2. A 74 year old women with history of rheumatic fever (in her twenties) presented to her physicien with complaints of increesing shortness of breath (dyspnea) upon exertion. The typical swelling she's hed in her ankles for years hes started to get worse over the past two months. In the pest week, she's hed a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the abdomen. On physical exemination, the patient's juguler veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heerd best over the left upper sternal border. In addition, she hed an extre "S, heart sound. (iii) Examination of the patient's abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites ('water in the pericardial cavity). Explain these findings. (iv) Examination of the patient's ankles reveals significant "pitting oedema". Explain this finding. (v) What is the general term describing this condition?

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Chapter17: Drugs And Dissection
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2. A 74-year old women with history of rheumatic fever (in her twenties) presented to
her physician with complaints of increasing shortness of breath (dyspnea) upon
exertion. The typical swelling she's had in her ankles for years hes started to get
worse over the past two months. In the pest week, she's hed a decreased appetite,
some nausea and vomiting and tenderness in the right upper quadrant of the
ebdomen. On physical exemination, the patient's juguler veins were noticeably
distended. Auscultation of the heert revealed a low-pitched, rumbling systolic
murmur, heard best over the left upper sternal border. In addition, she had an extra
"S.' heart sound.
(iii) Examination of the patient's abdomen reveals an enlarged liver (hepatomegaly)
and a moderate degree of ascites ('water' in the pericardial cavity). Explain these
findings.
(iv) Examination of the patient's ankles reveals significant "pitting oedema". Explain
this finding.
(v) What is the general term describing this condition?
Transcribed Image Text:2. A 74-year old women with history of rheumatic fever (in her twenties) presented to her physician with complaints of increasing shortness of breath (dyspnea) upon exertion. The typical swelling she's had in her ankles for years hes started to get worse over the past two months. In the pest week, she's hed a decreased appetite, some nausea and vomiting and tenderness in the right upper quadrant of the ebdomen. On physical exemination, the patient's juguler veins were noticeably distended. Auscultation of the heert revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra "S.' heart sound. (iii) Examination of the patient's abdomen reveals an enlarged liver (hepatomegaly) and a moderate degree of ascites ('water' in the pericardial cavity). Explain these findings. (iv) Examination of the patient's ankles reveals significant "pitting oedema". Explain this finding. (v) What is the general term describing this condition?
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