this is an interesting case with thirty seven year old male or people in those
and on the type one diabetes minutes as
presented in writing on my quality for
and how the left ventricle and this
was able to six months was customer the time many years later than for the
and eighty percent to thank you indicated you know function
optimal imaging at the time cross court and shrivelled native kidney is compared to previous
imaging shown very smooth outline
listen i'm sort of the prosodic state is a time in a small the cortex
all found
it was empirically decided to restock
then data he had a kidney transplant
and i'm not an effect a few years of the that will stand to one
decided not to be restored
but then some with scheme like you get into the allegra
and imaging at the time
showed in fort in the current time are infinitely fits in the lottery
mccullough imaging children and recent
calcification the apex
and i don't collected from bus
and we'll frame was we stopped at this time from video screens two thousand ten
like in your cousin well they'll say finally diagonals and possibly adaptable syndrome
many potential
discussion points in the management this case
his talk goals might think it or something
so this case raises some quite interesting manager said discussion points and the first of
that it would be around one o'clock actually formed in the first pass and that's
pretty simple i think actually in the end of f indicator and the reason for
the nineteen ninety and in that area of the myocardial the wasn't problem blood flow
the space
i don't that situation with and a serial injury you can get information from possible
that from this is normally result i goes away quite quickly which is why the
anti calculation was only done for short time now why the three refill will be
harming you can see the river thames and sixteen eighty three there was a huge
frost that held on a frozen real attends one would rather free so it's the
same reason but because of anti forcefully that antibodies ever that and but because of
a copula perfect state
and in the patient's case there was a sticky plots and she didn't realise that
are
so that's the first aspect of not only became obvious after recurrent from policies were
a problem
the second aspect discusses why detected so very long to make diagnoses about the possible
of adaptivity syndrome well that's because the diagnostic techniques change as time went by he
was will for nice and a model for a nice purely incorrectly warfare has a
risk this man was a diabetic question opposite you also has one people in that
the rich you miss you could have a complete voice
you could fall over to have a so you're and of course we know there
is a little for an associated the prophecy without and also degraded and three and
that could damage is precious allegra so is not a straightforward thing is to put
model
and then the next aspect really is what's happened over the years with the diagnosis
of anti possible to the antibodies and that's become a little easier because some of
the but as we can now do in the parse tree had greater specificity a
greater sensitivity many markedly patients do have these antibodies don't have proposed to make a
proper diagnosis you have the hapless from both together and
the correct antibodies present in the serum and therefore upgraded and three month period in
that context you've got you darkness