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Case discussion
FX 6444
Sex : Woman Age : 59 years Address : Nakhornratchasima Occupation : -
History
Chief complaint Dyspnea on exertion 2 years PTA
History
Present illness
20 years PTA, the patient was robbed and stabbed at left frank. She underwent emergent exploratory laparotomy.
History
Present illness
She was not sure about the operative procedure. She knew that Splenectomy was done.
History
Present illness
2 years PTA, she complained about dyspnea on exertion and edema of her legs. The doctor said that she had cardiomegaly.
History
Present illness
2 years PTA, she complained about dyspnea on exertion and edema of her legs. The doctor said that she had cardiomegaly.
History
Present illness
The ultrasound and CT scan of abdomen showed that
History
HCV cirrhosis No drug allergy
Physical examination
Middle aged woman BT 36.8 PR 78 RR 20 BP 130/80 HEENT : pink conjunctiva, anicteric sclera Lungs : normal breath sound Heart : audible s1 s2, no murmur Ext : no edema
Physical examination
Abdomen
Murmur +ve
CBC+plt
Hb 13
8/3/2012
15/12/2011
15/12/2011
18/6/2011
18/6/2011
18/6/2011
18/6/2011
18/6/2011
Progression
The ultrasound and CT scan of abdomen showed that she had A-V shunting of Leftt renal A&V.
Progression
She was treated by
1. Failed renal angioplasty (Feb 2010) 2. successful closure renal AVF (March 2011) 3. Angiogram (May 2011F/u) - residual renal AV fistula
Progression
Finally, the cardiologist sent her for surgical closure renal AVF.