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- So how was a heart failure diagnosed? So first of all you you take a good medical history. And what does a good medical history? First of all you want to look, I ask for questions about risk factors. Are they diabetic? Do they have high blood pressure? And you do a drug history to kind of clue you in, whats theirs, how high is your suspicion for this patient having heart failure? And then you do an exam, a physical exam. A lot of times if and many of you know someone with heart failure we always look at the neck. And why are we doing that? So we have whats called the vein here at the internal jugular vein which is like a dipstick that drains right into the heart. So you can imagine if a patient has back up of fluid its gonna, its gonna become very prominent and thats what were gonna see on our exam. You can also have swelling of the feet as well too - or the abdomen, and thats what youre seeing here. Normal and you could see swelling of this leg here. Theres certain labs th
