Quick History and physical for CHF

1. Obtain a focused history looking for

• dyspnea on exertion
• ankle swelling
• orthopnea
• cough with frothy sputum
• weight gain
• history of MI
• smoking
• prior diagnostics
• [echocardiogram|echo]]
• heart cath.

2. Perform a focused physical exam looking for

• increased JVP
• rales
• bilateral lower dullness on chest percussion
• labored breathing
• S3 gallop
• hepatomegaly
• ascites
• positive hepatojugular reflux
• jaundice, anasarca.