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A 74-year-old woman was admitted to the hospital because of progressive renal failure.
The patient had had a subendocardial infarct and congestive heart failure 14 months before admission. Nine months before entry she was treated as an inpatient for congestive heart failure. An echocardiographic study revealed appreciable mitral regurgitation. Six months before admission she underwent sigmoidoscopic examination, which showed diverticulosis and a colonic polyp, which was removed. The urea nitrogen was 18 mg per deciliter (2.9 mmol per liter), and the creatinine was 1.1 mg per deciliter (97.2 µmol per liter).
Thereafter, the patient was in stable health until 12
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Clinical Diagnosis
Dr. Julian L. Seifter's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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