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Early Detection Of Mental Health Problems In University Students, Allyson Dajana Espinoza García May 2024

Early Detection Of Mental Health Problems In University Students, Allyson Dajana Espinoza García

Revista de la Facultad de Medicina Humana

Due to community transmission and the increase in cases during the COVID-19 pandemic, preventive measures had to be adopted, including social isolation and quarantine, which have had effects on people's mental health. Thus, the restriction of free movement, the discontinuity of routines, the decrease in social interaction, the lack of traditional learning methods, as well as the new academic, technological and psychological demands have generated an increase in tension, stress and anxiety in young people.


Toxic Megacolon. Case Report, Roger Sernaque Mechato, Stephanie Tahnne Castillo Arias, Silvana Ñaupari Jara, Flor Milagros Mendoza Barreto May 2024

Toxic Megacolon. Case Report, Roger Sernaque Mechato, Stephanie Tahnne Castillo Arias, Silvana Ñaupari Jara, Flor Milagros Mendoza Barreto

Revista de la Facultad de Medicina Humana

Toxic megacolon is a fatal disease, most commonly occurring as a complication of inflammatory bowel disease, infections, and intestinal ischemia. It is characterized by the presence of bloody diarrhea, abdominal distension, signs of systemic toxicity, and segmental colonic dilation is observed in imaging studies. The diagnosis according to Jalan's criteria are: colonic dilation more than 6cm, three of the following: fever, tachycardia, leukocytosis or anemia, and any of the following criteria: hypotension, hypovolemia, electrolyte disorder and altered mental status. This article presents the case of a female patient who was admitted with abdominal pain and chronic diarrhea with an imaging …


Anaplastic Large Cell Lymphoma Associated To Breast Implants In Latin America, Gianella Fernanda Ugarte, Carlos Noriega-Baella May 2024

Anaplastic Large Cell Lymphoma Associated To Breast Implants In Latin America, Gianella Fernanda Ugarte, Carlos Noriega-Baella

Revista de la Facultad de Medicina Humana

Dear Editor, After reading the 2023 publication by Manjarres A. et al. in your esteemed journal on cancer and breast implants, I would like to contribute additional data regarding breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) in Latin America. This work highlights the lack of knowledge and evidence in Latin American countries, a crucial aspect given the classification of BIA-ALCL as a new pathological entity by the World Health Organization in 2016.


Lymph Node Tuberculosis With Genital Involvement: Case Report, Joel Isaac Atencio Paulino, Waldir Paucar Huaman, Deivi Nick Galarza Caceres, Jeampier Bendezu Meza, Jhonatan Mauricio Crispin Ayala May 2024

Lymph Node Tuberculosis With Genital Involvement: Case Report, Joel Isaac Atencio Paulino, Waldir Paucar Huaman, Deivi Nick Galarza Caceres, Jeampier Bendezu Meza, Jhonatan Mauricio Crispin Ayala

Revista de la Facultad de Medicina Humana

We present the case of a 44-year-old male patient with a family history of lymphoma and hyperthyroidism. He started the disease three months before admission to hospital with pain in the right leg, abdominal pain, weight loss and night sweats. He was diagnosed in his hospitalization with ascites in a cavity of undetermined etiology, and multiple polygastric and fossa lymph nodes right iliac. At 6 months, the symptoms persist and a nodule is added on the penis, left testicular edema and purulent discharge from the right inguinal node, being diagnosed orchiepididymitis. Initially he had negative markers for tuberculosis (TB), however, …


Successful Intrabdominal Preterm Pregnancy: A Case Report, Saida Anyul Abud-Flores, Marco Andrés González Martínez, Arturo García-Galicia, Carlos Alberto López-Bernal, Álvaro José Montiel-Jarquín, Gisela Alonso Torres, Nancy Rosalía Bertado Ramírez, Laura Andrea Reyes-Luna May 2024

Successful Intrabdominal Preterm Pregnancy: A Case Report, Saida Anyul Abud-Flores, Marco Andrés González Martínez, Arturo García-Galicia, Carlos Alberto López-Bernal, Álvaro José Montiel-Jarquín, Gisela Alonso Torres, Nancy Rosalía Bertado Ramírez, Laura Andrea Reyes-Luna

