A Visit at the Doctors
Texto del Guión Gráfico
- Deslizar: 1
- Good morning, Doctor. I’ve been noticing that my ankles have been swelling more and more over the past few days, and it doesn’t seem to be getting better.
- Good morning, Ms. Whitmore. I’m Dr. Bista. What brings you in today?
- Deslizar: 2
- It started a couple of weeks ago, but over the last two days it’s gotten times worse. My shoes feel tighter, and my legs feel heavy by the end of the day.
- When did you first notice the swelling?
- Deslizar: 3
- Yes, I do get short of breath more easily than before, especially when I’m walking or doing chores. I’ve also noticed my stomach feels more bloated than usual.
- Have you noticed any other symptoms, such as shortness of breath or abdominal swelling?
- Deslizar: 4
- No chest pain or fainting. I just feel more tired than usual.
- Do you have any chest pain, dizziness, or fainting?
- Deslizar: 5
- Yes. High blood pressure runs in my family on my mother’s side. My mother and grandmother both had it.
- I see from your history that you have high blood pressure. Is that correct?
- Deslizar: 6
- I started smoking when I was around 50 after my husband passed away. It was mainly to cope with stress. I don’t drink alcohol.
- Do you smoke or drink alcohol?
- Deslizar: 7
- So that’s what’s causing the swelling?
- Thank you for sharing that. Based on your symptoms, exam findings, and test results, it appears that your heart isn’t pumping as effectively as it should. This has caused fluid to build up in your legs and abdomen.
- Deslizar: 8
- I understand. I just want to feel better and be able to move around normally again.
- Yes. You are experiencing right-sided congestive heart failure. The good news is that we can manage this with medications like diuretics to remove excess fluid and treatments to reduce the strain on your heart.
- Deslizar: 9
- That’s our goal. We’ll start treatment today, monitor your response closely, and work on a long-term plan to manage your condition.
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