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Exam questionKROK 2Medicine ยท 2005

A 43 y.o. woman complains of shooting heart pain, dyspnea, irregularities in the heart activity, progressive fatigue during 3 weeks. She had acute respiratory disease a month ago. On examination: AP- 120/80 mm Hg, heart rate 98 bpm, heart boarders 1,5 cm left side, sounds are muffled, soft systolic murmur at apex and Botkin's area; sporadic extrasystoles. Liver isn't palpated, there are no edema. Blood test: WBC- 6.7 x 109/l, sedimentation rate- 21 mm/hour. What is the most probable diagnosis?

Answer options

  1. Climacteric myocardiodystrophia
  2. Ichemic heart disease, angina pectoris
  3. Acute myocarditis
  4. Rheumatism, mitral insufficiency
  5. Hypertrophic cardiomyopathy
Correct answer

Acute myocarditis

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