Introduction: Musculoskeletal disorders are health problems that can lead to disability. Objective: Todetermine the factors associated with the presence of musculoskeletal disorders in cleaning workers inthe emergency service of the Edgardo Rebagliati Martins National Hospital, 2019. Methods: Descriptive,observational, cross-sectional retrospective with a quantitative approach. The survey technique wasused and the instrument was the Standard Nordic Questionnaire. Descriptive and inferential statisticswere applied. Results: 129 participants, female (82.95%); median age 43 years, height 1.55m, overweightor obese (57.37%), secondary or higher education (93.80%), originating in the interior of the country(37.21%) and from Lima; 32 years lived in Lima, the median working time was 18 months, 43.41% workedin the morning and 9.30% worked in more than one place (9.30%). They presented musculoskel...

Introduction: Musculoskeletal disorders are health problems that can lead to disability. Objective: Todetermine the factors associated with the presence of musculoskeletal disorders in cleaning workers inthe emergency service of the Edgardo Rebagliati Martins National Hospital, 2019. Methods: Descriptive,observational, cross-sectional retrospective with a quantitative approach. The survey technique wasused and the instrument was the Standard Nordic Questionnaire. Descriptive and inferential statisticswere applied. Results: 129 participants, female (82.95%); median age 43 years, height 1.55m, overweightor obese (57.37%), secondary or higher education (93.80%), originating in the interior of the country(37.21%) and from Lima; 32 years lived in Lima, the median working time was 18 months, 43.41% workedin the morning and 9.30% worked in more than one place (9.30%). They presented musculoskel...

Introduction:Inadequate hospitalizations (IH) alter hospital management and much more when they are carried out in the elderly population; therefore, identifying the factors is relevant at the national and local levels. Objective: To determine the factors associated with IH in older adults in the Emergency Service (ES) of the Edgardo Rebagliati Martins National Hospital (HNERM) during 2017. Methods: Observational, analytical, cross-sectional study. A sample of 414 patients randomly selected from 18 250 patients admitted during the study period was selected. Collection forms were used, and medical records were reviewed. With the help of the SPSS 25 program, the Chi-square test was performed, and the simple Prevalence Ratio (PR) and adjusted (Rpa) were calculated. The level of signicance was 5%. Results: The frequency of IH was 11,8%. The epidemiological factors associated with IH were age...

El tétanos es un trastorno del sistema nervioso caracterizado por espasmos musculares causados por una neurotóxica producida por la bacteria anaerobia Clostridium tetani , que se encuentra en el suelo, en heces humanas y de animales. La bacteria persiste como esporas resilientes, capaz de sobrevivir a la mayoría de los desinfectantes domésticos y al agua hirviendo durante varios minutos. Solo en condiciones de bajas tensiones de oxígeno las esporas germinan y las bacterias vegetativas se multiplican para secretar su neurotoxina. Se presenta el caso de un paciente varón de 66 años que ingresa a Emergencia referido de la ciudad de Huaraz, por fiebre no cuantificada, sudoración profusa, contracciones musculares en el brazo y secreción purulenta en lesiones de tórax, producto de explosión de un artículo pirotécnico. Desde su ingreso fue catalogado como tétanos, se procede a pro...

El tétanos es un trastorno del sistema nervioso caracterizado por espasmos musculares causados por una neurotóxica producida por la bacteria anaerobia Clostridium tetani , que se encuentra en el suelo, en heces humanas y de animales. La bacteria persiste como esporas resilientes, capaz de sobrevivir a la mayoría de los desinfectantes domésticos y al agua hirviendo durante varios minutos. Solo en condiciones de bajas tensiones de oxígeno las esporas germinan y las bacterias vegetativas se multiplican para secretar su neurotoxina. Se presenta el caso de un paciente varón de 66 años que ingresa a Emergencia referido de la ciudad de Huaraz, por fiebre no cuantificada, sudoración profusa, contracciones musculares en el brazo y secreción purulenta en lesiones de tórax, producto de explosión de un artículo pirotécnico. Desde su ingreso fue catalogado como tétanos, se procede a pro...

Venous thromboembolism represents a prominent cause of maternal morbidity and mortality with an incidence of 0.5 to 2.2 out of 1 000 pregnancies. Pregnant patients have 5 times increased risk compared with non-pregnant women; it is the second cause of death in this population. We present the case of a 27-year-old pregnant woman with 11 weeks of gestation with no significant history who was admitted to the Emergency Department due to 24 hours of pain, increased volume of the lower limb and slight functional impotence for walking. Venous Doppler ultrasound of the lower limbs revealed deep vein thrombosis of the left lower limb. The diagnosis and management of deep vein thrombosis during pregnancy and the need for timely recognition are discussed.

Introduction. The educational environment in hospital medical services has an impact on the resident physician’s training, performance, satisfaction and skillsacquisition. Objectives. To know the resident physician’s perception of the learning and educational environment and associated factors during duties in theEmergency Department of Hospital EsSalud Edgardo Rebagliati Martins, Lima, during April-May 2019. Methods. Observational, cross-sectional study,applying Postgraduate Hospital Educational Environment Measure (PHEEM) instrument, to resident physicians of medical specialties who perform dutiesin Emergency Department. Population, 141 residents, obtaining 131 surveys. Results. Average age 30.74 years. Male sex 57.25%. From Lima 52.67%.Undergraduate in National University 45.04%. Specialties: critical areas 21.37%, internal medicine 25.2%, other medical specialties 53.44%. PHEEM&n...

Actinomycosis is a rare infection caused by Actinomyces spp, a gram-positive germ of saprophytic nature, located in the mouth, genital tract and lower gastrointestinal tract. Its diagnosis is difficult because of its low frequency and variable clinical presentation. We report the case of a 28-year-old female, 34½ weeks pregnant, who presented a pelvic and hypogastric mass accompanied by abdominal pain. One day before admission, the contraction-like pain in the right iliac fossa intensified. The patient underwent a cesarean section and a full-term product was obtained. This surgery was followed by hysterectomy and resection of an abdominal wall tumor as well as en bloc resection of the vesical dome plus appendectomy. The pathology report informed actinomycosis. We focus on the presentation in a pregnant woman with a preterm and live product, as well as the signs and symptoms that help co...