2. A 74-year old women with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling...

Extracted text: 2. A 74-year old women with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she's had in her ankles for years hes started to get worse over the past two months. In the pest week, she's hed a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the ebdomen. On physical exemination, the patient's juguler veins were noticeably distended. Auscultation of the heert revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra "S.' heart sound. (iii) Examination of the patient's abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites ('water' in the pericardial cavity). Explain these findings. (iv) Examination of the patient's ankles reveals significant "pitting oedema". Explain this finding. (v) What is the general term describing this condition?