View source for 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]]
*[[cardiac catheterization|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]].

==At this point, if your clinical suspicion is moving towards CHF, [[Initial workup|click here]]==