A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular permeability from C1 inhibitor deficiency D) Obstruction of the superior vena cava from extrinsic compression
A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular permeability from C1 inhibitor deficiency D) Obstruction of the superior vena cava from extrinsic compression
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema?
- A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors
- B) Impaired cardiac filling from cardiac tamponade
- C) Increased vascular permeability from C1 inhibitor deficiency
- D) Obstruction of the superior vena cava from extrinsic compression
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