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1
tesis de grado
El síndrome patelofemoral se describe también como un dolor anterior de la rodilla, en ausencia de otra patología, el dolor anterior de rodilla que se exacerba con la sedestación prolongada, posición de rodillas, bajar y subir escaleras y posición de cuclillas, se define como síndrome doloroso patelofemoral. Las diversas causas que pueden provocar dolor anterior de rodilla, unido a la confusión que existe en cuánto a la terminología a utilizar para clasificar las alteraciones femoropatelares, generan la necesidad de establecer una serie de criterios que nos permitan unificar conceptos a la hora de emitir un diagnóstico para el paciente, que facilite el enfoque terapéutico. A pesar de la extensa experiencia clínica y el estudio científico del dolor patelofemoral, la controversia persiste en cuanto a sus factores etiológicos y predisponentes para así llegar hacia un tratami...
2
artículo
Publicado 2019
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When we refer to pain, we are faced with an unpleasant sensation that causes certain reactions in the human body that prevent its production, so it is of vital importance to understand what the symptomatology of pain is, how it is produced and how it can be avoided. production, there are cases where the pain becomes pathological where found in the patient's thoughts, therefore the present work tries to demonstrate that its production can be avoided in the face of intense painful situations that occur when working in the recovery of the mobility of the patient. articulation of the knee, which by its nature is painful, added to the fear of feeling pain on the part of the patient does not help the patient's recovery, the experimentation consists of taking the pain from the approach of not thinking about it and relaxing and evaluating it by an environment of cerebral analysis through the lev...
3
artículo
Publicado 2024
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Introducción: La fascitis necrotizante (FN) en una enfermedad severa y agresiva, de rápida progresión y asociada con enfermedades sistémicas. Su presentación es rara en la región de cabeza y cuello. Materiales y método: Presentamos el caso de un paciente de 69 años con diabetes mellitus no controlada, que acude a urgencias por un cuadro de 3 días de evolución, caracterizado por dolor molar derecho con posterior aumento de volumen facial derecho y celulitis periorbitaria. El cuadro mostró una evolución cíclica influenciada por las comorbilidades existentes, por lo que el paciente fue sometido a tratamiento tanto quirúrgico como médico por un equipo multidisciplinario. Adicionalmente realizamos una revisión de la literatura sobre la FN. Resultados: Los resultados de supervivencia del paciente fueron favorables; sin embargo, las secuelas fueron incapacitantes tanto estética...
4
artículo
Publicado 2021
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Hepatic Fasciola is a frequent disease in the Peruvian highlands. We present a case of hepatic Fasciola from the Andean zone of La Libertad, with symptoms of several months of evolution with pain in the right hypochondrium, jaundice and coluria. An abdominal CT scan was performed, demonstrating a liver mass probable neoplasm, and was referred to the Institute of Neoplastic Diseases. Laboratory tests were completed finding eosinophilia and variable increases in liver function tests. Fascioliasis was presented as a differential diagnosis and a Western Bloot examination was performed confirming its diagnosis. Treatment with 2 cycles of Triclabendazole was started, with a favorable clinical evolution.
5
artículo
Publicado 2015
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We report a case of male patient of 32 years old; with a history of thoracic surgery for hydatid cyst at 9 years of age; admission was at the general surgery Service of the Hospital II Lima Norte Callao Luis Negreiros Vega, with a history of illness of 1 year, referring abdominal pain oppressive predominance of the upper abdomen, especially on right upper quadrant. Refers concomitantly history of previous surgery in thoracic region and positive epidemiological history. After clinical evaluation by the staff of surgery, outpatient clinic and the observation and reporting of CT in which well-defined lesions in segment IV and V multicystic appearance and lesser sac showing peripheral enhancement it is observed after administration contrast; associated with positive Western Blot, surgical treatment is decided. Laparoscopic Surgery was performed consisting of cyst aspiration drainage and wash...
6
artículo
Publicado 2022
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Acute pancreatitis is an inflammatory condition that is related to various etiologies. However, an infrequent one is acute infection by hepatotropic viruses. We present the case of a 33-year-old man who consulted the emergency department for abdominal pain and generalized jaundice. Serological studies reported acute infection by Hepatitis B Virus; The patient was managed with clinical and paraclinical monitoring of liver function tests together with supportive therapy with dextrose. The patient persisted with increasing abdominal pain and cholestasis, so they were considered differential. Magnetic resonance imaging of the upper abdomen showed acute non-biliary pancreatitis that was concluded secondary to the infectious process due to hepatitis B after ruling out other causes. The patient did not require changes in management with improvement in liver function tests, so he was discharged ...
7
artículo
Publicado 2024
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Myxopapillary ependymoma is a slow-growing benign neoplasm that accounts for 13 % of all spinal ependymomas. Clinically, it often presents with long developing radicular syndromes and motor, sensory, urinary, and gait abnormalities. This report describes the case of a 14-year-old female who experienced a six-month history of lumbosacral pain, which radiated to the lower limbs during the last month. She was admitted to the emergency department at Hospital Belén de Trujillo, Peru, with crural paraparesis, motor function graded as 3/5 on the Daniels Scale, and urinary retention. Magnetic resonance imaging with contrast revealed a lumbar lesion consistent with ependymoma. Consequently, a laminectomy and total resection of the lesion were performed to prevent local recurrence and cerebrospinal fluid dissemination. At the most recent postoperative follow-up, the patient demonstrated good func...
