La Enfermedad Pulmonar Obstructiva Crónica (EPOC) se caracteriza por una limitación del flujo aéreo espiratorio, tiene un componente sistémico extrapulmonar que puede contribuir a la gravedad. La etiología más importante es el tabaquismo y en su descompensaci´´on intervienen las infecciones. Los broncodilatadores corticoides y antibióticos son los medicamentes mas frecuentes en el tratamiento de la exacerbación de EPOC, sin embargo la VMNI es una opción terapéutica con evidencia sólida en la exacerbación moderada a severa. Una mejoria clínica después de dos horas de prueba de VMNI es predictiva de éxito.

The presence of sepsis or septic shock in a woman in fertile age results one of the greatest worries of modern medicine, not only by the impact in a person in productive age but because infections that complicate these patients usually result from an inadequate application of biosecurity measures and infection prevention in the health system. In this review we present conditions associated to a higher prevalence of infections in the woman in fertile age, septic shock causes, types of acute pelvic inflammatory disease, causative agents of higher genital tract infections, sepsis pathogenesis, clinical presentation, etiological diagnosis, initial resuscitation and antibiotic therapy and criteria of hospitalization. We wish this presentation be a contribution on sepsis and shock management in an intensive care unit.

La Enfermedad Pulmonar Obstructiva Crónica (EPOC) se caracteriza por una limitación del flujo aéreo espiratorio, tiene un componente sistémico extrapulmonar que puede contribuir a la gravedad. La etiología más importante es el tabaquismo y en su descompensaci´´on intervienen las infecciones. Los broncodilatadores corticoides y antibióticos son los medicamentes mas frecuentes en el tratamiento de la exacerbación de EPOC, sin embargo la VMNI es una opción terapéutica con evidencia sólida en la exacerbación moderada a severa. Una mejoria clínica después de dos horas de prueba de VMNI es predictiva de éxito.

Mujer de 23 años, natural y procedente de Lima, casada. Ingresa al servicio de emergencia de obstetricia con 30 1/2 semanas de gestación por F.U.R. con tiempo de enfermedad de 5 días, caracterizado por epigastralgia, cefalea, contracciones uterinas esporádicas y disminución de movimientos fetales, vómitos alimentarios.

The presence of sepsis or septic shock in a woman in fertile age results one of the greatest worries of modern medicine, not only by the impact in a person in productive age but because infections that complicate these patients usually result from an inadequate application of biosecurity measures and infection prevention in the health system. In this review we present conditions associated to a higher prevalence of infections in the woman in fertile age, septic shock causes, types of acute pelvic inflammatory disease, causative agents of higher genital tract infections, sepsis pathogenesis, clinical presentation, etiological diagnosis, initial resuscitation and antibiotic therapy and criteria of hospitalization. We wish this presentation be a contribution on sepsis and shock management in an intensive care unit.

Introduction: Gastric cancer is a public health problem worldwide. Objective: To determine the association between albumin, inflammatory markers and tumor stage of gastric cancer patients in a National Hospital of Peru. Methods: An observational, analytical and retrospective study corresponding to the 2017 and 2018 years. The frequencies and distribution of the variables were evaluated: clinical stage according to the AJCC 2018, albumin as a nutrition indicator and Neutrophil Lymphocyte-Ratio (NLR) as an indicator of inflammatory and immune response. The value 2.44 was taken as the cut-off point for high NLR. Results: Were included 96 patients. The average age was 63.5 years ± 12.8, the male: female ratio was 1: 1, 80.2% came from the region of the coast of Peru; 70.8% had an advanced clinical stage and 85.4% corresponded to tumor size T3 and T4. 64% presented undifferentiated histologi...

Introduction: Gastric cancer is a public health problem worldwide. Objective: To determine the association between albumin, inflammatory markers and tumor stage of gastric cancer patients in a National Hospital of Peru. Methods: An observational, analytical and retrospective study corresponding to the 2017 and 2018 years. The frequencies and distribution of the variables were evaluated: clinical stage according to the AJCC 2018, albumin as a nutrition indicator and Neutrophil Lymphocyte-Ratio (NLR) as an indicator of inflammatory and immune response. The value 2.44 was taken as the cut-off point for high NLR. Results: Were included 96 patients. The average age was 63.5 years ± 12.8, the male: female ratio was 1: 1, 80.2% came from the region of the coast of Peru; 70.8% had an advanced clinical stage and 85.4% corresponded to tumor size T3 and T4. 64% presented undifferentiated histologi...