Shortness of breath & history of peripheral vascular disease.

56/y/o female with a history of peripheral vascular disease. Temp 100.4 P-104/min RR 24/min BP 120/80 mm of hg Complain of Shortness of breath, on auscultation bilateral crackles, Tachycardia, no JVD or lower extremity edema Recent investigations Serum. Na+ 138, Serum K+ 4.7, BUN 35, Cr 1.2 CXR: cardiomegaly, mild vascular congestion The creatinine was markedly elevated at 3.98 She is kapha pitta prakriti and has vishma agni bala

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Arsenic Album 6 qid

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