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 e.g.echo or 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.