8
tesis de grado
Publicado 2025
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El dolor lumbar es considerado como una de las principales causas de incapacidad funcional a nivel mundial. Según la OMS, se espera que los casos se incrementen a 843 millones en el 2050. Por tal motivo, se presenta en la actualidad como un problema de salud pública; debido a las consecuencias negativas sobre la funcionalidad del ser humano. Objetivo: El presente estudio tendrá como objetivo determinar la eficacia de un programa de ejercicios de estabilización lumbopelvicos en la incapacidad funcional en los pacientes con lumbalgia inespecífica. Materiales y métodos: La metodología empleada será de diseño experimental, cuasiexperimental, enfoque cuantitativo, tipo básica y de corte longitudinal. La muestra de estudio estará conformada por 50 participantes, respetando los criterios de inclusión y exclusión. La recopilación de los datos e información, se dará gracias a los ...
9
artículo
Septic arthritis of the temporomandibular joint after complication of facial cellulitis: case report
Publicado 2020
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Mandibular condyle infection, septic arthritis, is a disease characterized by pain, fever, edema, and functional decrease of the temporomandibular joint. It predominates in adult men and its etiology includes different factors: systemic diseases, autoimmune diseases, local trauma and spread of infections in the head and neck region. A clinical case of septic arthritis in the temporomandibular joint as a complication of infectious facial cellulitis is presented. Treatment consisted of antibiotic therapy and serial arthrocentesis with the aim of performing an intra-articular cleaning, accompanied by early mobilization of the joint, ideally with the support of a kinesiology team. In addition, long-term and periodic controls are very important in order to obtain a better clinical result in the patient, control in the long term, minimizing the risks of presenting a decrease in mandibular dyna...
10
artículo
Septic arthritis of the temporomandibular joint after complication of facial cellulitis: case report
Publicado 2020
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Mandibular condyle infection, septic arthritis, is a disease characterized by pain, fever, edema, and functional decrease of the temporomandibular joint. It predominates in adult men and its etiology includes different factors: systemic diseases, autoimmune diseases, local trauma and spread of infections in the head and neck region. A clinical case of septic arthritis in the temporomandibular joint as a complication of infectious facial cellulitis is presented. Treatment consisted of antibiotic therapy and serial arthrocentesis with the aim of performing an intra-articular cleaning, accompanied by early mobilization of the joint, ideally with the support of a kinesiology team. In addition, long-term and periodic controls are very important in order to obtain a better clinical result in the patient, control in the long term, minimizing the risks of presenting a decrease in mandibular dyna...
11
artículo
Publicado 2022
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The role of excess and deficit of thyroid hormone in the pathogenesis of mood disorders has been recorded for almost two centuries. Thyroid pathologies, the most numerous among endocrine diseases, are causally associated with psychiatric pathology in a significant percentage of cases. Specifically, hyperthyroidism produces multiple psychopathological manifestations of anxious and depressive type, manic episodes and, infrequently, psychosis. Although the influence of the thyroid axis on the neural pathways of norepinephrine, dopamine, and serotonin plays a fundamental neurobiological role in these phenomena, there are still multiple underlying mechanisms to be elucidated. Given the need for a broad and comprehensive differential diagnosis between primary and secondary psychiatric pathologies, we report the case of a 52-year-old patient with psychotic depression in whom the late diagnosis ...
12
artículo
Publicado 2018
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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.
13
artículo
Publicado 2019
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The mandibular fracture is one of the most common types in pediatric maxillofacial trauma. The main objective of fracture management is the restoration of bone shape and function. Incomplete fractures are more common due to bone elasticity; so, usually the treatment of fractures in children is conservative. Due to the progress on materials bone reparation and technological improvement, currently the proportion of children treated with open reduction and internal fixation (RAFI) has increased. The use of miniplates and miniscrews are the gold standard treatment for craniomaxillofacial semirigid fixation. One alternative are the resorbable materials, which do not require the removal and are gradually degrade. This is a considerable advantage for the management of mandibular fractures in children. We present the case of a 6-year-old patient who suffered a parasympathetic mandibular and cond...
14
artículo
Publicado 2019
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The mandibular fracture is one of the most common types in pediatric maxillofacial trauma. The main objective of fracture management is the restoration of bone shape and function. Incomplete fractures are more common due to bone elasticity; so, usually the treatment of fractures in children is conservative. Due to the progress on materials bone reparation and technological improvement, currently the proportion of children treated with open reduction and internal fixation (RAFI) has increased. The use of miniplates and miniscrews are the gold standard treatment for craniomaxillofacial semirigid fixation. One alternative are the resorbable materials, which do not require the removal and are gradually degrade. This is a considerable advantage for the management of mandibular fractures in children. We present the case of a 6-year-old patient who suffered a parasympathetic mandibular and cond...
