Each of the following is a manifestation of pure right heart failure except:
A. ankle edema
B. hepatomegaly
C. ascites D. pulmonary edema
E. prerenal azotemia
The correct answer is (D) pulmonary edema.
Pure right heart failure primarily affects the right side of the heart, leading to fluid buildup and congestion in the body. The manifestations of pure right heart failure include:
A. Ankle edema: Fluid accumulation in the legs and ankles.
B. Hepatomegaly: Enlargement of the liver due to fluid congestion.
C. Ascites: Fluid accumulation in the abdominal cavity.
E. Prerenal azotemia: Decreased kidney function due to reduced blood flow, leading to increased nitrogen waste products in the blood.
Pulmonary edema (D) is not a typical manifestation of pure right heart failure. Pulmonary edema is more commonly associated with left heart failure, where fluid accumulates in the lungs due to increased pressure in the pulmonary veins.