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