Case
asphyxia

Age: 67
Sex: Male

History
History of present illness:
heavy asphyxia complaint

Medical History:
long since patient gets doctor with hypertension but fits and starts and have has once experienced infark miokard in advance. about one week before hospitalizes she complains substernal's chest ache is more than 30 minutes, and since then she complains frequent asphyxia which get weight. patient just can get asleep by three pillow carry the wind and often get up asphyxia effect midnights

Past surgical history:
long since patient gets doctor with hypertension but fits and starts


Physical Exam
General:
pale patient and gets cold sweat

Temperature:
are not feverish

Heart rate:
heartbeat 110 times / minutes

Blood pressure:
blood pressure 160 / 100 mmHg

Respiratory rate:
respiration 22 times / minutes

Cardiovascular:
found marks sense ronchi wet on the two dropsy medial paru, heard by S3 and S4, are not heard obstreperous cardiac

Pathology:
on EKG'S check one of abnormality which is found is mark sense to undulate q patologis at sandapan V1 V4.




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