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Articles 1 - 30 of 117
Full-Text Articles in Medicine and Health Sciences
Parapharyngeal Schawannnoma. Case Report, Enrique Moyano Navarro, Manuel Inostroza Fernández, Pedro Sotelo Jiménez, Ethel Vargas Carrillo, Alan La Torre Zúñiga, Luis González Domínguez
Parapharyngeal Schawannnoma. Case Report, Enrique Moyano Navarro, Manuel Inostroza Fernández, Pedro Sotelo Jiménez, Ethel Vargas Carrillo, Alan La Torre Zúñiga, Luis González Domínguez
Revista de la Facultad de Medicina Humana
Parapharyngeal tumor lesions present a low incidence, representing between 0,5 and 0,8% of all head and neck tumors. Approximately 80% show benign behavior. The uniqueness of these lesions derives from their complex anatomical situation and the symptoms with which they usually appear, being in most cases nonspecific and almost always derived from the compressive effect produced by the lesion on the oropharynx and the oropharynx. Schwannomas of the parapharyngeal space are very rare tumors that originate from the sheath of schawnn, generally slow growing, and are usually asymptomatic. Treatment is surgical, often complex due to the anatomical location. The case …
Atrial Fibrillation That Required Cardioversion In The Post Anesthetic Recovery Unit In Ambulatory Surgery. A Case Report, Miryam Céspedes Morón, Ruiz Roque Rosina, Chipa Ccasani Fredy
Atrial Fibrillation That Required Cardioversion In The Post Anesthetic Recovery Unit In Ambulatory Surgery. A Case Report, Miryam Céspedes Morón, Ruiz Roque Rosina, Chipa Ccasani Fredy
Revista de la Facultad de Medicina Humana
In recent years, the profile of patients who can undergo ambulatory surgery procedures in independent ambulatory surgical centers has changed. It is very important to consider the availability, skills and experience of the care staff, as well as the integral study of the patient, the resolution capacity of these centers and evaluations with quality care indicators to obtain optimal results. The present case was of a 34-year-old male, first presentation of rapid and symptomatic atrial fibrillation documented in the immediate postoperative period. Patient care, diagnostic strategy and treatment were described, since the patient required electrical cardioversion.
Jaw Region Endometriosis: Case Report, Katherine L. Contreras Gala, Mónica Villafuerte Rozas
Jaw Region Endometriosis: Case Report, Katherine L. Contreras Gala, Mónica Villafuerte Rozas
Revista de la Facultad de Medicina Humana
Introduction: Endometriosis is a chronic gynecological disease, which refers to the presence of endometrial glands and stroma outside the uterine endometrium. This entity has a frequency of 10 to 15% in women of reproductive age, and its most common site of presentation is the ovary. At the extrapelvic level, the most common location is the gastrointestinal and genitourinary location. However, it can occur in any location. Presentation: The case of a 40-year-old female patient with a face tumor in the mandibular region is described, presenting with a disease time of 2 years. Among the important antecedents, two months before the …
Shock Cryptic, Emerging Diagnostic, Ricardo Garcia Ayala, Sandra Soto Ticse, Stephany Matos Santiváñez, Allison Ortiz De Orue
Shock Cryptic, Emerging Diagnostic, Ricardo Garcia Ayala, Sandra Soto Ticse, Stephany Matos Santiváñez, Allison Ortiz De Orue
Revista de la Facultad de Medicina Humana
Cryptic shock is a poorly identified clinical entity, it still describes a patient with signs of tissue hypoperfusion without affecting blood pressure. In the emergency department, it is important to identify signs of hypoperfusion and evaluate various hidden sources of infection by taking a complete medical history, a thorough physical examination, and if necessary advanced imaging. It is necessary to conclude that the importance of the timely diagnosis of this clinical entity helps to significantly improve the prognosis.
