Case Presentation
Patient Profile
Age: 50
Sex: Male
History: Nothing particular
Presenting complaints: Multiple migrating joint pains, feeling tired since 1 week.
Examination
- Normal build
- Pulse: 96/min
- Blood Pressure: 220/130
- Other things clinically NAD
Investigations
- Patient was sent to the hospital for observation and control of blood pressure.
- Admitted in ICU, basic work up was not conclusive.
- In spite of IV medications, blood pressure was not coming under control.
- Patient was subject to CT of abdomen with contrast.
- This clinched the diagnosis: Bilateral Renal Artery Stenosis.
- On angiogram, right renal artery was near 100%, left renal artery almost 90%.
Diagnosis
Bilateral Renal Artery Stenosis. Patient is doing well after stenting procedure in both renal arteries and was discharged.
Learning Points/Take Home Messages
- Always look for the cause of accelerated hypertension.
- Do measure blood pressure of patients who are presenting with multiple vague complaints.
- Encourage patients to get their blood pressure checked on a regular basis after a certain age.
- Renal artery stenting remains the standard treatment in cases of symptomatic and significant renal artery stenosis.
About The Author
Dr. Vachharajani is an experienced practicing family physician in Ahmedabad, Gujarat, with a special interest in obesity and lifestyle-related disorders. With a genuine passion and enthusiasm for healthcare information technology (HIT), he has championed the cause of using HIT in day-to-day clinical practice. In addition to his, MBBS, he holds a post-graduate certificate in environmental and occupational health (PGDMCH).
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