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Download the article PDF: Clinical Image Challenge December 2025
A 55-year-old male presents to urgent care with progressive dyspnea for 2 weeks associated with lower extremity edema. The patient is afebrile, slightly tachypneic, with bilateral lower extremity edema on exam. An ECG is ordered.
View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Case presented by Benjamin Cooper, MD, McGovern Medical School, The University of Texas Health Science Center at Houston, Department of Emergency Medicine.
55-Year-Old With Lower Extremity Edema
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