50 year old man complaining of swollen ankles - Diagnosis Chart Auscultation Diagnosis Patient Chart History: 50 year old man complaining of swollen ankles of two months duration and shortness of breath with exertion. Physical Exam Blood pressure is normal. Pulse rate is 95 bpm. Respiration of 15 breaths per minute. Test Results: White blood cell count normal. Electrolytes normal. Thyroid function studies normal. Chest x-ray shows prominent pulmonary artery. Heart Sounds: Diagnosis What is your diagnosis? DiverticulitisTricuspid insufficiencyLarge bowel obstructionSmall bowel obstruction Table of Contents Introduction 150 year old man complaining of swollen ankles 245 year old woman complaining of dizziness with exertion 375 year old man with shortness of breath with minimal exertion 465 year old man experienced fainting episode with exertion. 547 year old man experiencing severe chest pain with exertion Today's Score 0 correct out of 0 attempted.