Clinical Performance Of A New Prediction Rule Of Systemic Loxoscellism. Case Report, Rafael Pichardo-Rodriguez, Marcos Saavedra-Velasco, Cesar Sánchez-Alvarez, Juan J. Bracamonte-Hernández, Abel Aldave-Visurraga, Oscar Ruiz-Franco
Clinical Performance Of A New Prediction Rule Of Systemic Loxoscellism. Case Report, Rafael Pichardo-Rodriguez, Marcos Saavedra-Velasco, Cesar Sánchez-Alvarez, Juan J. Bracamonte-Hernández, Abel Aldave-Visurraga, Oscar Ruiz-Franco
Revista de la Facultad de Medicina Humana
Systemic or cutaneous-visceral loxoscelism is the most severe clinical presentation of loxoscelism. Currently there is no validated laboratory diagnostic method that allows us to confirm the presence of this disease in the face of arachneism. However, there is a clinical prediction rule (CPR), which allows us to predict the evolution of a bite towards a systemic condition and which would be useful in emergency rooms. We present the case of a woman who developed the systemic picture of loxoscelism to whom a new CPR was applied for the early detection of systemic loxoscelism, presenting adequate performance for early evaluation in …
Cotard Syndrome In Recurrent Depressive Disorder: Case Report, Héctor Ocampo, Richard J. Febres-Ramos, Sheron Arestegui, Rosa Bravo, Danitza Cardenas
Cotard Syndrome In Recurrent Depressive Disorder: Case Report, Héctor Ocampo, Richard J. Febres-Ramos, Sheron Arestegui, Rosa Bravo, Danitza Cardenas
Revista de la Facultad de Medicina Humana
The Cotard Syndrome, also known as delirium of negation or nihilistic delirium, was described by the French neurologist, Julius Cotard, on June 1880. From that time until the end of the 20th century, in scientific literature, approximately 100 cases were reported that presented symptoms of depression, anxiety, nihilist delusions concerning the body and existence, hypochondriacal and immortality delusions, as well as auditory and visual hallucinations. We present the case of a female patient, 73-years old, from Ayacucho, with a history of sexual assault at the age of 12 and suicidal attempts on 2 occasions, diagnosed with depression at 40 years …
Posner – Schlossman Syndrome: Case Report, Diego J. Mamani Maquera, Nahuel Pantoja Dávalos
Posner – Schlossman Syndrome: Case Report, Diego J. Mamani Maquera, Nahuel Pantoja Dávalos
Revista de la Facultad de Medicina Humana
Introduction: Posner - Schlossman Syndrome (PSS) is a rare disease, more prevalent in men between 20 and 50 years old, characterized by recurrent attacks of anterior uveitis and ocular hypertension. Clinical case: We report the case of a 42-year-old patient with a single eye. He came to the consultation presenting decreased visual acuity, photophobia, halos around the lights, and intense pain in his left eye. The ophthalmological examination revealed inflammatory signs in the anterior segment, elevated intraocular pressure and damage to the optic nerve. Medical treatment was started with corticosteroids and topical antiglaucoma drugs, oral acetazolamide and intravenous mannitol, obtaining …
Hantavirus In The Peruvian Jungle: A Systematic Review Of Series And Cases Reported, Marcos Saavedra-Velasco, Alvaro Oyarce-Calderón, Natalia Vargas Herrera, Rafael Pichardo-Rodriguez, Carlos M. Moreno-Arteaga
Hantavirus In The Peruvian Jungle: A Systematic Review Of Series And Cases Reported, Marcos Saavedra-Velasco, Alvaro Oyarce-Calderón, Natalia Vargas Herrera, Rafael Pichardo-Rodriguez, Carlos M. Moreno-Arteaga
Revista de la Facultad de Medicina Humana
Hantavirosis is a zoonotic infection transmitted mainly by rodents. In Peru, a lethality of 40–60% is calculated in inhabitants of the Peruvian Amazon jungle, especially in Loreto. Despite this, this disease continues to be under-diagnosed despite the fact that it represents a serious problem for public health in Latin America. We present a sistematic revision of case reports and seris of cases of Hantavirus infection in the Peruvian jungle. The most important characteristic of the cases presented are mean age 25.7 years, predominance of females (5/6), clinical presentation of headache, myalgias, nausea and vomiting (6/6) and unfavorable evolution to acute …
