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RV heaves Right (sided heart failure) Murmurs Right (sided heart failure) Jugular venous distention Right (sided heart failure) Edema (e.g., pedal, scrotum, sacrum) Right (sided heart failure) Weight gain Right (sided heart failure) Ascites Right (sided heart failure) Anasarca (massive generalized body edema) Right (sided heart failure) Hepatomegaly (liver enlargement) Right (sided heart failure) Dependent, bilateral edema Right (sided heart failure) Right upper quadrant pain Right (sided heart failure) Anorexia and GI bloating Right (sided heart failure) Nausea Right (sided heart failure) LV heaves Left (sided heart failure) Pulsus alternans (alternating pulses: strong, weak) Left (sided heart failure) PMI displaced inferiorly and posteriorly Left (sided heart failure) ↓ PaO2, slight ↑ PaCO2 (poor O2 exchange) Left (sided heart failure) Crackles (pulmonary edema) Left (sided heart failure) S3 and S4 heart sounds Left (sided heart failure) Pleural effusion Left (sided heart failure) Changes in mental status Left (sided heart failure) Restlessness, confusion Left (sided heart failure) Weakness Left (sided heart failure) Dyspnea Left (sided heart failure) Shallow respirations up to 32-40/min Left (sided heart failure) Paroxysmal noctural dyspnea Left (sided heart failure) Orthopnea Left (sided heart failure) Dry, hacking cough Left (sided heart failure) Nocturia Left (sided heart failure) Frothy, pink-tinged sputum (advanced pulmonary edema) Left (sided heart failure) ↑ HR Both (left and right-sided heart failure) Fatigue Both (left and right-sided heart failure) Anxiety Both (left and right-sided heart failure) Depression Both (left and right-sided heart failure)