Hypoxemia was identified with a value of 93% in pulse oximetry. In initial laboratories, erythrocytosis, polyclinic, with a hemoglobin elevation of 20.4 g / dL, and a hematocrit elevation of 58.5% were revealed.
Belinda Z. Burgos, Marcela Moreno W.
Agencia Latina de Noticias Medicina y Salud Pública
Presented in Puerto Rico is a rare case, with an annual incidence of <0.001% in the EE.UU. Thus, 90% of arteriovenous malformations are associated with hereditary hemorrhagic telangiectasia.
In interview with the magazine Medicina y Salud Pública (MSP), la Dra. Maribel Rodríguez González, Resident of Third Level of the Family Medicine Program of the Manati Medical Center (MMC), was re-admitted to the emergency room of a 55-year-old woman who died in an emergency, who suffered emergencies with four episodes debilitating superior and inferior extremities of the right side of the body, in addition to entomement and sensory loss.
The signal patient passes the sinuses approximately 6 hours, in addition to reporting other associated lesions such as cabbage, mareo, cerebral palsy and posterior malignancy.
It has no relationship with other syndromes as it loses consciousness, asymmetry, facial paralysis and does not report that the signs are presenting in advance.
The patient had three months before he started smoking, but for 20 years he smoked a pack of diarrhea cigarettes (10 cigarillos), no historical travel force from the USA and no tomaba.
Diagnostic
A hypoxemia of 93% is identified (oxygen or saturation levels are low, and the normal level is only 94%. Evidence of alteration in pulse levels. In addition, laboratories establish alterations reflecting a high hemoglobin of (20 %) and the hematocrit (amount of red cells in the blood) which must be between 37 and 47, the patient is ten in 58, being very high.
Obtaining these results with high-digit figures, the patient is diagnosed with “policymaking”, a condition that is used to indicate that the medium is produced by a large number of global globes. This excess of cells spills the blood and reduces the fluid, which can cause serious problems.
Posteriorly, it is a test of arterial values, traversing the wounds, is to confirm the level of arterial oxygen, corroboran a hypoxemic state, maintaining 53mm Hg lo which is very good for normal medicine in a patient of 55 years more than 80. As with arterial saturation at 87% normal more than 94%.
As additional studies, a bad luck patch is practiced that the superior team has a nodular opacity. ‘When observed here and with the laboratories antionmionados the realization of a CT of contrast contrast and here was saloon with diagnosis of a large pulmonary venous malformation, the same, was of complex character in the superior bulb with varying degrees of 3.0 x 3.9 x 4.0 cm without evidence of pulmonary embolism
“, Bevestigó la Dra. Rodríguez.
Treatment
If there is a phlebotomy and the treatment states that it is an embolization performed by the Intervening Radiologist, then a significant reduction of the arterial fluid must be performed without malformation with a significant increase in the saturation of oxygen
Other cases of clinical literature
This is a rare case, with an annual incidence of <0.001% in EE.UU.
90% of arteriovenous malformations are associated with hereditary hemorrhagic telangiectasia. “Without embarrassment, the patient does not meet the criteria for being diagnosed with hemorrhagic hemorrhagic telangiectasia, making this case not only rare, but also very atypical,” the specialist indicated.
It is important to include this diagnostic in different layers to exclude all the causes of ischemic attack (TIA, by its signs in English) to avoid other complications such as cerebral abscesses, cyanosis, hemothorax, abscesses.
‘If the arteriovenous malformation is associated with hereditary hemorrhagic telangiectasia, such as family medicine, debilitating genetic assessment, performing a good medical examination, and identifying any sign of hemorrhage or hemorrhage in the nose”, Indicó.
And he added, “Although the case is quite rare and important it is one that we have these cases in diary, come with this one and it is common to think that it is the famous ischemic transition that many people are allowed to look for the cause of which they eso, entonces al elle tener lateration arteriovenosa, lo hace bien unik ”.
As well as literature, the patient is treated with embolization and has a major event in his syndromes, in addition to receiving support from various sub-specialists including the patient’s majority.