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10.1136/bcr-2015-211735 http://scihub22266oqcxt.onion/10.1136/bcr-2015-211735 C4654220!4654220 !26531735     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26531735 &cmd=llinks): Failed to open stream: HTTP request failed! 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Pulmonary oedema, think beyond the heart even in the presence of severe left ventricular systolic dysfunction |pdf=|usr=}}{{26531735 }} gab.com Text Pulmonary oedema, think beyond the heart even in the presence of severe left ventricular systolic dysfunction JO: BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26531735 #FOAvip We submit a case of a young patient with known severe left ventricular (LV) systolic impairment who presented with recurrent flash pulmonary oedema (FPO) requiring multiple high-dependency care admissions. Despite extensive optimisation of his underlying heart failure, the presentations remained frequent. Investigations for alternative diagnosis were not approached due to the presence of LV impairment and compliance being questioned. However, deteriorating renal function prompted further investigation with multiple imaging modalities, and an effective diagnosis of bilateral renal artery stenosis secondary to an aortoiliac thrombus was made. At the point of diagnosis, it was felt that rescue of renal function was unfeasible and thus the patient was started on anticoagulation, with initiation of peritoneal dialysis planned. This case highlights the importance of considering alternative diagnoses for the presentation of FPO even in the presence of LV impairment. If this patient had received a prompter diagnosis it is possible that the outcome would have been different. Twit Text FOAVip Pulmonary oedema, think beyond the heart even in the presence of severe left ventricular systolic dysfunction ????BMJ Case Rep http://www.kidney.de/pget.php?&tw=1&pmid=26531735 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26531735 #FOAvip English Wikipedia <ref>{{Cite pmid|26531735 }}</ref> Pulmonary oedema, think beyond the heart even in the presence of severe left ventricular systolic dysfunction #MMPMID26531735 Honarbakhsh S ; Chowdhury M ; Deaner A ; Farooqi F BMJ Case Rep 2015[Nov]; 2015 (ä): ä PMID26531735 show ga We submit a case of a young patient with known severe left ventricular (LV) systolic impairment who presented with recurrent flash pulmonary oedema (FPO) requiring multiple high-dependency care admissions. Despite extensive optimisation of his underlying heart failure, the presentations remained frequent. Investigations for alternative diagnosis were not approached due to the presence of LV impairment and compliance being questioned. However, deteriorating renal function prompted further investigation with multiple imaging modalities, and an effective diagnosis of bilateral renal artery stenosis secondary to an aortoiliac thrombus was made. At the point of diagnosis, it was felt that rescue of renal function was unfeasible and thus the patient was started on anticoagulation, with initiation of peritoneal dialysis planned. This case highlights the importance of considering alternative diagnoses for the presentation of FPO even in the presence of LV impairment. If this patient had received a prompter diagnosis it is possible that the outcome would have been different. |Aorta, Abdominal/*diagnostic imaging [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Pulmonary Edema/*etiology [MESH] |Radiography [MESH] |Renal Artery Obstruction/*etiology [MESH] |Renal Insufficiency/etiology [MESH] |Thrombosis/*complications/diagnostic imaging [MESH]Pulmonary oedema, think beyond the heart even in the presence of sever(epmc).pdf DeepDyve Pubget Overpricing