A 59-year-old man comes to the physician for a 1-month history of cough and 2-week history of facial swelling. He has lost 5 pounds during this time. He has a 10-year history of hypertension managed with lisinopril. He has smoked one pack of cigarettes daily for 30 years. Physical examination shows edema of the face and neck. Jugular venous pulsations are 5cm above the sternal angle. Serum sodium is 126 mEq/L. Which of the following is the most likely cause of the patient’s facial edema?
Angioedema
Hypoalbuminemia
Hyponatremia
Insufficient venous return
Nephrotic syndrome
