Presentation on theme: "Clinical case - objective"— Presentation transcript:
1 Clinical case - objective 25 y. caucasian ♂ bodybuilder (188 cm, 92 kg)starts AS according the scheme:1 pill (5 mg) Nerobol (Methandienone) 3 time/day I week4 time/day II week5 time/day III week6 time/day IV week – and 1 amp Deca Durabolin (Nandrolone) each 5 days i/mTotal per 2 monts 240 pills (1200 mg) Nerobol and 8 amp ( mg ?) Deca DurabolinPatient’s friend with the similar constitution used the same scheme – no symptoms
2 Clinical case – first symptoms No any symptoms for 2 monthsAfter 2 months:headacheloss of appetiteinsomniadisphagiaLoss of weight (15 kg during 5 weeks)Increasing itch and jaundice
3 Clinical case – outpatient treatment Risk factor – physicians in family :Infectionist – no infectionsReumatologist – no autoimmune diseaseMedications:loratadinum 10 mg p/oornitinum aspartate 9 g p/oBZD
10 Clinical case – instrumental investigations X-ray examination of Thorax – normalAbdominal echoscopy - normal
11 Clinical case – echocardiography Decreased LV ejection fraction 40% (normal value >55%), hypokinesis in LV inferior and inferolateral wall and interventriculum septum bottom segments. Damaged diastolic function of LV
12 Clinical case – treatment Prednisolone 1mg/kgOrnitinum aspartati 18 g p/oSylimarinsNeurolepticsBZDHBOHepatic Diet
Your consent to our cookies if you continue to use this website.