Revista de la Facultad de Medicina Humana

Introduction: Ectopic pregnancy is any gestation in which the implantation site of the fertilized egg is located outside the endometrial cavity. Abdominal ectopic pregnancy represents 1.4% of these. Case report: 28-year-old patient with two previous cesarean sections; bilateral tubal obstruction during the last operation. The patient was admitted to the hospital with blood pressure of 180/130 mm Hg that did not respond to medical treatment and not progression to labor so it was decided to interrupt the pregnancy by cesarean section. During surgery, a small uterus with extrauterine pregnancy was observed adhered to the serosa of the cecum, ascending colon, …


Miliary Tuberculosis In An Immunocompetent Patient: Case Report, Renzo Steffano Valle Farfan, Alejandro Manuel Peña Villalobos, Walter Jesus Espinoza Hernandez, Steffano Alessandro Valle Farfan May 2024

Miliary Tuberculosis In An Immunocompetent Patient: Case Report, Renzo Steffano Valle Farfan, Alejandro Manuel Peña Villalobos, Walter Jesus Espinoza Hernandez, Steffano Alessandro Valle Farfan

Revista de la Facultad de Medicina Humana

Milar Tuberculosis (TB) is a presentation with a fatal outcome if it is not diagnosed or treated on time; although certain conditions are required to develop this presentation. In this In this article, the case of a 48-year-old man with no pathological history is studied, who started the disease with a time of six months with an initial diffuse gastrointestinal pain and later one month before admission presented progressive respiratory symptoms; he was admitted for emergencies where bilateral diffuse miliary compromise was evident in the chest computed tomography; upon admission, he was administered oxygen and support measures, an HIV test …


Transforming Medical Education In The 21st Century: The Role Of Competency-Based Medical Education, Fernando Ramos Zaga May 2024

Transforming Medical Education In The 21st Century: The Role Of Competency-Based Medical Education, Fernando Ramos Zaga

Revista de la Facultad de Medicina Humana

Introduction: With the changing landscape of medical education, it is crucial to critically examine existing approaches and frameworks. competency-based medical education (CBME) emerges as a promising paradigm shift, which prioritizes learner-centered, outcome-oriented development of skills, knowledge, and attitudes. Objective: To identify the essential structural and procedural adjustments needed for effective implementation of CBME. It underscores the importance of reorganizing educational institutions, adapting instructional and assessment techniques, and fostering acceptance of CBME in the classroom. Results: To effectively deliver CBME, it is imperative to restructure educational institutions to focus on competency-based curricula and personalized instruction. Also, there is a need to …


Heart Failure Secondary To A Snake Bite. The Intensivist's Vision: Case Report, Andrés Alirio Restrepo Bastidas, Mateo Aguirre Flórez, Jaime Andrés Hoyos Muñoz, Melissa Gonzales Ramírez, David Ricardo Echeverry Piedrahita May 2024

Heart Failure Secondary To A Snake Bite. The Intensivist's Vision: Case Report, Andrés Alirio Restrepo Bastidas, Mateo Aguirre Flórez, Jaime Andrés Hoyos Muñoz, Melissa Gonzales Ramírez, David Ricardo Echeverry Piedrahita

Revista de la Facultad de Medicina Humana

Background: Ophidic accident is a neglected disease that affects tropical countries. Latin America is the second region after Africa, with the most cases worldwide. Local lesions accompany its clinical course up to systemic affectations such as renal, hematological, and neurological lesions. Cardiac complications are rare, especially in patients who do not have cardiovascular risk factors. There are reports of acute myocardial infarction, but there is little information about heart failure due to Bothrops spp. Case report: We present the case of a 25-year-old man without cardiovascular risk factors who was admitted to the intensive care unit and developed heart failure …


Blockchain Technology Applied In Medicine: A Systematic Review, Christian Jairo Tinoco Plasencia May 2024

Blockchain Technology Applied In Medicine: A Systematic Review, Christian Jairo Tinoco Plasencia

