marialpn_2009

marialpn_2009

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  1. Chest Pain, CHF & PVD

    John McDonald is an 80-year-old Caucasian man with angina, congestive heart failure and peripheral vascular disease. He is easily fatigued, has a productive cough and dyspnea on exertion. He has bilateral leg edema and a venous stasis ulcer on his ri...