Joseph Rossi, years 61
Sex: masculine
Remote of pathological of Anamnesis:
- Obstructive chronic bronchitis from about 30 years;
- Diabetes mellito type 2 from about 20 years;
E.O. :
Weight: 69 Kgs;
Pressure: 160-90 mmHgs
The Generals of Conditions: overdue;
Attractive: pale;
Mucous: ipoirrorate;
Chest of the Al: F.V.T. attenuated, MV bilaterally reduced to the bases;
Heart: effective tones, murmur olosist 3/6 Levins on the center of infection mitralico, pericardic frottages presents;
Belly: tractable, not aching to the palpation sup. and deep. Of of Effective Peristalsi, absentia of abdominal murmurs. Liver and spleen in the limits.
Linfonodale Apparato: in the limits; Presence of edemas slopes;
CHEMICAL EXAMINATIONS :
Creatinemia: 6,36 mg/dls
Azotemia: 176 mg/dls
Sodiemia: 147 mEq/ls
Potassiemia: 6,1 mEq/ls
Calcemia: 7,7 mg/dls
Fosforemia: 6,4 mg/dls
Uricemia: 7,7 mg/dls
Removal Creatinina: 11,9 ml/mins
INSTRUMENTAL EXAMINATIONS:
Renal Ultrasoound: urostasi of absentia, backs in the center, volume of meeting places; cortical of the Iperecogenicità they govern cutback of the cortical thickness.

Chest Rx: thickened bronchial plot. Bilateral of hilarious of Congestion, jammed of breasts, cardiac shade increased of volume. Aortic Calcifications.

E.C.G. : T "a curtain" in V2-V5;
From which pathology you/he/she can be affection our patient? And above all which the possible ones are they provoke her/it some pathology? Sets your diagnosis in the Area you comment in low...Ps. The imagines an illustrative purpose they are used, not the they mirror the data furnished by anamnesis and E.O.!!!
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