Revista de la Facultad de Medicina Humana

Objective: Develop an articles review to evaluate the existing evidence on blockchain technology applied in medicine. Methods: The study was of a documentary type, bibliographic design, framed in a systematic review. The harvest of articles was carried out in the Scopus, Web of Sciences, Pro Quest and ScienceDirect databases from January 1, 2018 to July 31, 2023. The descriptors were blockchain, technology and medicine. The PRISMA diagram was prepared considering the inclusion criteria: original articles, with open access; that address the subject and in any language. The search yielded 70 articles, of which 11 formed the sample. Results: The various …


Non-Fatal Strangulation/Suffocation In Context Of Gender Violence: Medicolegal Aspects And Implications In Clinical Practice, Mónica Andrea Núñez Garrido, Sergio Herrera Umanzor May 2024

Non-Fatal Strangulation/Suffocation In Context Of Gender Violence: Medicolegal Aspects And Implications In Clinical Practice, Mónica Andrea Núñez Garrido, Sergio Herrera Umanzor

Revista de la Facultad de Medicina Humana

Despite the numerous efforts of the international community to eradicate all forms of violence against women, this problem is far from being resolved. According to the UN, one in three women has suffered physical or sexual violence from an intimate partner, sexual violence outside the couple, or both at least once in their life. Addressing this problem as a social health need of population groups allows an approach to gender violence as a collective health problem. At the level of physical violence, strangulation/suffocation has been identified as one of the most lethal forms of domestic violence and sexual assault. Victims …


Hyperglycemia As A Risk Factor For In-Hospital Mortality In Myocardial Infarction, Ciro Barrantes-Alarcon, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu May 2024

Hyperglycemia As A Risk Factor For In-Hospital Mortality In Myocardial Infarction, Ciro Barrantes-Alarcon, Rosalia Fernández-Coronado, Adriel Olortegui-Yzu

Revista de la Facultad de Medicina Humana

Introduction: Myocardial infarction continues with high mortality rates, from 4.6% to 13.1%. There are predictive risk stratification models, such as the Grace Score, which does not include glycemia as a variable. Patients hospitalized for myocardial infarction with hyperglycemia on admission may have higher mortality, in ST elevated and non-elevated infarcts. Objectives: The objective of this review is to identify and systematize the evidence on hyperglycemia on admission as a biomarker of mortality and heart failure in acute myocardial infarction. Materials and Methods: The search was carried out in the MEDLINE database including the MeSH terms hyperglycemia and hospital mortality or …


Laura E. Rodríguez Dulanto: The First Clinical Trial Performed By A Female Physician In Peru., Oswaldo Salaverry García May 2024

Laura E. Rodríguez Dulanto: The First Clinical Trial Performed By A Female Physician In Peru., Oswaldo Salaverry García

Revista de la Facultad de Medicina Humana

Laura Gutiérrez Dulanto has been highlighted for her status as the first woman to graduate in Medicine in Peru. Her high intellectual qualities have been noted from various perspectives, as well as her effort and tenacity to overcome the difficulties of pursuing university studies, particularly in scientific disciplines, then reserved exclusively for men. It has been pointed out, however, that due to the limitations imposed on women at the time, she had a diminished professional activity and little scientific production, which has not been reviewed by existing historiography. This article analyzes his scientific production, especially a clinical study developed in …


Anatomical Preparation Of The Visceral Aspect Of The Human Liver To Demonstrate The Branches Of The Hepatic Portal Vein Applying The Laskowski Filling, Dissection And Conservation Techniques, Emanuel Sebastian Balarezo Rebaza, Cesar Brandom Pretell León, Pamela Nicole Torres Blas, Athenas Belissa Alvaro Montes, Ana Lucero Canales Guevara May 2024

Anatomical Preparation Of The Visceral Aspect Of The Human Liver To Demonstrate The Branches Of The Hepatic Portal Vein Applying The Laskowski Filling, Dissection And Conservation Techniques, Emanuel Sebastian Balarezo Rebaza, Cesar Brandom Pretell León, Pamela Nicole Torres Blas, Athenas Belissa Alvaro Montes, Ana Lucero Canales Guevara