The Social Representations Of Patients Of Quechua Origin With Type 2 Diabetes About Their Disease And Treatment In Two Hospitals In Cusco, Ramón Figueroa-Mujica, Guisela Yábar-Torres
The Social Representations Of Patients Of Quechua Origin With Type 2 Diabetes About Their Disease And Treatment In Two Hospitals In Cusco, Ramón Figueroa-Mujica, Guisela Yábar-Torres
Revista de la Facultad de Medicina Humana
Objectives: To achieve an approximation the social representations of patients about their disease. and about its treatment. Methodos: This is a qualitative study on social representations based on the interpretive paradigm and through an in-depth interview, for which a guide of topics or categories was used, based on the objectives of the study. The study population was made up of patients treated in the Endocrinology Units of the Antonio Lorena and Regional Hospitals of Cusco, diagnosed with type 2 diabetes and of Quechua origin evidenced by their mother tongue. The sample is non-probabilistic for convenience, the representativeness of the discourse …
Knowledge And Attitudes About Organ Donation In Students Of Health Sciences From A National University Of Lambayeque - 2019, César Cabrejos-Montalvo, Katherine Ipanaqué Muñoz, Ana Vásquez Del Castillo
Knowledge And Attitudes About Organ Donation In Students Of Health Sciences From A National University Of Lambayeque - 2019, César Cabrejos-Montalvo, Katherine Ipanaqué Muñoz, Ana Vásquez Del Castillo
Revista de la Facultad de Medicina Humana
Objective: Determine the level of knowledge and attitudes about organ donation and xenotransplantation in students of a National University of Lambayeque. Methods: The sampling carried out was probabilistic of a simple random type and the sample was made up of 100 university students. An observational, descriptive and cross-sectional study was conducted to assess levels of knowledge and attitudes about organ donation. A survey of 20 dichotomous key questions was applied. Results: 53 women (53.0%) and 47 (47.0%) men were interviewed. It was observed that 76% do not know about the Law on the Promotion of Solidarity Donation of Human Organs …
Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz
Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz
Revista de la Facultad de Medicina Humana
Introduction: Knowledge about the transmission of HIV in adolescent women is important due to the great risk of contracting said infection. Objectives: To determine the association between the educational level and knowledge about the transmission of HIV in female adolescents according to the ENDES year 2019. Methods: Quantitative, observational, retrospective, cross-sectional and analytical study based on the public availability data of the ENDES 2019. Results: Of the 4 668 women in the age range of 15 to 19 years. 30.6% had adequate knowledge about HIV and 69.4% had inadequate knowledge. No association was found between educational level and level of …
Epidemiological Statistics Of Adolescent Suicide During Confinement Due To The Covid-19 Pandemic In Ecuador, Andres J. Guarnizo Chávez, Nathaly A. Romero Heredia
Epidemiological Statistics Of Adolescent Suicide During Confinement Due To The Covid-19 Pandemic In Ecuador, Andres J. Guarnizo Chávez, Nathaly A. Romero Heredia
Revista de la Facultad de Medicina Humana
Objective: To present the characteristics of adolescent suicide, during the period of connement due to pandemic in 2020 in Ecuador, in order to satisfy the mental health needs of this age group with their knowledge. Method:Observational, descriptive, cut-off study It was carried out. Cross-sectional retrospective, with information from the database of violent deaths of the Ministry of Government, from March 17 to September 13, which lasted the state of emergency. The analysis was carried out by province, sex, age, suicide method and frequency in days after the occurrence of the event. The suicide mortality rate (per 100,000 inhabitants) was estimated …
