194. The clinic has heard 46-year-old patient WHO had sued the eyesight at moderate exertion, mild swelling of the lower leg and occasional irregular heart flashing and the last 6 months. For several years a moderate Increase and blood pressure. Work in factory dyes.
And the physical condition we ugovili CVT about 15 cm of water, RR 165/95, saturation Hb 0,92 without stagnation of shots of the lungs, basal expiratory few Bleeps, rhythmic heart action, 90 / min, a fixed and a sliced 2 tone, quiet sitolični ejection murmur at the top left of the sternum by expanding Under the left collarbone. The liver was not Enlarged, pretibialni mild edema. Accompanied by a recording of the patient's ECG and chest radiography Authorities
A. The patient is probably a:
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