Revista de la Facultad de Medicina Humana

The Human Anatomy course is crucial in the education of medical students, and therefore, the shortage of anatomical specimens poses a challenge in teaching. This study aims to create an anatomical preparation of the visceral surface of the liver, allowing visualization of the branches of the hepatic portal vein using the repletion, dissection, and Laskowski preservation techniques. The preparation successfully revealed the distribution of suprahepatic veins and branches of the portal vein irrigating their respective segments, without encountering anatomical variations. The study successfully produced an anatomical specimen primarily showcasing the branches of the hepatic portal vein. We recommend inspecting


Vitamins B1, B6, And B12 And Peripheral Neuropathies: International Expert Consensus, John Longa López, José Luis Dinamarca-Montecinos, Koni Mejía-Rojas, Astrid Cecilia Bernaola Cuadros, Jessica Beatriz Ampuero Bárcena, Leonardo Palacios-Sánchez, Mariano Fernandez-Fairen May 2024

Vitamins B1, B6, And B12 And Peripheral Neuropathies: International Expert Consensus, John Longa López, José Luis Dinamarca-Montecinos, Koni Mejía-Rojas, Astrid Cecilia Bernaola Cuadros, Jessica Beatriz Ampuero Bárcena, Leonardo Palacios-Sánchez, Mariano Fernandez-Fairen

Revista de la Facultad de Medicina Humana

Based on a bibliographic review of the literature, a consensus of international experts has been carried out on the use of vitamins B1, B6, B12, in their deficiencies, and in the peripheral neuropathy that may be associated with them, to optimize the management of these conditions. Several questions considered important and worthy of being addressed and clarified were raised, retaining nine of them for further discussion to achieve consensus. Forty one recommendations on the management of these conditions have been proposed, with unanimity of the participants in the consensus. This has been an attempt to clarify controversial points, assisting the …


Associated Factors With Jaundice Requiring Phototherapy: A Case-Control Study In A Hospital In Peru, Mary Claudia Huambo Panduro, Andrea P. Ramirez-Ortega, Luis Roldan-Arbieto, José M. Vela-Ruiz May 2024

Associated Factors With Jaundice Requiring Phototherapy: A Case-Control Study In A Hospital In Peru, Mary Claudia Huambo Panduro, Andrea P. Ramirez-Ortega, Luis Roldan-Arbieto, José M. Vela-Ruiz

Revista de la Facultad de Medicina Humana

Objective: To determine the factors associated with jaundice requiring phototherapy. Material and Methods: An observational, analytical, and retrospective case-control study was conducted. Medical records of 212 patients aged 0 to 7 days from the neonatology service at Hospital Carlos Lanfranco La Hoz were reviewed, divided into 106 cases (with phototherapy) and 106 controls (without phototherapy). Results: Preterm neonates showed a significant association with an OR: 5.526; 95% CI (2.038-14.981), P= 0.001; and ABO incompatibility had an OR: 4.373, 95% CI (1.934-9.889), P= 0.001. However, birth weight, Rh incompatibility, neonatal sepsis, maternal urinary tract infection, and maternal anemia were not associated …


Cold Chain Of The Peruvian National Immunization Program In The Context Of The Covid-19 Pandemic, Alfonso Gutierrez-Aguado, Mariana Mendoza, Tatiana Sarazú, Paula Rodriguez-Ordoñez May 2024

Cold Chain Of The Peruvian National Immunization Program In The Context Of The Covid-19 Pandemic, Alfonso Gutierrez-Aguado, Mariana Mendoza, Tatiana Sarazú, Paula Rodriguez-Ordoñez

Revista de la Facultad de Medicina Humana

Objective: The aim of this study was to identify critical aspects of the Cold Chain in the immunization process in Peru. Methodology: A descriptive study was conducted, analyzing data from the Ministry of Economy and Finance (MEF) and the Ministry of Health (MINSA) for the years 2020-2021, as well as administrative records from the MINSA's Regional Health Strategies for immunizations in 2020. Technical aspects established in the Health Technical Standard for Cold Chain Management, such as obsolescence, allocation, functionality, and storage capacity were taken into account. Results: In the year 2020, at the national level, 61.8% of the cold chain …


