January 6th, 2012 
admin 
Personal history
male pt., 38 years old, painter, from Cairo, married and has 3 off springs, the youngest is 3 years old. He is moderate cigarette smoker, he used to smoke 20 cigarettes per day for 15 years with no other special habits of medical importance. he is Rt. handed.
December 16th, 2011 admin December 13th, 2011 admin 
Complaint (C/O)
Shortness of breath four months duration.
History Of Present Illness (HPI)
- The condition started 10 years ago by gradual onset and progressive course of dyspnea. The patient experienced exertional dyspnea on less than ordinary effort, on climbing the 1st floor not associated with orthopnea or PND. this dyspnea was associated with gradual onset, progressive course rapid irregular palpitation increased with exertion The patient sought medical advice, investigated by chest X-ray, ECG and ECHO diagnosed as tight mitral stenosis and treated by mitral valve replacement.
December 10th, 2011 admin 
A known diabetic male patient, 46 years old, married and has 3 off spring, the youngest is 16 years old, heavy smoker with no other special habits of medical importance, he is Rt. handed.
December 9th, 2011 admin 
