Bob Ray

A 65-year-old retired accountant presents to your GP clinic with progressive shortness of breath, orthopnea, and ankle swelling. Focus on formulating a diagnosis, considering differentials, and synthesising the clinical evidence.

1. 1Formulate a working diagnosis based on the clinical picture
2. 2Identify and discuss relevant differential diagnoses
3. 3Synthesise clinical evidence to support your reasoning
4. 4Assess the severity of the condition
5. 5Justify your investigative reasoning