Factors Associated With Depression Anxiety And Stress In The Context Of Covid-19 Pandemic In Police Officers Of Metropolitan Lima, Peru, Katherine D. Apaza-Llantoy, Lucy E. Correa-López
Factors Associated With Depression Anxiety And Stress In The Context Of Covid-19 Pandemic In Police Officers Of Metropolitan Lima, Peru, Katherine D. Apaza-Llantoy, Lucy E. Correa-López
Revista de la Facultad de Medicina Humana
Objectives: To determine the factors associated with the development of depression, anxiety and stress in the context of the COVID-19 pandemic in police officers in Lima, Peru. Methods: Analytical cross-sectional study conducted in 210 police officers who were administered the Depression Anxiety and Stress Scale-21 (DASS-21) in October 2020, as well as a form, via Google Forms, to obtain sociodemographic and clinical data. A bivariate and a multivariate analysis were performed using crude and adjusted prevalence ratios, with a confidence interval >95% and a significance level of p≤0.05. Results: Depression, anxiety and stress prevalence rates were 11.43%, 10% and 7.62%, …
Validation Of The Predictive Criteria Of High Risk For Choledocholithiasis Of The American Society For Gastrointestinal Endoscopy, 2010: Experience Of A Colombian Caribbean Center, Willfrant J. Muñoz-Murillo, Ivan D. Lozada-Martinez, Amileth Suarez-Causado, Maria P. Bolaño-Romero, Maria M. Rodriguez-Gutierrez, Yelson A. Picón-Jaimes
Validation Of The Predictive Criteria Of High Risk For Choledocholithiasis Of The American Society For Gastrointestinal Endoscopy, 2010: Experience Of A Colombian Caribbean Center, Willfrant J. Muñoz-Murillo, Ivan D. Lozada-Martinez, Amileth Suarez-Causado, Maria P. Bolaño-Romero, Maria M. Rodriguez-Gutierrez, Yelson A. Picón-Jaimes
Revista de la Facultad de Medicina Humana
Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) has become the gold standard for diagnosis and treatment of choledocholithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) in 2010 proposed stratifying patients into 3 risk levels; however, studies have found controversial results about the predictive parameters of these diagnostic criteria. The objective of this study is to determine the performance of the high-risk predictive criteria of the ASGE 2010 in the diagnosis of choledocholithiasis in a Colombian Caribbean population. Methods: Retrospective cross-sectional study, which included patients with suspected choledocholithiasis, and who were taken for evaluation by ERCP, meeting the criteria proposed by the ASGE …
Whatsapp Assessment For Communication And Organization Of Group Work In Resident Physicians, Luisa E. Villar Meza, Hugo F. Gutiérrez Crespo, Juan P. Matzumura Kasano
Whatsapp Assessment For Communication And Organization Of Group Work In Resident Physicians, Luisa E. Villar Meza, Hugo F. Gutiérrez Crespo, Juan P. Matzumura Kasano
Revista de la Facultad de Medicina Humana
Introduction: New communication technologies allow new opportunities to optimize medical work. Objective: To determine the assessment of WhatsApp for communication and organization of group work among resident physicians during a healthcare management course. Methods: Descriptive, prospective, cross-sectional study. The population consisted of 140 resident physicians who participated in a healthcare management course in 2019 and 2020. A non-probability convenience sample of 132 participants was obtained. We applied the instrument to assess WhatsApp for regulating group work, through the dimensions “WhatsApp for organizing group work” and “WhatsApp as a communication system for group work”, with a reliability of 0.92. Based on …
Correlation Between Mortality Due To Covid-19, Wealth Index, Human Development And Population Density In Districts Of Metropolitan Lima During 2020, Zalia E. Dorregaray-Farge, Alonso Soto, Jhony A. De La Cruz Vargas
