Mibi-of-the-Month
December, 2005
Clinical history
A 63 year-old male admitted for elective total hip arthroplasty. Surgery was complicated by a persistent draining wound.
1 week post-op, the patient is found unresponsive and hypotensive with complete heart block and inferior ST segment elevation. The patient had acute renal failure with K+ of 7.4 and an acute GI bleed with Hgb of 6.0.
Patient was treated for hyperkalemia and received a blood transfusion. EGD showed numerous ulcerations in the stomach.
Patient was stabilized and treated conservatively. Echo showed normal EF with an inferior-posterior wall motion abnormality. A rest/24-hour redistribution SPECT Thallium scan was performed to assess for myocardial viability...
HTMaiL v1.5a.
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