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Exam questionKROK 2Medicine ยท 2011

A 10-year-old child has been folowed-up for the dilated cardiomyopathy. The child presents with dyspnea, cardialgia. There are dense, nonmobile edemata on the lower extremities and sacrum. Ps- 120/min. The cardiac borders are extended transversely. Heart sounds are muffled, there is blowing systolic murmur at the apex and over the xiphoid process. Liver is 3 cm enlarged, urine output is reduced. The blood total protein - 58.6 g/l. In urine: protein - 0,025 g/l, WBCs - 2-4 in the field of vision, RBCs - 2-3 in the field of vision. What is the main mechanism of edema syndrome development:

Answer options

  1. Secondary nephropathy development
  2. Peripheral circulation disorder
  3. Venous congestion of lesser circulation
  4. Venous congestion of greater circulation
  5. Hypoproteinemia
Correct answer

Venous congestion of greater circulation

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