Short And Prolonged Fasting Prior To The Performance Of Tracheostomies In Intensive Therapy: A Retrospective Study, Lucas Gonzalo Duran, María Emilia Beilman, Araceli Natali Quiroga, Magdalena Cruz, Alejandra Vanesa Millan, Micaela Johanna Ojeda, Fabiana Ciccioli, Micaela Giselle Montenegro Fernandez, Wendy Estefany Monrroy Miro, Valentina Trinidad Malisia, Nicolas Antonio Grassi, Nazareno Iñaki Zelaya De Leon, Franco Ezequiel Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny May 2024

Short And Prolonged Fasting Prior To The Performance Of Tracheostomies In Intensive Therapy: A Retrospective Study, Lucas Gonzalo Duran, María Emilia Beilman, Araceli Natali Quiroga, Magdalena Cruz, Alejandra Vanesa Millan, Micaela Johanna Ojeda, Fabiana Ciccioli, Micaela Giselle Montenegro Fernandez, Wendy Estefany Monrroy Miro, Valentina Trinidad Malisia, Nicolas Antonio Grassi, Nazareno Iñaki Zelaya De Leon, Franco Ezequiel Espinoza, Marina Otamendi, Paula Zorzano Osinalde, Marcos Petasny

Revista de la Facultad de Medicina Humana

Introduction: International guidelines on aid prior to invasive procedures usually generate longer aid than in intensive care (IT) patients. This fact represents a high risk of malnutrition and, consequently, a worse prognosis. The objective of the present investigation was to analyze the degree of association between the fasting time prior to tracheostomy of patients under mechanical ventilatory assistance (MVA) and the appearance of pneumonia. Methods: Retrospective cohort study that included patients admitted to our IT from 10/01/2018 to 08/31/2022 and with a tracheostomy performed. Two cohorts were defined characterized by fasting ≤3 hours vs. >3 hours. Fisher's exact test and …


Correlation Of Histopathological Results And Tomographic Findings In Patients With Liver Lesions Suspicious For Malignancy., Luis Pablo Valencia Montiel, Jorge Roberto Hernández Santos, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy Rosalía Bertado-Ramírez May 2024

Correlation Of Histopathological Results And Tomographic Findings In Patients With Liver Lesions Suspicious For Malignancy., Luis Pablo Valencia Montiel, Jorge Roberto Hernández Santos, Arturo García-Galicia, Álvaro José Montiel-Jarquín, Diana López García, Maricarmen Tapia Venancio, Nancy Rosalía Bertado-Ramírez

Revista de la Facultad de Medicina Humana

Introduction. Liver cancer is the seventh most common neoplasm worldwide and the second cause of mortality directly associated with cancer. In Mexico it has an incidence of 3.9% in the entire population. Although computed tomography (CT) is the imaging study of choice, the final diagnosis is established with the anatomopathological study of the lesion. Objective. Correlate the tomographic findings with the histopathological result in patients with liver lesions with suspicion of malignancy, who underwent USG-guided biopsy. Methods. Descriptive, correlation, retrolective, homodemographic and single-center study. The study period was from September 2021 to February 2022. Patients older than 18 years with …


Analysis Of Adverse Drug Reactions Caused By Antipsychotic Drugs In A Mexican Health Institute, Erick Rojas-Valladares, Ismael Aguilar-Salas, Karina Sánchez-Herrera, Ivo Heyerdahl-Viau, Jonatan Benitez-Morales, Juan Manuel Martínez-Núñez May 2024

Analysis Of Adverse Drug Reactions Caused By Antipsychotic Drugs In A Mexican Health Institute, Erick Rojas-Valladares, Ismael Aguilar-Salas, Karina Sánchez-Herrera, Ivo Heyerdahl-Viau, Jonatan Benitez-Morales, Juan Manuel Martínez-Núñez

Revista de la Facultad de Medicina Humana

Introduction: Adverse Drug Reactions (ADRs) are unwanted clinical or laboratory manifestations that are related to drug use. ADRs are common and are associated with significant risk of morbidity, mortality and hospital admissions. Antipsychotics have a reduced therapeutic window, and have been related to the manifestation of a variety of ADRs. Objective: To evaluate the pattern of ADRs due to antipsychotic drugs detected in patients treated at the Ramón de la Fuente Muñiz National Institute of Psychiatry between December 2021 and May 2022. Methods: Observational, descriptive, prospective and cross-sectional study of a series of cases. The seriousness, severity, and quality of …