Correlation Between Mortality Due To Covid-19, Wealth Index, Human Development And Population Density In Districts Of Metropolitan Lima During 2020, Zalia E. Dorregaray-Farge, Alonso Soto, Jhony A. De La Cruz Vargas
Revista de la Facultad de Medicina Humana
Objectives: To determine the correlation between mortality from COVID-19 and the percentage of poverty and the district Human Development Index (HDI) in the department of Lima. Methods: Ecological observational correlation study. The population were patients who died from COVID-19 in metropolitan Lima. All deceased patients reported in the open database of the Ministry of Health were included. The dependent variable was the mortality from COVID-19 calculated by dividing the number of deaths by the total population of the districts and the independent variables were the percentage of poverty and HDI. A secondary analysis was performed evaluating the fatality from COVID-19. …
Association Between Prenatal Care And Peripartum And Postpartum Maternal Obstetric Complications. Endes 2017 To 2019, Angela Méndez, Estefany Morales, Willer Chanduví, Pedro M. Arango-Ochante
Association Between Prenatal Care And Peripartum And Postpartum Maternal Obstetric Complications. Endes 2017 To 2019, Angela Méndez, Estefany Morales, Willer Chanduví, Pedro M. Arango-Ochante
Revista de la Facultad de Medicina Humana
Introduction: Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment. Objective: To determine the association between adequate CPN and peripartum and postpartum maternal obstetric complications. Methodology: Quantitative, observational, retrospective, cross-sectional and analytical study, based on information from the ENDES 2017-2019. Results: A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications respectively, furthermore, it was found that not having a quality NPC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) …
Relationship Between The Approval Of The Adoption Of Children By Homosexuals And The Attitude Towards Homosexuality Among Medical Students And Graduates, Marco A. Tipula Mamani, Lincol M. Cruz Aquino, María I. Vásquez Suyo, Maritza D. Placencia Medina
Relationship Between The Approval Of The Adoption Of Children By Homosexuals And The Attitude Towards Homosexuality Among Medical Students And Graduates, Marco A. Tipula Mamani, Lincol M. Cruz Aquino, María I. Vásquez Suyo, Maritza D. Placencia Medina
Revista de la Facultad de Medicina Humana
Introduction. Due to changes in the composition of the family and society, the adoption of children by homosexuals is becoming more frequent. It has been found that opposition to this request is often associated with homophobia. In Peru, no studies exist on these aspects. Objective: To determine the correlation between adoption approval and attitude towards homosexuality in medical students and graduates, Lima, Peru. Method: The observational and cross-sectional study was carried out. 205 people over 21 years of age participated. The Attitude Toward Homosexuality Scale (EAH-10) and the question “Should homosexual couples be allowed to adopt children like heterosexual couples?” …
Effect Of Orchidectomized And Exogenous Administration Of Testosterone On The Quantification Of Platelets In Male Wistar Rats, Milagros Fuentes -Vargas, Lilian Lovón-Caso, Marcia Paredes-Salazar, Jheydi Cahuana-Gutierrez, Ana Apaza-Choquehuanca, Karla Elena Torres-Chávez
Effect Of Orchidectomized And Exogenous Administration Of Testosterone On The Quantification Of Platelets In Male Wistar Rats, Milagros Fuentes -Vargas, Lilian Lovón-Caso, Marcia Paredes-Salazar, Jheydi Cahuana-Gutierrez, Ana Apaza-Choquehuanca, Karla Elena Torres-Chávez
Revista de la Facultad de Medicina Humana
