ialysis ?RelievedРPresent history:hospital 3РCardiomyopathy? Endocarditis??Recurred chest stiffness & breathless?ECG: nodal tachycardia?UCG: enlarged heart and aorta, hydropericardium.Р?Р?Р?РPresent e to usРOn January 24th, 2012, the patient came to our hospital.Рprevious historyРSmoking and drinking ?Ceased smoking and abstained from alcohol?Denied drug abuse?Not aware of any hereditary disease in his family.Рhistory:summaryРbination of different clinical findings?“Electric shock like” pain (once)?Syncope (once)?Chest stiffness & Breathless?Repeated low back pain?Pitting edema of lower extremityРMonismРAnalysis:pluralismРAlgia:neurological pain? Acute coronary syndrome??Syncope:TIA? Cerebral Infarction??Oliguria & edema:renal failure??Chest stiffness and pain:ACS? PE?РFractured & confused
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