Sociodemographic Factors Associated With Domestic Violence In Women In Peru, 2021, Luis Fernando Perez Yari, Maria Loo-Valverde, Willer David Chanduvi Puicon May 2024

Sociodemographic Factors Associated With Domestic Violence In Women In Peru, 2021, Luis Fernando Perez Yari, Maria Loo-Valverde, Willer David Chanduvi Puicon

Revista de la Facultad de Medicina Humana

Introducción: La violencia intrafamiliar se basa en fenómenos con una relación de subordinación, cuyos comportamientos se relacionan con el daño físico, psicológico y sexual, mediante el uso real o simbólico de la fuerza, con el objetivo de dominar la voluntad, mente y cuerpo de la víctima. Objetivo: Determinar los factores sociodemográficos asociados a las mujeres víctimas de violencia intrafamiliar en el Perú durante el año 2021. Material y Métodos: Es estudio observacional, retrospectivo, analítico y transversal, desarrollado mediante las bases secundarias ENDES 2021; se utilizó la información de 21 557 mujeres, la cual fue analizada mediante el software estadístico SPSS …


Sociodemographic Characteristics And Bone Health In Argentine Adults With A Plant-Based Diet, Paula Taboada, Marcela Manuzza, Silvina Mastaglia May 2024

Sociodemographic Characteristics And Bone Health In Argentine Adults With A Plant-Based Diet, Paula Taboada, Marcela Manuzza, Silvina Mastaglia

Revista de la Facultad de Medicina Humana

Objective: To analyze the sociodemographic characteristics and bone health among adult consumers of plant-based diets (PBD). Methods: Individuals aged 18 to 75 were invited to complete a self-administered survey via a digital platform. Results: A total of 1151 participants completed the survey; the majority were women [n=958 (83.2%)], young [age (years): 18-25: 35.8%; 26-35: 39.8%, and 36-45: 17.4%] and single (67.1%). The pattern of PBD consumption was mainly represented by veganism (54.0%), followed by lacto-ovo-vegetarianism (27.7%). The primary reason for their dietary choice was animal welfare (83.5%). Adherence to PBD, based on duration (years), was <1: >12.3%; 1-5: 67.4%; 10-15: 14.8%, …


Forensic Genetics And Genomics In Peru: Current Situation And Future Challenges, Carlos David Neyra Rivera May 2024

Forensic Genetics And Genomics In Peru: Current Situation And Future Challenges, Carlos David Neyra Rivera

Revista de la Facultad de Medicina Humana

Forensic Genetics is defined as a field of knowledge that uses both genetic concepts and molecular tools. This is used to resolve cases in which it is desired to identify the identity of people allegedly involved in a criminal act, kinship ties, identification of missing persons, etc. Currently, Forensic Genetics mainly uses molecular markers of the type STRs (short tandem repeats), SNPs (single nucleotide polymorphisms) and insertion/deletion INDELs)(1). In order to use these markers, it generally begins with DNA extraction, a multiplex polymerase chain reaction, capillary electrophoresis and analysis with specialized software to obtain a genetic profile that is unique …


Response From The Authors To The Editor's Letter “Job Satisfaction In Crisis: The Impact Of Covid-19 On Health Personnel”, Melina Liliana Chavez Patilongo, Maritza Dorila Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada May 2024

Response From The Authors To The Editor's Letter “Job Satisfaction In Crisis: The Impact Of Covid-19 On Health Personnel”, Melina Liliana Chavez Patilongo, Maritza Dorila Placencia Medina, María Elena Muñoz Zambrano, Margot Quintana Salinas, Amelia Olortegui Moncada

Revista de la Facultad de Medicina Humana

Dear Editor and authors of the letter: We have reviewed with great interest the comments in the letter to the editor that accompanies the original article entitled "Climate and Pre-Pandemic Job Satisfaction of Nursing Personnel in an Emergency Service," published in Volume 23, number 02 of 2023 by Chávez M et al., where a significant correlation is highlighted between the work environment and the job satisfaction of the nursing team at the Vitarte Hospital.


