The patient is a 67-year-old male with a past medical history significant for hypertension, obesity, and a prior gastric bypass surgery. He denies having a known history of cardiac or pulmonary disease. He denies any chest pain, fever, or cough. He does report feeling significantly short of breath. The patient has notable swelling in both of his lower extremities, but his right lower extremity appears more swollen than his left with notable erythema (redness). His right leg is notable for 2+ pitting edema and redness. His left leg is notable for 1+ pitting edema. The patient’s vitals are as follows: blood pressure of 133/83 mm Hg, pulse of 143 beats per minute, and respiratory rate of 24 breaths per minute. He is afebrile, and his oxygen saturation is 92% on room air. The patient’s lungs are clear without wheezing. His heart sounds are tachycardic and irregular, but otherwise normal. The patient’s abdomen is normal.
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