What Does Bulls Pizzle

III CLINICAL CASE

This is the third clinical case Schizophrenos offers readers:

Luisa Rossi 80 years.

Family history:

- Mother died of myocardial infarction;
- Father died of unknown causes, diabetes type II;

medical history:

- report suffering from heart and have a pacemaker;
- Reports also have received a diagnosis of "dilation Vsx FE with 20%" to 32 years in

during a routine examination, medical history

next:

- present at severe dyspnea, severe psychomotor agitation, profuse sweating and cyanosis

with cold extremities.

EO:

Age: 80 years
Weight: 69 Kg;
Terms: expired;
auscultation of the chest: diffuse crackles;
cardiac auscultation: Toni arrhythmic, III tone auscultation;
Abdomen: treatable, not painful on palpation sup. and deep. Peristalsis valid, no murmurs. Nodal apparatus: to the extent;

Laboratory Tests:

- ECG: sinus tachycardia (100 bpm), complete left bundle branch block.

We see this time who will be the best at making the tentative diagnosis best ... have fun!