Introduction: Anabolic-androgenic steroids (AAS) modify the physiological functioning of the cardiovascular system and have possible effects on the origin of cardiovascular thrombosis. Objective: To determine the impact of the testosterone metabolite on platelet quantification in ORX rats with or without DHT replacement. Material and methods: 24 male 45-day-old Wistar rats underwent orchidectomy with a simple scrotal incision. At 2.5 months of age, the 24 rats were divided into 4 study groups. Half of the 12 male ORX rats received hormone replacement with dihydrotestosterone propionate (DHT) at a 2 mg/kg dose via subcutaneous injection for 7 days and the other half …
Relationship Between Expectations And Satisfaction On Technical Knowledge - An Empathic Attitude In The Clinical Practice Of Nursing Students. Hospital De Emergencias Grau Essalud, 2019., Sonia E. Miguel Sinchez
Relationship Between Expectations And Satisfaction On Technical Knowledge - An Empathic Attitude In The Clinical Practice Of Nursing Students. Hospital De Emergencias Grau Essalud, 2019., Sonia E. Miguel Sinchez
Revista de la Facultad de Medicina Humana
Objective: To determine the relationship between expectations and satisfaction regarding technical knowledge - empathic attitude in the clinical practices of nursing students at the Grau de EsSalud Emergency Hospital in 2019. Methods: A study with a quantitative approach, observational type, and correlational design showed 80 nursing students who carried out their clinical practices at the Hospital de Emergencias Grau participated in 2019. Results: Nursing students were characterized by an average age of 21.36 years, 75% were female, and 72.5% were single. The expectations and satisfaction regarding technical knowledge - empathic attitude in the clinical practices of nursing students were high …
Socioeconomic Characteristics And Costs Of Rare And Orphan Diseases In Peru, 2019, Grecia Claussen Portocarrero, Alfonso Gutierrez Aguado
Socioeconomic Characteristics And Costs Of Rare And Orphan Diseases In Peru, 2019, Grecia Claussen Portocarrero, Alfonso Gutierrez Aguado
Revista de la Facultad de Medicina Humana
Introduction: The rare and orphan diseases (ROD) constitute a current challenge due to the lack of investigation. Objective: Describe the socioeconomic characteristics of rare and orphan diseases (ROD) in Peru, 2019. Methods: Descriptive observational design. The information was obtained from FISSAL administrative records, and an intentional sample of 20 patients was taken to carry out the questionnaire on ROD. For the economic records, a review of the public budget of the MEF was made. The data analysis was descriptive and inferential. Results: There were 454 patients with a total of 49 ROD; of these, the most representative age groups were …
Home Hospitalization In Children And Youth With Special Health Care Needs (Cyshcn): Financial Perspectives In Hospital De Alta Complexidad, Chile, Francisco Prado Atlagic, Carlos Valdebenito Parra, Niscka Babaic Müller, Pamela Salinas Flores, Fernando Muñoz Berríos, Marie Jáuregui Abraham, Nelson A. Vargas Catalán
Home Hospitalization In Children And Youth With Special Health Care Needs (Cyshcn): Financial Perspectives In Hospital De Alta Complexidad, Chile, Francisco Prado Atlagic, Carlos Valdebenito Parra, Niscka Babaic Müller, Pamela Salinas Flores, Fernando Muñoz Berríos, Marie Jáuregui Abraham, Nelson A. Vargas Catalán
Revista de la Facultad de Medicina Humana
Introduction. The absence of home hospitalization (HH) of children and youth with special health care needs (CYSHCN) generates prolonged hospitalizations in closed care (CC). Objective: To compare the estimated cost of HH of high complexity CYSHCN versus the actual cost of the same patient in CC and its impact on hospital production. Methods: Descriptive and comparative study between costs of both hospitalization modalities of high complexity CYSHCN. From January to December 2016, non-oncological CYSHCN hospitalizations were registered by the Pediatric Service (PS) according to the Ministry of Health-Chile (MINSAL) norm. It was classified for clinical groups and similar consumption of …
