A 49-Year-Old COPD Patient Arrives to the ER Complaining of Shortness

Multiple Choice

A 49-year-old COPD patient arrives to the ER complaining of shortness of breath (SOB) and difficulty breathing. The physical examination reveals bilateral coarse crackles throughout the lung fields, pedal edema, and hepatomegaly. The chest x-ray shows bilateral fluffy infiltrates with a "bat's wing" configuration. What clinical condition you may suspect on this patient?

A) Acute coronary syndrome
B) COPD exacerbation
C) Hypertensive crisis
D) Left heart failure