A 60 year old woman enters emergency room after a recent fainting episode.

Patient Chart
History: A 60 year old woman enters emergency room after a recent fainting episode following a strenuous hike. The patients medications include a diuretic for high blood pressure. Diuretic dose was recently increased from 25 to 50 mg per day.

Test Results: Elevated blood urea nitrogen. Serum sodium increased.
Heart Rate:
Blood Pressure: /

Heart Sounds:
Lung Sounds:



Diagnosis What is your diagnosis?