One of my patient named Mr. Dhirajbhai Shah 69yrs/ male, he is known case of
Diabetes > 10 yrs
Hypertension > 10 yrs
Ventricular outflow obstruction in brain > 10 yrs
Diabetic nephropathy for last 3 yrs
Benign prostatic hypertrophy for last 6 months
Operated case of CABG and Cholecystectomy,
He developed pain in both legs, pain increases at the time of walking, one limb is swalloen because of filariasis from a long time, his sugar level is under control, s. creatinine is 2.3, no other gross abnormalities in blood reports.
His MR angio of both lowerlimb reveals,
* Narrowing of the distal portion of abdominal aorta
* Non visualisation of right common iliac artery with reformation of right external iliac via collaterals
* Block of proximal and middle thirds of superficial femoral arteries, bilaterally with reconsitution of lower thirds.
* Non visualisation of right anterior and posterior arteries
* non visualisation of middle and distal thirds of left tibial arteries.
Medication : at present he on Oral hypoglycemic agents with sos insulin
Losar H ( Losartan with hydrochlorthiazide 50 + 12.5)
Ecosprin 150 mg ( Aspirin)
Clopidogral 75 mg
Acitrom 2 mg
Atorvastatin 20 mg bed time
Trental 400 mg tds
Symptomatic medicine
As patient is not very much co operative and inspite of chances of renal failure requiring dialysis personally relatives would like to go for non invesive procedure.
Thanking you
Yours sincerly
Dr. Nemish gandhi M.D.
Consultant physician.
Krishna clinic
1/1026 choki street,
Nanpura,
Surat. : 395001
Gujarat
India
m :092279 02941
098252 89330
2007-03-18
06:44:11
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4 answers
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asked by
drnemish_gandhi
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