Intestinal Obstruction Due To Strongyloides Stercolaris: About A Case., Rolando Tapia Barcellandi, Jesús De La Jara, Enrique Vilchez Polo, Orlando Aliaga Aliaga, Pedro Sotelo Jiménez, Karina Patricia Tarazona Ramirez May 2024

Intestinal Obstruction Due To Strongyloides Stercolaris: About A Case., Rolando Tapia Barcellandi, Jesús De La Jara, Enrique Vilchez Polo, Orlando Aliaga Aliaga, Pedro Sotelo Jiménez, Karina Patricia Tarazona Ramirez

Revista de la Facultad de Medicina Humana

Strongyloidiasis commonly causes gastrointestinal problems. We present the case of a male, a 30-year-old cadet in the Peruvian Navy from Lima, who developed a hyperinfection syndrome due to Strongyloides stercoralis, having a presumptive diagnosis of polymyositis for which he received a short cycle of corticosteroids. He was not a carrier of the HTLV 1/2 virus. Upon admission, he presented with hyporexia, generalized weakness, cachexia, intermittent self-limited diarrhea, oral intolerance, and mild abdominal distension. The patient reached the dissemination stage, resulting in severe intestinal damage. The low excretion of larvae in the feces made the diagnosis difficult. Treatment was provided with …


Job Satisfaction In Crisis: The Impact Of Covid-19 On Health Personnel, Nora Nicole Itusaca Dueñas, Valeria Antuanne Ortiz Ramos May 2024

Job Satisfaction In Crisis: The Impact Of Covid-19 On Health Personnel, Nora Nicole Itusaca Dueñas, Valeria Antuanne Ortiz Ramos

Revista de la Facultad de Medicina Humana

Dear Editor of the Revista de la Facultad de Medicina Humana, Lima, Perú: I am writing to you regarding the original article titled "Pre-pandemic climate and job satisfaction of nursing staff in an emergency service," published in Volume 23, Issue 02, of the year 2023. In the aforementioned study by Chávez M et al., the significant correlation between the work environment and job satisfaction within the nursing team at Vitarte Hospital is highlighted. However, considering the health emergency situation caused by the COVID-19 virus starting in the year 2020, we believe it is necessary to provide a global perspective on …


Case Report About Immunotherapy In Management Of Metastatic Renal Cancer: Treatment With Checkpoint Pd-L1 And/Or Anti-Ctla-4 Inhibitors, Robert Malpartida-Palomino, Jesús Miguel Malpartida - Palomino, Joseph Matos - Malpartida May 2024

Case Report About Immunotherapy In Management Of Metastatic Renal Cancer: Treatment With Checkpoint Pd-L1 And/Or Anti-Ctla-4 Inhibitors, Robert Malpartida-Palomino, Jesús Miguel Malpartida - Palomino, Joseph Matos - Malpartida

Revista de la Facultad de Medicina Humana

Approximately 15 percent of renal cell carcinoma (RCC) present as locally advanced or metastatic, where surgery is not curative. The prognosis of patients with advanced or metastatic CRC can vary from a few months to a few years, depending on the clinical, pathological, and radiological characteristics of the disease. The advent of the use of anti-monoclonal-based immunotherapy as checkpoint inhibitors in initial systemic therapy for advanced clear cell RCC. We will present a clinical case where immunotherapy plays a role through the use of anti-monoclonal drugs to treat a male patient with metastatic kidney disease who presents a clinical response …


Solitary Fibrous Tumor Of The Brain: A Case Report, Valeria Antuanne Ortiz Ramos, Nora Nicole Itusaca Dueñas, Lucia Victoria Ulloa Ordoñez, Ricardo Romulo Paredes Pacual, José Manuel Vela Ruiz, Leslie Estefany Yovera Orellana, Jonathan Joel Torres Canqui May 2024

Solitary Fibrous Tumor Of The Brain: A Case Report, Valeria Antuanne Ortiz Ramos, Nora Nicole Itusaca Dueñas, Lucia Victoria Ulloa Ordoñez, Ricardo Romulo Paredes Pacual, José Manuel Vela Ruiz, Leslie Estefany Yovera Orellana, Jonathan Joel Torres Canqui

