Case Report on Management and outcomes of Renal Artery Stenosis with flash Pulmonary oedema

Abstract

Renal artery stenosis (RAS) occurs when the arteries supplying blood to the kidneys narrow. The onset and remission of flash pulmonary edema are both quick. It's frequently associated with a single functional kidney and either bilateral or unilateral renal artery stenosis. A patient with flash pulmonary edema was treated with percutaneous therapy and stent implantation. Present Complaints and  Investigation:- A unhealthy 60 year old  admitted in AVBRH on dated 18 June 2021 with chief complaint high blood pressure, decrease kidney function, fluid retention, oedema in ankles and feet,  fatigue, nausea and vomiting , unintentional weight loss, darkened skin, muscle cramps,  changes in urine output. high blood pressure, fluid retention in legs, swollen ankles & feet, shortness of breath, obesity doctor advised the investigation Renal arteriography, Magnetic resonance angiography , Doppler ultrasound, CT scan, X – Rays, Haemoglobin 13.5 gm%,  total RBC count  4.15 cu mm , granulocytes 75% lymphocytes 30% total platelet count 2.5 lacs/cu mm, urine test, urea count  16 mg/dl, creatinine count 0.66 mg/dl. Doctor diagnosed a renal artery stenosis. Past History :- patient diagnose with diabetes & Hypertension 10 years ago. Patients has no  history of any operative procedure, patients has no history of any long term hospital stay the main diagnosis. The Main Diagnosed Therapeutic intervention & outcomes:- After physical examination & intervention doctor diagnose a case of renal artery stenosis with flash pulmonary oedema Tab. beta blockers, Tab. Metoprolol, Inj. aminophylline 10 ml bronchodilators, etc. he was took all treatment and outcome was good. His sign & symptoms was reduce. Conclusion:-  He was response to all medication as well as doctor treatment & his recovery was good.