Fluctuation of Likelihood in an Obese Woman with Dyspnea on Exertion

Additional clues Left Ventricle Subsequent P(D ) Other to Initial P (D ) Failure Disease

1. Initial P (D ) .30 P1 .70

2. Chronic Hypertension .50 P2 .50

3. Chronic Cough-2 pkgs../day .30 P3 .70

4. Orthopnea .50 P4 .50

5. Basal rales, no wheezes .60 P5 .40

6. S3 at apex .80 P6 .20

7. Large heart .95 P7 .05

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