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Image Challenge This patient presented with an S4 gallop, an elevated jugular venous pressure, and bilateral pitting edema. What diagnosis is most likely?

This patient presented with an S4 gallop, an elevated jugular venous pressure, and bilateral pitting edema. What diagnosis is most likely?

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Question

This patient presented with an S4 gallop, an elevated jugular venous pressure, and bilateral pitting edema. What diagnosis is most likely?

Congestive heart failure

Constrictive pericarditis

Subacute bacterial endocarditis

Systemic amyloidosis

Scleroderma

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