1 / 9

History & Physical

History & Physical.

lareina-strong
Télécharger la présentation

History & Physical

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. History & Physical • 81 yo male presented to outside hospital with acute onset severe abdominal pain. Workup with CT and ultrasound showed non-ruptured 8cm AAA and acute cholecystitis. Treated with antibiotics, but continued to be febrile with persistent pain and developed a-fib. Taken to OR for cholecystectomy and then transferred here for treatment of AAA. Also noted to have rise in creatinine at OH to 1.9 • PMH: CHF (EF 30%), CAD s/p CABG in ’89 and ‘00 and angioplasty of RCA, HTN, DM • Exam: mildly tender abdomen over surgical scars, mildly tender aneurysm, palpable distal pulses • Labs: WBC 7.1, Hct 33, Creat 1.5 • Cardiology consult: adenosine stress test showed reversible defects, high risk for surgery, recommended cath prior to any intervention

  2. NECK 22-23 mm 8.0x7.5 cm

  3. 26 x 14 x 18 cm Gore Excluder

  4. 14.5 x 14 cm contralateral limb

  5. TOTAL 55 CC visipaque

  6. Follow-up • Ruled out for MI post op • Hemodynamically stable • Creatinine stabilized at 1.3-1.5 • Transferred to SNF, will have outpatient cath by primary cardiologist

More Related