Clinical Epidemiological Characteristics Of Patients Diagnosed With Sars-Cov-2. Hospital I Florencia De Mora Essalud – La Libertad, 2020, Yeny Tejada López, Evelyn Del Socorro Goicochea Ríos, Olga Y. Guzmán Aybar
Clinical Epidemiological Characteristics Of Patients Diagnosed With Sars-Cov-2. Hospital I Florencia De Mora Essalud – La Libertad, 2020, Yeny Tejada López, Evelyn Del Socorro Goicochea Ríos, Olga Y. Guzmán Aybar
Revista de la Facultad de Medicina Humana
Introduction: the SARS-CoV-2 pandemic affected a large part of the population of La Libertad, among them, the population of Florencia de Mora whose hospital played an important role in the care of patients diagnosed with COVID-19. Objective: to determine the epidemiological clinical characteristics of patients diagnosed with SARS-CoV-2 treated at the care center. Methods: Retrospective observational descriptive study, with a population of 2622 patients treated in the COVID-19 triage, taking into account the molecular test and the rapid serology test for the detection of SARS-CoV-2. Results: SARS-CoV-2 was detected in 74.90% (1155) of patients. The months with the highest number …
Echocardiographic Parameters Related To Pulmonary Arterial Hypertension In Patients With Chronic Myeloid Leukemia Under Dasatinib Treatment, Karla Poot Noh, Ernesto Hernández Jiménez, María Del Rayo Juárez Santiesteban, Patricia Zaqoya Martínez, Alvaro J. Monliel Jarquin, Arturo García Galicia, David E. Herrera Solano
Echocardiographic Parameters Related To Pulmonary Arterial Hypertension In Patients With Chronic Myeloid Leukemia Under Dasatinib Treatment, Karla Poot Noh, Ernesto Hernández Jiménez, María Del Rayo Juárez Santiesteban, Patricia Zaqoya Martínez, Alvaro J. Monliel Jarquin, Arturo García Galicia, David E. Herrera Solano
Revista de la Facultad de Medicina Humana
Introduction: The use of dasatinib in patients with CML has improved life expectancy and follow-up with transthoracic echocardiography (ECOTT) for early detection of PAH allows modifications to the treatment. Objectives: To determine the echocardiographic parameters and echocardiographic probability for PAH in patients with CML treated with dasatinib. Methods: Correlation, cross-sectional, retrospective, single-center study; patients with CML treated with dasatinib were included. Spearman and Pearson correlation was used. Results: 16 patients were analyzed, mean age 53.5 years; 62.5% men, 37.5% women. The dasatinib dose was 50 mg / day in 18.7%, and 100 mg / day in 81.2%, mean pulmonary arterial …
First International University Course Of Specialization In Lifestyle Medicine, Jhony A. De La Cruz-Vargas, Vania Assaly, Gabriel Lapman, Nahúm García
First International University Course Of Specialization In Lifestyle Medicine, Jhony A. De La Cruz-Vargas, Vania Assaly, Gabriel Lapman, Nahúm García
Revista de la Facultad de Medicina Humana
First International University Course of Specialization in Lifestyle Medicine
Pheochromocytoma: Multidisciplinary Approach Perioperative Considerations, Miryam Elizabeth Céspedes Morón, Roxana Camargo-Román, Nicanor Rodriguez-Gutarra, Alicia Mispireta-Castañeda
Pheochromocytoma: Multidisciplinary Approach Perioperative Considerations, Miryam Elizabeth Céspedes Morón, Roxana Camargo-Román, Nicanor Rodriguez-Gutarra, Alicia Mispireta-Castañeda
Revista de la Facultad de Medicina Humana
Patient scheduled for an adrenalectomy with laparoscopic technique, due to a tumor of the left adrenal gland. The diagnosis of chronic arterial hypertension was difficult to control, so a test was requested to rule out pheochromocytoma, resulting in a tumor of the left adrenal gland. The teamwork of the specialties involved in the care of the patient, effective communication, pre-surgical preparation and perioperative management, resulted in minimal perioperative complications in the patient, remaining in the intensive care unit for one day and reducing the hospital stay.
