10th March 2024

A 76-year-old patient with known severe COPD on LABA/LAMA/ICS therapy attends her GP.

A 76-year-old patient with known severe COPD on LABA/LAMA/ICS therapy attends her GP. She has noticed increased breathlessness in the last few months but no increase in phlegm or wheezing. On examination, she has bilateral pitting oedema to her knees and a right parasternal heave. Her chest is clear and has no crackles or wheeze. What would your next investigation of choice be?

Select the SINGLE most appropriate option from the list below. Select ONE option only.