This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Which of the following is not a framingham major criteria for the diagnosis of hea failure? 
Select and explain. 
A. Paroxysmal nocturnal dyspnea, B. Cardiomegaly, C. S3 Gallop, D. Hepatomegaly
D: Hepatomegaly
Answer: D: Hepatomegaly 
Explanation: Hepatomegaly Major or minor Weight loss 4.5 kg over 5 days t/t. To establish a clinical diagnosis of congestive hea failure by these criteria at least one major and two minor criteria are required.