Differential diagnosis of ascites in internal medicine: clinical case


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Abstract

Ascites and hydrothorax may be the symptoms of congestive heart failure and do not always reflects presense of the decompensated liver cirrhosis. Clinical examination of patient with chronic hepatitis C which cyanosis of the lips, cervival veins pulsation, a triple heart rhythm indicated on pathology of the heart (constrictive pericarditis), which was confirmed by instrumental methods. Congestive heart failure has lead to the congestive liver in a young female patient. Regression of all the symptoms of heart failure occurred after surgical treatment (pericardectomy).

About the authors

I N Tikhonov

Scientific Research Department of Innovative Therapy of the Scientific and Technological Park of Biomedicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: antihbs@gmail.com
м.н.с. Научно-исслед. отд. инновационной терапии Научно-технологического парка биомедицины Первого МГМУ им. И.М. Сеченова, врач отд-ния гепатологии Клиники пропедевтики внутренних болезней, гастроэнтерологии и гепатологии им. В.Х. Василенко УКБ №2 Первого МГМУ им. И.М. Сеченова

M S Zharkova

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., зав. отд-нием гепатологии Клиники пропедевтики внутренних болезней, гастроэнтерологии и гепатологии им. В.Х. Василенко Первого МГМУ им. И.М. Сеченова

M V Maevskaya

The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

д.м.н., проф. каф. пропедевтики внутренних болезней лечебного факультета Первого МГМУ им. И.М. Сеченова

V N Zozulya

The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., доц. каф. пропедевтики внутренних болезней лечебного факультета Первого МГМУ им. И.М. Сеченова

V I Leschenko

The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., доц. каф. пропедевтики внутренних болезней лечебного факультета Первого МГМУ им. И.М. Сеченова

T P Nekrasova

Acad. A.I. Strukov Department of Pathological Anatomy, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., доц. каф. патологической анатомии им. акад. А.И. Струкова Первого МГМУ им. И.М. Сеченова

M G Arslanyan

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

врач отд-ния ультразвуковой диагностики УКБ №2 Первого МГМУ им. И.М. Сеченова

N P Musina

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., врач отд-ния ультразвуковой диагностики УКБ №2 Первого МГМУ им. И.М. Сеченова

M A Tatarkina

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., зав. отд-нием ультразвуковой диагностики УКБ №2 Первого МГМУ им. И.М. Сеченова

R T Rzaev

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., врач-рентгенолог отд-ния лучевой диагностики УКБ №2 Первого МГМУ им. И.М. Сеченова

K B Puzakov

V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

к.м.н., зав. отд-нием лучевой диагностики УКБ №2 Первого МГМУ им. И.М. Сеченова

V T Ivashkin

Scientific Research Department of Innovative Therapy of the Scientific and Technological Park of Biomedicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.H. Vasilenko Clinic of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); The Department of Propaedeutics of Internal Medicine of the Faculty of Physiology, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

академик РАН, проф., зав. каф. пропедевтики внутренних болезней лечебного факультета Первого МГМУ им. И.М. Сеченова, гл.н.с. научно-исследовательского отдела инновационной терапии Научно-технологического парка биомедицины Первого МГМУ им. И.М. Сеченова

M S Malikova

B.V. Petrovsky Russian Scientific Center of Surgery

к.м.н., н.с., врач II кардиохирургического отд-ния (хирургического лечения дисфункции миокарда и сердечной недостаточности) РНЦХ им. акад. Б.В. Петровского

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