# What's going on?

**URL:** <https://www.medboundhub.com/t/whats-going-on/4194>\
**Category:** General\
**Created:** [July 2, 2025, 5:16am UTC](https://www.medboundhub.com/t/whats-going-on/4194 "2025-07-02T05:16:16Z")\
**Posts on this page:** 4\
**Page:** 1

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**Author:** ![Sakshi123](https://yyz1.discourse-cdn.com/flex033/user_avatar/www.medboundhub.com/sakshi123/32/455_2.png) [@Sakshi123](https://www.medboundhub.com/u/Sakshi123)\
**Post date:** [July 2, 2025, 5:16am UTC](https://www.medboundhub.com/t/whats-going-on/4194/1 "2025-07-02T05:16:16Z")

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A 65-year-old man with a history of COPD presents with worsening dyspnea and leg swelling. On exam: JVP is elevated, loud P2, hepatomegaly, and bilateral ankle edema. ECG shows right axis deviation.  
What is the most likely diagnosis?

A) Left-sided heart failure  
B) Constrictive pericarditis  
C) Cor pulmonale  
D) Pulmonary embolism

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**Author:** ![Aniket](https://yyz1.discourse-cdn.com/flex033/user_avatar/www.medboundhub.com/aniket/32/1834_2.png) [@Aniket](https://www.medboundhub.com/u/Aniket)\
**Post date:** [July 2, 2025, 5:19am UTC](https://www.medboundhub.com/t/whats-going-on/4194/2 "2025-07-02T05:19:10Z")

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C) Cor Pulmonale

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**Author:** ![Wakeeta\_11](https://yyz1.discourse-cdn.com/flex033/user_avatar/www.medboundhub.com/wakeeta_11/32/668_2.png) [@Wakeeta\_11](https://www.medboundhub.com/u/Wakeeta_11)\
**Post date:** [July 2, 2025, 8:12am UTC](https://www.medboundhub.com/t/whats-going-on/4194/3 "2025-07-02T08:12:50Z")

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Cor pulmonale

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**Author:** ![Moksha\_s](https://yyz1.discourse-cdn.com/flex033/user_avatar/www.medboundhub.com/moksha_s/32/271_2.png) [@Moksha\_s](https://www.medboundhub.com/u/Moksha_s)\
**Post date:** [July 2, 2025, 8:55am UTC](https://www.medboundhub.com/t/whats-going-on/4194/4 "2025-07-02T08:55:02Z")

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Cor pulmonale