Cardiology 3B

CASE 2:
Link to the patient details:

https://muskaangoyal.blogspot.com/2021/05/a-73-year-old-male-patient-with-pedal.html. 


Questions:

1.What are the possible causes for heart failure in this patient?
Answer: patient has diabetes since 30yrs back and also having diabetic triopathy(neuropathy-retinopathy - nephropathy), so there is an increased risk for heart failure
* Hypertension since 19yrs - important risk factor
* Chronic alcoholic since 40yrs, leads to decreased LVEFand causes LV dysfunction
* patient has elevated creatinine, chronic kidney disease, AST/ALT greater than 2,all of this are important risk factors for heart failure

2.what is the reason for anaemia in this case?
Answer: As he was chronic alcoholic, which impairs the production of precursors of RBC in bone marrow, also causes change in shape and functions of cells 
Due to chronic kidney disease
Impaired renal clearance leading to decreased erythropoetin production-impaired production of rbc

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