Rheumatic Endocarditis. The patient

Rheumatic Endocarditis.

The patient complained of a general malaise, early fatigue on exertion, cardiac discomfort and palpitation.
The physician found him to have been having an increase of body temperature to a subfebrile level for a prolonged period of time. The patient stated that the onset of the disease had been preceded by tonsillitis. The patient’s pulse rate had become irregular and accelerated on physical exertion.
The blood analysis revealed moderate leucocytosis and elevated ESR. The electrocardiogram showed the changes in the most important readings. On percussion the doctor determined the heart to be slightly enlarged. These findings of the physical examination were confirmed by the X-ray examination.
While listening to the patient’s heart the doctor found a soft systolic murmur to be heard at the heart apex. These symptoms were accompanied by diastole murmur heard at the apex and base of the heart. The doctor determined the organic changes in the mitral, aortic and tricuspid valves to be clearly marked.
The physician considered the patient to be ill with rheumatic endocarditis and insisted on his following a strict bed regimen at the in-patient department.

Результаты (китайский) 1:

风湿性心内膜炎。病人主诉全身不适、 早期疲劳运用、 心脏不适和心悸。医生发现他一直在有体温增加到癌瘤的水平长期的时间。病人说，发病前曾扁桃体炎。病人的脉搏变得不规则和加速在体力上。血液分析显示温和白细胞增多和高架的 ESR。心电图显示所做的更改在最重要的读数。在打击乐医生坚定的心，略有放大。物理检查这些结果均经 x 线检查证实。一边听听病人的心脏医生发现软的收缩期杂音在心先端陈词。这些症状都伴随着听到在先端和基部的心脏的舒张期杂音。医生确定二尖瓣、 主动脉瓣和三尖瓣关闭的阀门，必须清楚注明的有机变化。医生认为病人是患风湿性心内膜炎和坚持他之后在住院部严格卧床疗法。

Результаты (китайский) 2:

风湿性心内膜炎。

病人抱怨全身不适，早期疲劳劳累，心脏不适，心悸，
医生发现他已经有一段长时间到subfebrile水平增加体温。病人说，疾病发作之前已经扁桃体炎。该患者的脉率变得不规则，加快了体力消耗。
血液分析表明适度白细胞增多和血沉增快。心电图显示，在最重要的读数的变化。在敲击医生确定为轻度肿大的心脏。体检的这些发现是由X线检查确诊。
虽然听病人的心脏，医生发现了一个柔软的收缩期杂音在心脏心尖被听到。这些症状伴随着在心脏的顶点和基础听到舒张期杂音。医生确定二尖瓣，主动脉瓣和三尖瓣有机变化被清晰的标示。
考虑病人的医生生病风湿性心内膜炎，并坚持他在住院部遵循严格卧床方案。