15
artículo
Publicado 2023
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Fibrous hyperplasia is a benign condition characterized by the proliferation of fibrous and mucosal tissue in the lining of the oral cavity. Uncontrolled growth can lead to alterations in speech or feeding function, as well as aesthetic deformities. Lesions are typically removed with primary or anatomical closure if possible. In extensive cases, removal of the mucosal coverage requires tissue with its own vascularity. Here, we present the case of a 17-year-old male with a four-year history of multiple tumor formations dependent on the dentoalveolar mucosal ridge of both maxillae, resulting in tooth loss and severe mobility of the remaining teeth. The patient experienced no pain or bleeding, and consumed only liquid or soft foods due to chewing limitations. The reconstruction of the dentoalveolar ridge of both maxillae and the palate required a free fasciocutaneous flap dependent on the r...
16
tesis de grado
Publicado 2025
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Objetivo: relacionar el nivel de dolor y el grado de dependencia funcional en pacientes ingresados en el servicio de urgencias del Hospital Regional de Cusco en el año 2025. Materiales y Métodos: se desarrollará un estudio con enfoque cuantitativo, de diseño no experimental, corte transversal y alcance descriptivo-correlacional. La población estará compuesta por 180 pacientes adultos atendidos en el servicio de urgencias, de los cuales se seleccionará una muestra de 123 mediante muestreo probabilístico. El nivel de dolor se medirá con la Escala Numérica del Dolor (0–10) y la dependencia funcional con el Índice de Barthel (0–100), ambos instrumentos validados y de alta fiabilidad. La recolección de datos se realizará mediante encuesta estructurada y la información será procesada con el software SPSS, utilizando estadística descriptiva e inferencial. Resultados: se pron...
17
artículo
Publicado 2021
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The objective was to describe the use of the Bichat fat ball flap in the closure of palatal defects immediately after surgical resection. Clinical cases: clinical case number 1 (60-year-old man) presented to the consultation with an increase in volume of the soft palate mucosa, ovoid in shape, not painful on palpation, similar coloration of the palate mucosa, of 3 cm in diameter and 4 months of evolution that makes it uncomfortable to talk and feed. Clinical case number 2 (a 61-year-old man) attended the consultation with a lesion in the upper jaw at the level of the palate with a pathological diagnosis of pleomorphic adenoma. In both cases, tumor resection and immediate reconstruction were performed using a Bichat fat ball. The defects were covered only by the adipose tissue mentioned, generating a restitution ad integrum of the oral mucosa, they evolved favorably, without postoperative...
18
artículo
Publicado 2021
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This report presents and documents a surgical complication in a 4-year-old Beagle dog, whose bladder was sectioned at the neck level during an exploratory celiotomy performed to correct a stump pyometra originated at the time of a selective ovariohysterectomy. The patient was referred to the ASMEVET Veterinary Medical Hospital in the city of Tunja, Boyacá, Colombia, with a history of vomiting, depression and dysuria days after the surgical procedure. Physical examination revealed increased rectal temperature, prostration, and pain on palpation of the abdomen. Samples were taken for a blood count and blood chemistry to evaluate kidney and liver function. In addition, an abdominal ultrasound was performed. Differential diagnoses were iatrogenic ureter obstruction, cervical pyometra, foreign body peritonitis, and paralytic ileus. A celiotomy was performed where an abscess and sequestration...
19
artículo
Publicado 2025
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Introducción: La fotobiomodulación con láser diodo se ha aplicado como una técnica no invasiva para tratar los síntomas de la articulación temporomandibular (ATM), especialmente en el alivio de condiciones dolorosas agudas. Objetivo: Evaluar el efecto de la fotobiomodulación en el manejo del dolor agudo y la apertura bucal en pacientes con trastorno de la ATM. Metodología: Fueron incluidos 12 pacientes diagnosticados según los criterios de diagnóstico para los trastornos temporomandibulares (DC/TMD) para aplicaciones clínicas y de investigación de la Red del Consorcio Internacional RDC/TMD de la International Association for Dental Research y el Grupo de Interés Especial en Dolor Orofacial de la International Association for the Study of Pain, tras la firma del consentimiento informado. Todos los pacientes fueron irradiados usando un láser diodo dual Gemini EVO Ultradent®,...
20
artículo
Publicado 2021
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Unilateral condylar hyperplasia is a non-neoplastic and self-limiting overgrowth of the mandibular condyle that usually begins during puberty, predominates in women and is considered an aberration of the normal growth mechanism of the condyle. This abnormal growth continues until the mid-20s and produces mandibular prognostism, facial and occlusal asymmetry with progressive displacement of the mandible to the contralateral side. The purpose of this report was to describe the cases of two female patients (23 and 25 years old) with unilateral condylar hyperplasia treated with high condylectomy and orthognathic surgery, with emphasis on clinical and imaging aspects and late post-surgical follow-up. Both patients presented satisfactory cosmetic results, without pain / noise related to the temporomandibular joint, mouth opening within the normal range, and class I canine and molar relationshi...
