Presentation is loading. Please wait.

Presentation is loading. Please wait.

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.

Similar presentations


Presentation on theme: "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."— 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 week –4 time/day II week –5 time/day III week –6 time/day IV week – and 1 amp Deca Durabolin (Nandrolone) each 5 days i/m Total per 2 monts 240 pills (1200 mg) Nerobol and 8 amp ( mg ?) Deca Durabolin Patients 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: ~ DB: ? 299 SGPT/ALT: 90 ALP: 215

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

6

7

8

9 Clinical case – inpatient examination TB DB SGPT/ALT SGOT/ASAT ALP CRP not 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

10 Clinical case – instrumental investigations X-ray examination of Thorax – normal Abdominal 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/kg Ornitinum aspartati 18 g p/o Sylimarins Neuroleptics BZD HBO Hepatic Diet


Download ppt "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."

Similar presentations


Ads by Google