Dr. Manmeet Singh (General Practice) needs a second opinion on this medical case.
51 year old female presents with red rash on bilateral lower extremities. Pt also presented with swollen feet/ankles with +4 putting edema. Pt states the swelling gets worse progressively throughout the day and is the worst at night but improves upon waking. Pt states she is tired most of the time and has shortness of breath upon exertion. Pt has a history of a hypertensive crisis that required a hospitalization. Pt takes Losartan and Amplodipine daily to control her hypertension. What is your diagnosis?