1 / 12

Clinical case - objective

Clinical case - objective. 25 y . caucasian ♂ bodybuilder ( 188 cm , 92 kg ) 2006.04. starts AS according the scheme : 1 pill (5 mg) Nerobol (Methandienone) 3 time/day I week 4 time/day II week 5 time/day II I week

cody
Download Presentation

Clinical case - objective

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical case - objective • 25 y. caucasian ♂bodybuilder (188 cm, 92 kg) • 2006.04. starts AS according the scheme: • 1 pill (5 mg) Nerobol (Methandienone) 3 time/day I week • 4 time/day II week • 5 time/day III week • 6time/day IV week – and 1 amp Deca Durabolin (Nandrolone) each 5 daysi/m • Total per 2 monts 240 pills (1200 mg) Nerobol and 8 amp (400-800 mg ?) Deca Durabolin • Patient’s friend with the similar constitution used the same scheme – no symptoms

  2. Clinical case – first symptoms • No any symptoms for 2 months • After 2 months: • headache • loss of appetite • insomnia • disphagia • Loss of weight (15 kg during 5 weeks) • Increasing itch and jaundice

  3. Clinical case – outpatient treatment • Risk factor – physicians in family : • Infectionist – no infections • Reumatologist – no autoimmune disease • Medications: • loratadinum 10 mg p/o • ornitinum aspartate 9 g p/o • BZD

  4. Clinical case – outpatient examination • Abdominal echoscopy - normal • TB: ~130→376 • DB: ? →299 • SGPT/ALT: 90 • ALP: 215

  5. Clinical case – hospitalization • Arrival 06.16: • Significant jaundice • Ichterus • Scratches and excoriations everywhere • Encephalopaty

  6. Clinical case – inpatient examination • TB 564→436→465→449→564→445 • DB 460 →368→363→394→491→381 • SGPT/ALT 75 →66→91→64→83→82 • SGOT/ASAT286→106→67→54→59→62 • ALP284 →228→234→193→232→184 • CRPnot found • CBC normal levels • Total Ch 4,4 → 4,01 • HDL Ch 0,35→ 0,08 (normal level >1) • LDL Ch 3,74 → 3,94 • TG 3,49 → 3,82

  7. Clinical case – instrumental investigations • X-ray examination of Thorax – normal • Abdominal echoscopy - normal

  8. Clinical case – echocardiography • Decreased LVejection fraction 40% (normal value >55%), hypokinesis in LVinferior and inferolateral wall andinterventriculum septum bottom segments. Damaged diastolic function of LV

  9. Clinical case – treatment • Prednisolone 1mg/kg • Ornitinum aspartati 18 g p/o • Sylimarins • Neuroleptics • BZD • HBO • Hepatic Diet

More Related