A 75-year-old obese man was hospitalized for severe shortness of breath and swelling of his legs. Crackles and rhonchi were heard on auscultation of the chest. He had no fever. He had a history of several heart attacks and longstanding hypertension
The most likely cause of pulmonary findings is
A. epiglottitis
B. left-sided heart failure
C. right-sided heart failure
D. emphysema
E. chronic bronchitis
B
This man has pulmonary edema, which was most likely caused by left-sided heart failure. The clinical findings and the history of previous heart problems are typical. This patient also has right-sided heart failure but this does not cause pulmonary edema. Other conditions listed here also do not result in pulmonary edema.
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