The patient, male, 50 years old, has rheumatic heart disease for 15…

Question Answered step-by-step The patient, male, 50 years old, has rheumatic heart disease for 15… The patient, male, 50 years old, has rheumatic heart disease for 15 years. He feels flustered and asthmatic after strenuous activities or heavy physical work. After rest, it can be relieved and worsened year by year. In severe cases, he has chest tightness, cannot lie flat, and sometimes has lower limb edema. Recently, he had chest tightness and shortness of breath after catching cold. He couldn’t lie flat at night, accompanied by coughing, coughing a small amount of pink foam sputum, abdominal distention, and edema of both lower limbs.Physical examination: the jugular vein was dilated and the hepatic jugular vein reflux sign was positive. Scattered moist rales can as jout be heard on both lung bases. The heart boundary expands to both sides. The heart sound is low and blunt, and a dish level diastolic rumble like murmur can be heard in the precordial area. The liver is 3cm below the ribs, and the substance is slightly hard.Questiones.(1) What is the cause and inducement of heart failure in this patient? (3′) (2) What are the three types of dyspnea in the course of the patient’s disease, and MOHA discuss WASAN2019 mechanisms. (7′) Biology Science Physiology Share QuestionEmailCopy link Comments (0)