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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, whatamp;#39;s 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 whatamp;#39;s 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 itamp;#39;s gonna, itamp;#39;s gonna become very prominent and thatamp;#39;s what weamp;#39;re gonna see on our exam. You can also have swelling of the feet as well too - or the abdomen, and thatamp;#39;s what youamp;#39;re seeing here. Normal and y