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3.029  Articles
1 of 304 pages  |  10  records  |  more records»
The amount of displacement in medial epicondylar fracture is one of the most important criteria for treatment decision. The displacement of medial epicondyle fractures of the humerus may be underestimated by standard AP and lateral views of elbow. The aim... see more

BACKGROUND: Pancreatitis severity is an important death rate indicator that plays a crucial role in deciding on proper handling of patients at their initial admission, when making a decision on patient’s transfer to the intensive care unit. Many studies p... see more

The amount of displacement in medial epicondylar fracture is one of the most important criteria for treatment decision. The displacement of medial epicondyle fractures of the humerus may be underestimated by standard AP and lateral views of elbow. The aim... see more

Ground Glass Opacities (GGO) are a picture of abnormal lung conditions characterized by white or gray areas. This picture of GGO in the lungs could previously be detected based on the results of medical examinations such as Computerized Tomography (CT sca... see more


Situs inversus totalis: presentación de un caso / Situs inversus totalis: a case reportSitus inversus totalis: presentación de un caso / Situs inversus totalis: a case reportSe trata de una paciente MCG, de 51 años de edad, que acude a consulta de su médico de familia por un chequeo rutinario, donde se le practica electrocardiograma y se interconsulta en Centro de Medicina Interna en el Policlínico Universitario Elena Fernández Castro del municipio Los Palacios, diagnosticándose por primera vez en la paciente un situs inversus totalis. Para su diagnóstico se utilizó el método clínico y los estudios imagenológicos. El diagnóstico de situs inversus pasa inadvertido en la mayor parte de los casos, llegando al diagnóstico incidentalmente durante el transoperatorio o como hallazgo imagenológico; por lo tanto, es necesario realizar una historia clínica adecuada con una minuciosa exploración física ante la sospecha del diagnóstico y posteriormente corroborarlo por medio de imaginología (radiografía de tórax, ultrasonografía y tomografía axial computarizada), con el fin de que el paciente conozca su padecimiento y pueda transmitirlo al personal de salud que lo atiende.Palabras clave: SITUS INVERSUS, MALFORMACIONES, DIAGNÓSTICO.ABSTRACTA 51 years old patient (MCG) attends to the family doctor's office for a routine check-up. An electrocardiogram is indicated and is transferred to an Internal Medicine Center at "Elena Fernandez de Castro" University Outpatient Clinic, Los Palacios municipality. The patient was diagnosed for first time with situs inversus totalis. To diagnose this entity clinical methods and imaging studies were used. Situs inversus goes unnoticed in the majority of the cases. The diagnosis is incidentally carried out during the transoperative period or as imaging findings, that is why, it is necessary to write an adequate clinical history with a detailed physical examination when suspecting, corroborating it later by means of imaging procedures (thoracic x-ray, ultrasound and computerized axial tomography), making the patient knows the disorder as well as informing it to the health personnel that assist the patient.Key words: Situs inversus, CONGENITAL ABNORMALITIES, DIAGNOSIS.

ABSTRACTA 51 years old patient (MCG) attends to the family doctor's office for a routine check-up. An electrocardiogram is indicated and is transferred to an Internal Medicine Center at "Elena Fernandez de Castro" University Outpatient Clinic, Los Palacio... see more

Nefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseNefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseSe presenta un caso de litiasis de infección, conocida con el nombre de cálculos de estruvita y asociado a una enfermedad metabólica subyacente y diabetes mellitus tipo 2 de reciente debut, el cual se manifestó con oliguria e infección, como resultado de una obstrucción urinaria bilateral parcial. El paciente de 48 años de edad, con antecedentes de cardiopatía isquémica, hipertensión arterial y de expulsar cálculos de riñón, consultó su caso el 21 de enero de 2009. Manejaba cifras de creatinina, glicemia y acido úrico normales anterior al ingreso y estas tuvieron un comportamiento ascendente durante la obstrucción, excepto el ácido úrico. En el diagnóstico aportaron datos de interés la ecografía renal y de próstata, la Uro-TAC y gammagrafía renal con MAG-3. El diagnóstico diferencial incluyó toda causa extrínseca e intrínseca, esta última relacionada con cálculos, coágulos o papila renal necrosada, que provocaran alteración al libre flujo urinario. Se estableció como patrones de buena evolución, la recuperación del volumen urinario, la normalización de la glucemia y creatinina, así como la permanencia del urocultivo  negativo. El manejo terapéutico motivó a la utilización de la nefrolitotomía percútanea como una de las opciones que ofrecen los procederes endorulógicos, además del control de las enfermedadesde base,lo que resultó una favorable evolución del caso.Palabras clave: LITIASIS RENAL, DIAGNÓSTICO, OBSTRUCCIÓN URETRAL / tratamiento.ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary infection. A 48 years-old patient having medical records of ischemic heart disease, hypertension and expulsion of kidney stones attended to the office in January 21, 2009 presenting normal values of creatinine, glycemia and uric acid before the admission; these values increased during the obstruction, except the uric acid. Renal and prostate imaging, the Uro-Computerized axial tomography and renal scintigraphy with MAG-3 showed data of interest. Differential diagnosis included extrinsic and intrinsic causes, the last one related to calculi, clots or renal necrotic papilla causing disorder of the free urinary flow. Patterns of good progress were established: recovery of the urinary volume, normal levels of glycemia and creatinine and a permanent negative uroculture. Therapeutic management motivated the use of percutaneous nephrolithotomy as one of the choices for endourologic procedures, as well as the control of the underlying diseases, being favorable for a good progress of the case.Key words: NEPHROLITIASIS, DIAGNOSIS, URETHRAL OBSTRUCTION/treatment.

ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary... see more

AbstractBackground: Transient ischemic dilation (TID) measures left ventricle (LV) volume changes which can be associated with combination of myocardial and endocardial ischemia. Various stress methods, single photon emission computerized tomography (SPEC... see more

Gastric lactobezoars are found in neonates and diagnosed with the help of imaging modalities in the background of clinically presenting features.Inspissated milk mixes with the mucous and leads to ball like semisolid mass formation. The preterm infants ar... see more

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