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Diagnosis: 65-year-old man experienced fainting episode

History

Patient experienced fainting episode while carrying heavy boxes. Has also noticed abdominal bloating over the course of last six months.

Physical Exam
Shows clubbing of the nail bed and swollen ankles.
Resting pulse rate of 65 beats per minute.

Diagnosis

What is your diagnosis?











? v:9 | onAr:0 | onPs:2 | tLb:0 | pv:1
uStat: False | db:0 | cc: US
| cDbLookup # 0 | pu: False | pl: System.Collections.Generic.List`1[System.String]
em: | newuser: False | cc: US | showD? False





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