KHARKIV NATIONAL MEDICAL UNIVERSITY

Treatment is uneffective. On physical exam: trophic ulcers and cyanotic induration on lower extremities, fine crackles over lower portions of the lungs, heart's sounds are decreased, soft systolic murmur on the apex. Ps - 100/min, arrhythmical, BP - 115/75 mm Hg. The liver is +2 cm, painful. ................
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