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پاورپوینت در مورد Approach to azothemia

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پاورپوینت در مورد Approach to azothemia

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نوع فایل :  powerpoint (..ppt) ( قابل ويرايش و آماده پرينت )
تعداد اسلاید : 13 اسلاید

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Approach to azothemia
 
You are asked to see an 83 year-old man with a previous history of hypertension who was well until 7 days ago when she developed fever, chills and left lower quadrant pain.
he was brought from home to the Emergency Department where he was noted to have an acute abdomen .
Medications included lisinopril and hydrochlorothiazide .
A CT scan of the abdomen with contrast revealed a thickened left colon and a fluid collection in the left flank.
He was taken to the operating room.
Surgery was complicated by several episodes of hypotension with systolic blood pressures falling into the 60s.
The left colon was gangrenous and had perforated.
50 cm of the colon were removed and a colostomy created.
Post-operatively she was begun on metronidazole, piperacillin/tazobactam and amikacin.

 

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