The Acute Aortic Syndrome (ASS) imposes a diagnosis challenge for emergency physicians. Its very variable clinical presentation and poor symptomatic specificity makes it very difficult to diagnose, being the high clinical-suspicion index the clue for attaining it. Aortic dissection is the most common form of AAS,followed by intramural hematoma (IMH) and penetrating aortic ulcer (PAU). Congenital cardiovascular defects, genetic syndromes, and nonsyndromic genetic variants have all been linked with the development of AAS. The diagnosis of AAS in the clinic can be made using imaging modalities such as CT,echocardiography, and MRI. Medical and/or surgical treatment must be provided depending of the compromised aortic segment. We report two cases of AAS received medical care at the Emergency Department of Clínica Delgado during 2015.

The Acute Aortic Syndrome (ASS) imposes a diagnosis challenge for emergency physicians. Its very variable clinical presentation and poor symptomatic specificity makes it very difficult to diagnose, being the high clinical-suspicion index the clue for attaining it. Aortic dissection is the most common form of AAS,followed by intramural hematoma (IMH) and penetrating aortic ulcer (PAU). Congenital cardiovascular defects, genetic syndromes, and nonsyndromic genetic variants have all been linked with the development of AAS. The diagnosis of AAS in the clinic can be made using imaging modalities such as CT,echocardiography, and MRI. Medical and/or surgical treatment must be provided depending of the compromised aortic segment. We report two cases of AAS received medical care at the Emergency Department of Clínica Delgado during 2015.

 SARS-CoV-2 (Severe Acute Respiratory Syndrome-related Coronavirus 2) is a new discovered pathogen belonged to the beta-coronavirus family. Its disease was named COVID-19 (Coronavirus Disease 2019). It had been first reported on the city of Wuhan, Province of Hubei, Democratic Republic of China by the end of December of 2019, and it is the responsible of the current pandemic declared by WHO by March 2020.

El SARS-CoV-2 (Síndrome respiratorio agudo severo relacionado a coronavirus 2) es un nuevo patógeno descubierto relacionado con la familia de los beta-coronavirus. Su enfermedad se denominó COVID-19 (Enfermedad por coronavirus 2019). Se informó por primera vez en la ciudad de Wuhan, provincia de Hubei, República Democrática de China a fines de diciembre de 2019, y es el responsable de la pandemia actual declarada por OMS en marzo de 2020.

Objective: To describe the results of transperineal prostate biopsy by fusion of cognitive magnetic resonance imaging and ultrasound in the detection of cancer. Materials and methods: A retrospective case series study conducted at the Delgado Clinic between July 2019 and October 2021. Patients with digital prostate examination and/or abnormal Prostatic Specific Antigen and prostate MRI images with category lesions were included. PI-RADS 4 or 5. Excluding patients with coagulation disorders, rectal injuries, impossibility for abduction, comorbidities for anesthesia. We recorded clinical and demographic characteristics, prostate-specific antigen data, prostate volume, PI-RADS lesions, cancer rates, and complications. Results: 18 patients were evaluated, with a mean age of 69.33 ± 7.67 years. The mean prostate specific antigen was 14.94 ± 12.42 ng/mL. The mean prostate volume was 57.72 ±...

Objective: To describe the results of transperineal prostate biopsy by fusion of cognitive magnetic resonance imaging and ultrasound in the detection of cancer. Materials and methods: A retrospective case series study conducted at the Delgado Clinic between July 2019 and October 2021. Patients with digital prostate examination and/or abnormal Prostatic Specific Antigen and prostate MRI images with category lesions were included. PI-RADS 4 or 5. Excluding patients with coagulation disorders, rectal injuries, impossibility for abduction, comorbidities for anesthesia. We recorded clinical and demographic characteristics, prostate-specific antigen data, prostate volume, PI-RADS lesions, cancer rates, and complications. Results: 18 patients were evaluated, with a mean age of 69.33 ± 7.67 years. The mean prostate specific antigen was 14.94 ± 12.42 ng/mL. The mean prostate volume was 57.72 ±...

