ZBIDI is 33 years old, unmarried, was born in tunisia. The main reason is that the 3 years of the double lower limb edema, blood creatinine increased 2 years. On 2015 08, 15, the first time of the first income of our hospital. Physical examination: blood pressure 130/90mmHg, double lung auscultation breath sounds clear, at the end of dry and wet rales, the left heart border increased, heart rate of 100 beats per minute, the law is neat, apex could be heard and grade 3/6 systolic murmur. The abdomen is soft, and the ribs did not touch the left forearm visible about 4cm in length of old scar, palpable tremor auscultation could be heard and continuous vascular murmur. Double lower limb middle finger concave edema. The report showed: blood red blood cell count: 4.05 * 1012/L, hemoglobin 109g/L. Urine: glucose, protein 2+, occult blood 2+. Kidney function seven: urea nitrogen 16.8mmol/L, creatinine 1023umol/L, uric acid 421umol/L. Echocardiography: increase heart systolic and diastolic function of left ventricle decreased mitral and pulmonary regurgitation (volume three) of tricuspid regurgitation (Shao Liang) pericardial effusion (Shao Liang), abdominal ultrasound: splenomegaly and splenic vein widened double kidney diffuse lesions. Chest radiography: a small amount of pleural effusion in the right side of the heart.
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