Spinal Cord Infarction After Chemoembolization Of Bilateral Breast Tumor: A Case Report, Wilton Luis Cervera-Ocana, Karol Jasmin Huanca-Bernal, Martha Sofia Cervera-Ocaña, Rut Irene Cervera-Ocaña
Spinal Cord Infarction After Chemoembolization Of Bilateral Breast Tumor: A Case Report, Wilton Luis Cervera-Ocana, Karol Jasmin Huanca-Bernal, Martha Sofia Cervera-Ocaña, Rut Irene Cervera-Ocaña
Revista de la Facultad de Medicina Humana
Spinal cord infarction is a rare entity that can be caused by interventional procedures such as chemoembolization, despite its high level of safety. We present a case of a 51-year-old female with chest pain and hemorrhage from a friable neoplastic lesion of the bilateral breast without improvement after conservative measures. After embolization of the tumor arteries, the patient developed crural paraparesis and global lower extremity hyporeflexia. MRI showed hypersignal in the anterior spinal cord, suggesting ischemia/infarction of the spinal cord in the territory of the anterior spinal artery. Despite the interventional procedures being safe, the inherent risks are always present, …
Seizure Or Child Abuse?, Consuelo Luna-Muñoz, Martín Seminario-Aliaga, Sandra Mendoza-Cernaqué, Giuliana Reyes-Florian
Seizure Or Child Abuse?, Consuelo Luna-Muñoz, Martín Seminario-Aliaga, Sandra Mendoza-Cernaqué, Giuliana Reyes-Florian
Revista de la Facultad de Medicina Humana
More child abuse cases are reported in Peru every year; however, there is no official report that describes the actual incidence, especially of the most vulnerable population such as infants. Signs of physical abuse generally involve brain injury and constitute shaken baby syndrome or pediatric abusive head trauma, which is a challenging diagnostic challenge. A 3-month-old infant is admitted to the emergency room for 30-minute generalized tonic-clonic seizures. On physical examination, the presence of a bony callus on the right clavicle was striking. A brain tomography and magnetic resonance imaging were performed, showing hyperintense lesions in the white matter, non-contrast …
Autologous Serum In Vascular Ulcer Of Long Evolution, Germán V. M. Rossani, Rafael I. Hernández Patiño
Autologous Serum In Vascular Ulcer Of Long Evolution, Germán V. M. Rossani, Rafael I. Hernández Patiño
Revista de la Facultad de Medicina Humana
The treatment of chronic wounds continues to be a topic of great interest due to the slow evolution and difficult healing they present, despite the development of new therapies on wound care and treatment. We present the case of a 76 year old male patient with a chronic vascular ulcer, 3 years of evolution, located in the distal portion of the left leg, with severe incompetence of saphenous vein minor to predominance of left lower limb. Who receives as treatment the application of autologous serum, achieving epithelialization and subsequent healing of the lesion.
Bilateral Breast Carcinoma In Visceral Crisis, José M. Vela- Ruiz, Diana I. Ferrer-Ponce, Miguel J. Sotelo, Reina Bustamante-Coronado, Nury León-Nué
Bilateral Breast Carcinoma In Visceral Crisis, José M. Vela- Ruiz, Diana I. Ferrer-Ponce, Miguel J. Sotelo, Reina Bustamante-Coronado, Nury León-Nué
Revista de la Facultad de Medicina Humana
Bilateral breast carcinoma is rare and infrequent , it is good to define if it occurs synchronously or metachronously, to define if the lesion in the second breast is metastasis or a primary tumor using pathological criteria, the state and clinical condition . For the prognosis and specialized treatment to follow. We present the case of a patient with ECIV breast cancer due to contralateral breast metastasis in a state of visceral crisis at debut, with pathological anatomy of grade 2 infiltrating ductal carcinoma of the breast, absent in situ component in both breast , RE (70%) , RP (80%), …