Medical Viva

Double Lung Transplant for Cystic Fibrosis Requiring Fundoplication

Reading Time

2:00

Clinical Stem

2025.1
A 51-year-old lady presents to the preadmission clinic for assessment prior to a laparoscopic fundoplication. Past Medical History Double lung transplant 2 years ago Cystic fibrosis Gastroesophageal reflux Hypertension Medications Azathioprine 100mg three times a day Azithromycin 250mg once daily, three times a week Calcium 3g once daily Creon 50,000 units per meal Telmisartan 40mg nocte Pantoprazole 40mg twice daily Prednisolone 5mg once daily Tacrolimus 4mg XL once daily Trimethoprim/sulfamethoxazole 160/800mg once daily, three times a week Vitamin D 1000 IU once daily Vital Signs Height 1.54 m Weight 71 kg BMI 30 kg/m2 BP 158/81 mmHg HR 90 bpm SpO2 94% on room air Temp 36.5 degrees C

Sections covered in this viva

Section 1 - History and examinationSection 2 - InvestigationsSection 3 - Optimisation and functional assessment

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