UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old

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JoAnn Smith is a 72-year-old woman who has a history of myocardial infarction (MI) four years ago and systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. She presents to the emergency department (ED) for shortness of breath (SOB) the past three days. Her shortness of breath has progressed from SOB with activity to becoming SOB at rest. The last two nights she had to sleep in her recliner chair to rest comfortably upright. She is able...

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UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old • UNFOLDING Reasoning Case Study: Heart Failure, JoAnn Smith, 72 years old