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A patient is admitted with dyspnea and fluid overload. Chest X-ray reveals bilateral pleural effusion, right greater than left, and pulmonary congestion with possible congestive heart failure. BNP is elevated, confirming congestive heart failure. Echo shows a mild pulmonary hypertension and aortic valve stenosis. The patient is receiving medication for atrial fibrillation and has alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses:
Congestive heart failure
Pulmonary hypertension
Aortic valve stenosis
Atrial fibrillation
Skilled Trades
Occupations that require specific training, often involving manual work, such as carpentry, plumbing, and electrical work.
Residential Segregation
The separation of people into different neighborhoods on the basis of race, ethnicity, or economic status.
Free Black Population
Refers to African Americans who were not enslaved, particularly before and during the Civil War in the United States.
Antebellum Period
The era in United States history from the late 18th century until the outbreak of the Civil War in 1861, characterized by the growth of the South's economy and the intensification of the North-South divisions.
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