format Piece

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