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11.413  Articles
1 of 1.142 pages  |  10  records  |  more records»

Tumor en la enfermedad renal poliquística. Presentación de un caso / Tumors in polycystic kidney disease. A case reportTumor en la enfermedad renal poliquística. Presentación de un caso / Tumors in polycystic kidney disease. A case reportEl carcinoma de la célula renal es encontrado en muy poca probabilidad en la enfermedad renal poliquística autosómica dominante. El objetivo de este trabajo es presentar un caso tratado por insuficiencia renal crónica progresiva en el curso de una enfermedad renal poliquística autosómica dominante, el cual sufre graves complicaciones y es intervenido quirúrgicamente, encontrándose en el acto quirúrgico la asociación de un tumor con una enfermedad renal poliquística autosómica dominante. La intervención quirúrgica se realizó en el servicio de Urología del Hospital General Docente "Abel Santamaría Cuadrado" en junio de 2009. La paciente acude a consulta por un cuadro hemorrágico urinario y dolor lumbar gravativo, se constata las mucosas: hipocoloreadas y húmedas, y en el aparato cardiovascular: ruidos cardiacos y taquicardicos, frecuencia cardiaca: 110 x minuto y TA: 190/110 mmHg, se ingresa al paciente e indica tratamiento sintomático además de estudios hematológicos y radiológicos: Hematocrito ( 0,40 L/L), Glicemia (4,5 mmol-L), Conteo de plaquetas ( 18 / 109 /L), Creatinina (110 mmol/L), Electrocardiograma (Taquicardia sinusal) y orina (Hematuria Macroscópica). Ecografía abdominal: Riñón izquierdo aumentado de tamaño con múltiples imágenes eco lúcidas, el riñón derecho muy aumentado de tamaño con imágenes eco lúcidas hacia polo superior, deformidad de la parte media y polo inferior del mismo, por tumor ecogénico de 140 x 100 mm., Tomografía axial computarizada: Masas hipodensas regulares en riñón izquierdo, masas hipodensas en riñón derecho, masa tumoral a nivel del mismo. Se realiza nefrectomía derecha confirmando el diagnóstico. La evolución fue satisfactoria con egreso a los 7 días de la intervención.Palabras clave: Enfermedad renal poliquística, autosómico dominante.ABSTRACTRenal cell carcinoma is rarely found in the autosomal dominant polycystic kidney disease (ADPKD). The objective of this work is to present a case treated by progressive chronic renal failure in the course of ADPKD, whose patient suffers from severe complications, finding a tumor associated to ADPKD during the surgery. The surgery was performed in the service of urology at "Abel Santamaria Cuadrado" University Hospital in June 2009. The patient attended to the hospital presenting a hemorrhagic urinary and lumbar gravitational pain picture. The mucosae were hypocolored and wet. Cardiovascular system presented: cardiac sounds and tachycardia, cardiac rate: 110 x minute and BP: 190/110 mmHg. The patient was hospitalized and the treatment was indicated, the hematologic and radiographic studies showed: hematocrit (0, 40 L/L), blood glucose (4, 5 mmol-L), platelet counts (18 / 109 /L), creatinine (110 mmol/L). The electrocardiogram showed a sinus tachycardia and in the urinalysis a macroscopic hematuria was observed. Detecting in the abdominal echography an enlargement in the left kidney with multiple echolucid images and the right kidney was enlarged with echolucid images towards the superior pole with a deformity in the middle part and in the inferior pole due to an echogenic tumor of 140x100mm. The CAT scan showed: regular hypodense masses in left kidney as well as hypodense masses in the right kidney and a tumoral mass in its level. The right nephrectomy was performed confirming the diagnosis. The evolution was satisfactory and the patient was discharged from the hospital at 7 days after the surgical intervention.Key words: Polycystic kidney disease; autosomal dominant

ABSTRACTRenal cell carcinoma is rarely found in the autosomal dominant polycystic kidney disease (ADPKD). The objective of this work is to present a case treated by progressive chronic renal failure in the course of ADPKD, whose patient suffers from sever... see more

De un grupo de rocas sedimentarias marinas que se encuentran al norte de Chiapas, cerca de los límites con Tabasco y Veracruz, a orilla de la carretera que va de Huimanguillo a la presa de Malpaso, entre 300 y 500 m de altitud, se hace un estudio palinoló... see more

This article is a language-stylistic analysis of an anonymous translation of the Latin polemical text entitled The Kind, or the Descendants of Martin Luther, the Fifth Evangelist and the Father, who Gave Life to Evangelists and their Christian Congregatio... see more

Introdução: A desnutrição energético-proteica é frequente em pacientes com doença renal crônica em hemodiálise e medidas alternativas para a avaliação do estado nutricional e do consumo alimentar podem ser empregadas na prática clínica.Objetivo:... see more

Los cambios de la vegetación, en cuencas lacustres en la región del bosque Andino Patagónico y el ecotono bosque-estepa, determinados a partir del análisis de polen y carbón vegetal sedimentario permitieron inferir cambios climáticos en el área de Patagon... see more

Pollen grains present in the honeys, produced during the season 2001-2002, in hives of the IV Regionof Chile, were identified by microscopic analysis in order to determine their botanical origin. The frequencyof pollen grains allowed us to determine the r... see more

Ao ler os artigos indicados para compor o número 107 da revista Ensaio, percebemos que são marcados pela diversidade de análise, pelo aceno à diminuição da desigualdade e, claro, pela convergência de propósitos de melhoria da Educação. Somos, imediatament... see more

Introduction: Eating disorders are severe psychiatric disorders. nervosa (AN) has a mortality rate among the highest of any psychiatric illness. Its etiology is multifactorial and not fully understood yet. Patients with AN have an intense fear of gaining ... see more

A assistência pré-natal é importante e deve ser iniciada tão logo seja suspeitada a gravidez ou confirmado o seu diagnóstico. A visita ao obstetra promove melhor prognóstico da gestação e tem como objetivo não só promover a saúde da grávida e do concepto ... see more

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