Introducction: the intestinal parasitoses are public health problems in Perú. Strongyloidiasis is the intestinal infection produced by the nematode Strongyloides stercoralis; it is endemic in Perú, with proven high prevalences in jungle and andean communities; its presence has been barely studied in coastal communities.Objetives: to determine the prevalence of Strongyloides stercoralis among the human enteroparasites in a coastal community in Perú.Materials and methods: a fecal sample was obtained from all willing participants in a health campaign that took place at the public school “Virgen de la Candelaria” at the community of “La Candelaria”, Chancay district, Huaral province. The samples were processed using 5 coprologic methods: direct examination, spontaneous tube sedimentation, rapid sedimentation technique modified by Lumbreras, Kato test, and Baermann techn...

Introducction: the intestinal parasitoses are public health problems in Perú. Strongyloidiasis is the intestinal infection produced by the nematode Strongyloides stercoralis; it is endemic in Perú, with proven high prevalences in jungle and andean communities; its presence has been barely studied in coastal communities.Objetives: to determine the prevalence of Strongyloides stercoralis among the human enteroparasites in a coastal community in Perú.Materials and methods: a fecal sample was obtained from all willing participants in a health campaign that took place at the public school “Virgen de la Candelaria” at the community of “La Candelaria”, Chancay district, Huaral province. The samples were processed using 5 coprologic methods: direct examination, spontaneous tube sedimentation, rapid sedimentation technique modified by Lumbreras, Kato test, and Baermann techn...

 Objetivo: Presentar las características clínicas y epidemiológicas de los pacientes con COVID-19 atendidos en un hospital privado de Lima. Material y Métodos: Estudio descriptivo, retrospectivo y seccional. Se presenta a los 25 casos atendidos desde el día 9 de marzo al 27 de marzo del presente año, durante la pandemia actual, que fueron atendidos en el Departamento de Emergencia de la Clínica Delgado, Miraflores, Lima. Todos ellos fueron positivos para rRT-PCR para coronavirus, realizados en el Instituto Nacional de Salud. Resultados: Casos importados, 24% o primeros contactos de ellos, 48%. Doce (48%) fueron varones. La mediana de edad fue de 38 años (rango: 11-67 años) para varones y 44 años (rango: 33-71 años) para mujeres; y una mediana global de 40 años (rango: 11-71 años). Las manifestaciones clínicas fueron: fiebre 84%, tos seca 84%, disnea 56%, odinofagia 56%...

Objective: To present the clinical and epidemiological characteristics of patients with COVID-19 treated in a private hospital in Lima. Material and Methods: A descriptive, retrospective and cross-sectional study is  shown. There were 25 cases attended from March 9 to March 27 this year, during the current pandemic, which were treated at the Emergency Service of the Clinic Delgado, Miraflores, Lima. All of them were positive for rRT-PCR testing for coronavirus, performed at the Instituto Nacional de Salud, Lima. Results: Imported cases, 24% or their first contacts, 48%. Twelve (48%) were male. The median age was 38 year-old (range: 11-67 year-old) for males and 44 year-old (range: 33-71 year-old) for women; and, a global median of 40 year-old (range: 11- 71 year-old). Clinical manifestations were: fever 84%, dry cough 84%, dyspnea 56%, odynophagia 56%, coryza 32%, headache 24%, ches...

Objetivos: Determinar la eficacia de la embolización de las arterias prostáticas en el tratamiento de los pacientes con síntomas del tracto urinario bajo asociados a hiperplasia prostática benigna.Material y métodos: Estudio descriptivo, tipo reporte de casos, prospectivo. Se realizó embolización de arterias prostáticas (EAP) a 10 pacientes, 7 de los cuales tenían síntomas del tracto urinario bajo asociado a hiperplasia benigna de próstata (STUB/HBP) moderados y severos, refractarios a tratamiento médico durante 6 meses y 3 portadores de sonda vesical permanente; la edad promedio fue 69,4 ± 8,04 años. Se evaluaron a los pacientes antes de la EAP (tiempo 0), y a los meses 1, 3 y 6; el éxito se valoró por: disminución del volumen de la próstata (VP): >10%, mejora del puntaje internacional de síntomas prostáticos (IPSS), flujo urinario máximo (Qmáx):>15 ml/seg, �...