400
====DAILY DOUBLE===( Both teams answer and select wager) John Smith is a 70 y/o male, chief complaint is severe dyspnea on excertion; increasing gradually over the past several years. He has had severe kyphoscoliosis from his teenage years. He denies history of cough, sputum production, smoking, working in a polluted environment, or respiratory disease. Physical examination reveals tachypnea, tachycardia, jugular venous distention, ankle edema, and kyphoscoliosis. What is the likely cause of these symptoms
Kyphoscoliosis-causes reduction in the size of the thoracic cage and can severely compromise lung expansion and eventually result in pulmonary hypertention, which can cause right heart failure, resulting in elevated jugular venous distention and pedal edema