Bob Ray

A 65-year-old retired accountant presents to your GP clinic with progressive shortness of breath, orthopnea, and ankle swelling. Focus on explaining the diagnosis, recommending treatment, and arranging appropriate follow-up.

1. 1Explain the diagnosis in patient-friendly language
2. 2Recommend appropriate lifestyle modifications
3. 3Initiate pharmacological management with rationale
4. 4Arrange appropriate referral and follow-up
5. 5Provide safety-net advice and reassurance