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The deputy health minister said that an open tender process was carried out by the public works department to complete the balance abandoned work of Petra Jaya Hospital. “However, due to unsatisfactory project progress, the Public Works Department issued a notice of contractor termination to Zecon Berhad on August 2, 2018.” This project was carried out by the Public Works Department with the construction phase beginning on and scheduled for completion on June 30, 2018. The Petra Jaya Hospital project had been approved by the Economic Planning Unit (EPU) to be implemented under the Tenth Malaysia Plan nine years ago in 2011. “The project is currently in the tender evaluation stage and obtainment of the letter of acceptance is scheduled in January 2021,” Dr Noor Azmi said in Dewan Rakyat during Question Time Monday. That includes the details of completion time, current plans, as well as the companies involved in the project.ĭr Yii also raised a question on the reason for the project being postponed and the tender being conducted again. He was answering a question raised by Bandar Kuching MP Dr Kelvin Yii, who had asked the health minister to state the construction status of the Petra Jaya Sarawak Hospital and Tabuan Jaya Health Clinic. The deputy health minister added that the tender for the project was closed on August 7 this year. With the absence of classical features of aortic dissection, establishing the diagnosis can be challenging and requires both good clinical judgment and prompt radiological imaging, such that early treatment can be initiated.Ī high index of suspicion and good clinical judgment is needed in cases of significant blood pressure discrepancy between arms.KUALA LUMPUR, August 26 - The Petra Jaya Hospital project in Sarawak is currently in the procurement phase for bidders who have passed the pre-qualification stage, according to Dr Noor Azmi Ghazali. Patient passed away on Day 10 of admission. The vascular team did bilateral high above knee amputation on Day 9 of admission. Repair of the ascending aortic dissection and suspension of the aortic valve by the cardiothoracic team on Day 2 of admission. Supine chest X-ray showed apparent cardiomegaly. Echocardiogram showed global hypokinesia, presence of intimal flap, aortic regurgitation and mild pericardial effusion.
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There was distal abdominal aorta thrombosis with partial left renal infarction. On physical examination, both lower limbs were dusky in appearance because of poor perfusion.Ĭomputed Tomography Angiography showed extensive arch and abdominal aorta dissection extending to the proximal common carotid artery.
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After being admitted to the Intensive Care Unit, the mean arterial pressure on the left arm was noted to be significant higher. Hence, a high index of suspicion with prompt diagnostic imaging is vital for accurate diagnosis.Ī previously healthy 35-year-old lady was referred from district hospital for hypertensive cardiomyopathy complicated by acute pulmonary oedema. Early detection of aortic dissection could invariably determine patient's survivability. Differences in systolic blood pressure reading between arms are common but could signal trouble if the discrepancy is significant.