{
"question": "In a [AGE]-year-old female with a nonproductive cough, progressive abdominal distention, jaundice, cardiomegaly with left ventricular enlargement, respiratory alkalosis with hypoxemia, hyperbilirubinemia, elevated AST, hyperuricemia, elevated LDH, mild thrombocytopenia, and hypokalemia, what is the most likely diagnosis, the differential diagnoses, the pathophysiologic explanation, the recommended management according to Harrison's Principles of Internal Medicine and Philippine guidelines, and which additional diagnostic tests are needed to establish a definitive diagnosis?"
}In a 41-year-old female with a nonproductive cough, progressive abdominal distention, jaundice, cardiomegaly with left ventricular enlargement, respiratory alkalosis with hypoxemia, hyperbilirubinemia, elevated AST, hyperuricemia, elevated LDH, mild thrombocytopenia, and hypokalemia, what is the most likely diagnosis, the differential diagnoses, the pathophysiologic explanation, the recommended management according to Harrison's Principles of Internal Medicine and Philippine guidelines, and which additional diagnostic tests are needed to establish a definitive diagnosis?
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