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 (русский) 1:

Ревматического эндокардита. Пациент жаловался на общее недомогание, ранней усталости на нагрузки, сердечной дискомфорт и сердцебиение. Врач обнаружил его с увеличение температуры тела на субфебрильная уровень для длительного периода времени. Пациент заявил, что начала заболевания предшествовали тонзиллит. Пульс пациента стала нерегулярно и ускоренного на физической нагрузки. Анализ крови показал умеренный лейкоцитоз и повышенной СОЭ. Электрокардиограмма, показали изменения в наиболее важных чтениях. На перкуссии доктор определяется сердца, чтобы быть немного расширен. Эти выводы физического обследования были подтверждены рентген. Во время прослушивания сердце пациента врач обнаружил мягкий систолический шум быть услышанными на верхушки сердца. Эти симптомы сопровождались диастола шум услышал на вершины и основания сердца. Доктор определили органические изменения в аортального, митрального и трикуспидального клапанов, чтобы быть четко обозначены. Врач считает пациента, чтобы быть больным с ревматического эндокардита и настаивали на его после строгий постельный режим в стационаре.

Результаты (русский) 3:

Rheumatic Endocarditis.the patient as 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 been moderate leucocytosis and at ESR. the electrocardiogram showed the changes in the most important readings. on percussion the doctor determined to find the heart to be 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 relating to be heard at the heart apex. these symptoms were accompanied by diastole relating 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 of the patient to be ill with rheumatic endocarditis and insisted on his following a strict bed regimen at the in - patient department.