According to scientific literature, this type of scenario is recorded at 0.001% annual incidence in the United States, according to the case report.
Belinda Z. Burgos, Marcela Moreno W.
Agencia Latina de Noticias Medicina y Salud Pública
The symptoms of this woman may be distant from her clinical reality. With no significant clinical history, no two embarrassments, this patient may have been mysterious when only the scientific literature could be found.
And it’s been 55 years since he was born in the emergency room of the Manatí Medical Center (MMC) with debilitating symptoms in the superior and inferior extremities, entomement and sensory loss approximately 6 hours.
Other associated symptoms are recorded including cage, mareo, airborne defects and posterior dysphagia.
No good relationship of this clinical setting with other symptoms such as loss of consciousness, asymmetry, facial paralysis does not report that the signs are presented in the patient.
This is according to the report, haxía tres meses atrás había dejado de fumar, pero 20 anos fumaba media caja de cigarrillos diaria (10 cigarrillos), aunque no consumption alcohol.
In interview with the magazine Medicina y Salud Pública (MSP), la Dra. Maribel Rodríguez González, part of the Residential Medicine Program of the Hospital Hospital, added that the patient also presented with an episode of debilitating disability in the upper and lower extremities of the body, in addition to the patient and loss.
Diagnostic
Between the two laboratories, a hypoxemia of 93% oxygen levels or saturation levels is identified, while the normal level is only 94% – evidence of alteration in pulsation levels.
Además, estos ref lejaron una polisitemia y con una hemoglobina alta de (20g / dl) y el hematocrito (medida sober la cantidad de sangre compue par globulos rojos) que debe estar entre 37% y 47%, la paciente lo tenía en 58% , a very elevated.
Posteriorly, it is a test of arterial values, traversing the wounds, is to confirm the level of arterial oxygen, corroborating a hypoxemic state, maintaining 53mm Hg, which is very good for normal healing in a patient of 55 years debiera ser de 80mm, Hg. The arterial saturation rate is 87%, with normal flow fluctuating up to 94%.
A radiology study revealed that the medical team was hopeless.
As additional studies, a bad luck patch is practiced that the superior team has a nodular opacity. ‘When observed here and with the previously mentioned laboratories, a CT scan with contrast is performed and there was a salivation with diagnosis of a large pulmonary venous malformation, the same, was a complex character complex in the upper right sphere with varying degrees of 3.0 x 3.9 x 4.0 cm without evidence of pulmonary embolism“, Bevestigó la Dra. Rodríguez.
Treatment
A phlebotomy and embolization performed by an Interventional Radiologist showed a significant decrease in arteriovenous flow of malformation, with a significant increase in oxygen saturation from 84 to 98% without oxygen support.
Other cases of clinical literature
This is a rare case, with an annual incidence of <0.001% in the United States.
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 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 for the first time”, 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 la arteriovenosa alteración, lo hace bien unique ”.
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.