Revista de la Facultad de Medicina Humana

Introduction: Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that, although typically develop in the visceral pleura, occasionally occur in the intracranial cavity. Furthermore, they are characterized by high rates of metastasis and recurrence. Case Report: We present the case of a 59-year-old male patient with a 3-month history of headache and bradyphrenia. Computed tomography revealed a neoformative tumor infiltrating the nasal cavity, ethmoid sinuses, and anterior cranial fossa, involving the left frontal lobe. The patient underwent two exploratory craniectomies, during which diagnoses suggestive of high-grade glial neoplasia and SFT were made. For precise diagnosis, immunohistochemistry was performed, which was …


Sarcina Ventriculi In The Stomach: An Unexpected And Potentially Dangerous Visitor, Hellen Johanna Gordillo De La Fuente, Eugenio Américo Palomino Portilla, Gabriela Jazmín Palomino Quiñones, María Del Pilar Quiñones Ávila May 2024

Sarcina Ventriculi In The Stomach: An Unexpected And Potentially Dangerous Visitor, Hellen Johanna Gordillo De La Fuente, Eugenio Américo Palomino Portilla, Gabriela Jazmín Palomino Quiñones, María Del Pilar Quiñones Ávila

Revista de la Facultad de Medicina Humana

Introduction: Sarcina ventriculi is a Gram (+), anaerobic, non-motile cocci, with a fermentative carbohydrate metabolism, that survives and grows without problems in environments with acidic pH. It is a known etiological agent in veterinary pathology, however its pathogenic role in humans is controversial. In recent years, the finding of this microorganism in different anatomical places has been reported in humans with increasing frequency, predominantly in the upper digestive tract, mainly in the stomach, in patients with dyspepsia and/or delayed gastric emptying, some of these cases with serious evolution, even fatal. Clinical case: we report the case of a patient with …


First Case Of Thanatophoric Dysplasia Type 1 In The Peruvian Andes With A Pathogenic Variant In The Fgfr3 Gene, Carlos Hugo Torres Salinas, Yesenia Ledesma Porras May 2024

First Case Of Thanatophoric Dysplasia Type 1 In The Peruvian Andes With A Pathogenic Variant In The Fgfr3 Gene, Carlos Hugo Torres Salinas, Yesenia Ledesma Porras

Revista de la Facultad de Medicina Humana

Thanatophoric dysplasia type 1 is a form of lethal skeletal dysplasia, characterized by axial-appendicular skeletal disproportions as well as short stature, frontal bossing, cloverleaf skull, narrow chest, femoral bowing, and micromelia. These phenotypic characteristics are the result of pathogenic variants in the fibroblast growth factor receptor 3 (FGFR-3) gene, located on chromosome 4p16.3 For its study, obstetric ultrasound, physical examination and radiographic findings are important. However, the diagnosis must be confirmed by genetic study in order to discover new variants or associations, as well as to reveal its actual casuistry in a certain region.


Sacroiliac Arthromyelitis: Case Report, Roger Antonio Sernaque Mechato, Pablo Alberto Romero Sánchez, Julio Andrés Mamani Murillo, Yelenit Emily Quiñones Rodríguez, Marco André Moncada Solano, Jesús Darío Toledo De La Torre May 2024

Sacroiliac Arthromyelitis: Case Report, Roger Antonio Sernaque Mechato, Pablo Alberto Romero Sánchez, Julio Andrés Mamani Murillo, Yelenit Emily Quiñones Rodríguez, Marco André Moncada Solano, Jesús Darío Toledo De La Torre

Revista de la Facultad de Medicina Humana

Infectious sacroiliitis is a rare condition that is sometimes diagnosed late due to the poor specificity of the symptoms. In addition, imaging techniques such as scintigraphy, tomography, and nuclear magnetic resonance are required to assess the extent and severity of the lesions. If early diagnosis and treatment are made, the clinical evolution is satisfactory and leaves no sequelae. Clinical case: the case of an 83-year-old female patient is presented, with a history of ischemic cerebrovascular disease, high blood pressure, type 2 diabetes mellitus and urinary tract infection, who presented with moderately intense colic-like abdominal pain, afebrile, and reported that at …