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A Case of Bilateral Renal Artery Stenosis
1. A CASE OF UNEXPLAINED HYPOKALEMIA Prof.S.Sundar Unit Dr.R.Ganesan PG Internal medicine
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15. Renal artery doppler study RK PSV EDV RI Upper pole 184cm/s 29 0.6 Mid pole 153cm/s 10.3 0.8 Mesenchimal.A 186cm/s 22 0.7
16. LK PSV EDV RI Upper P 184cm/s 7.3 0.7 Lower P 181cm/s 13.1 0.58 Mesenchimal A 179cm/s 15.5 0.8
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51. Angiography-Goldstandard TEST CONTRAST ARTERIAL PUNCTURE RISK OF EMBOLI QUALITY OF IMAGE CONVENTIONAL ++ YES +++ +++ INTRAVENOUS SUBSTRACTION +++ NO NO + INTRAARTERIAL SUBSTRACTION + YES ++ ++ CO2 NON YES +++ +
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65. Hypertension Sus of RVH Medical Rx ,Follow-up Low suspicious High suspicious Medical Rx ,Follow-up Good BP control? Stable Renal Func ? yes No Candidate for revascularization Renal Func unstable or at risk Non invasive study Angiography Surgical revas PTRA with Stent Medical Rx ,Follow-up yes positive No negative Positive high grade lesion
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