1 Swelling of the ankles and feet, or swelling in the lower back if the patient is bedridden (right-sided failure). 2  Rapid weight gain due to fluid retention (right-sided failure). 3  Abdominal pain and a feeling of fullness (right-sided failure).  Swollen neck veins (right-sided failure).
shuffle. 1  to walk without lifting the feet or with clumsy steps and a shambling gait. 2  to scrape the feet over the floor in dancing. 3  to move clumsily (usually followed by into): to shuffle into one's clothes.
The shuffling here does mean shuffling with the fate of the characters. Since the reader is asked to shuffle again and again, in the repetitive shuffling none of the suspects will be able to escape: âDeath is the inevitable punchline for the joke called lifeâ (card Joker).