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1
artículo
This article summarizes a literature evaluation of the past 17 years in relation to the myofascial pain syndrome in which the most relevant information for a diagnosis is collected, also presents a clinical case in which psychological etiology that began the pathological disorder could be determined. The case of a patient with decrease in the mouth opening, myalgia and points trigger muscle masseter and temporal is presented. Pain myofascial was diagnosed after muscle testing, radiographic and laboratory exams in order to exclude systemic etiologies. The indicated treatment consisted in the application of a splint occlusal, physiotherapy, relaxing muscles, corticosteroids, anti-inflammatories and the consultation with psychologist. In the first appointment an oral opening of 1.2 cm was recorded, in the second appointment the record was 1.6 cm, in the last query the record was 4.8 cm afte...
2
artículo
Publicado 2024
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Señor Editor,Hemos leído con gran interés el manuscrito “Láser de baja frecuencia para aftas mayores recurrentes. Caso Clínico” 1 publicado en el No. 3 de 2023 de la revista que usted preside. En este se realiza la descripción clínica del uso de láser de baja potencia como tratamiento para la estomatitis aftosa recurrente en paciente de 11 años con herida dolorosa en lengua que había sido tratado sin éxito mediante abordajes convencionales (antibióticos, antisépticos, vitaminas, entre otros). Notaron que, después de 1 mes, la herida había desaparecido casi por completo; sin embargo, el dolor había comenzado a ceder después de los primeros 7 días de iniciado el tratamiento.
3
artículo
Flaccid paralysis and abdominal pain, an approach to porphyrias: a literature review and case series
Publicado 2021
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Porphyrias are inherited metabolic disorders caused by enzymatic deficiencies of HEM group biosynthesis. Most common in childhood at the third and fourth decade of life. They are characterized by increased levels of porphyrins, and various cutaneous, neurological, and visceral manifestations. We describe a series of 3 cases of female patients in the third decade of life with abdominal pain and a wide range of clinical manifestations and short and long-term complications. Our review contributes to the early recognition of these diseases to establish early specific managements to impact on irreversible outcomes.
4
artículo
Publicado 2020
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The clinical case of a 38-year-old female patient, seen in an emergency room in a New York hospital, who consults for abdominal pain, fever and fatigue is presented. Complementary studies show lymphopenia and slight alteration of transaminases. Abdominopelvic CT scan visualizes images in the lung bases, reticulonodular type. A sample was taken for COVID-19. She was managed in emergencies with parenteral hydration, antipyretics, oral antibiotics are indicated and social isolation measures are instructed. Two days later, it cost again, confirming positive COVID-19. It is followed on an outpatient basis, one week later with good clinical evolution. Additionally, a clinical review and pathophysiological explanation of the involvement of the digestive tract by the virus and the atypical form of presentation with abdominal pain are shown.
5
artículo
Publicado 2024
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Objective: To describe the effects of the 5% lidocaine patch on the symptomatic relief of Peruvian patients with postherpetic neuralgia. Methods: Case series report of adult patients with post-herpetic neuralgia admitted to and treated at the Air Force Central Hospital in Lima. Symptomatic relief was defined as the difference between the specified pain score before and after patch treatment. The pain score was evaluated by the visual analogue scale and the Pain Assessment in Advanced Dementia scale, for patients with dementia. Results: Twenty-two patients with postherpetic neuralgia (mean age 74.4 ± 12.40 years) were recruited, 17 of whom began topical therapy with lidocaine following oral systemic treatment. The main reasons for the decision to change were a persistent pain and the adverse effects of the preceding therapy. A statistically significant decrease in pain symptoms was obser...
6
artículo
Publicado 2023
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Background: Eosinophilic duodenitis has a prevalence of 5.1 to 8.2 per 100000 persons. The underlying molecular mechanisms are unknown, but hypersensitivity (seasonal and food allergies, asthma, eczema) response plays a major role in its pathogenesis, allergic predisposition can be found up-to 25-35% of cases. The diagnosis includes clinical manifestation, imaging findings and histological evidence of eosinophilic infiltration >20 eosinophils per high-power field. This is a clinical case report. a 25-years old man with vitiligo consult to emergency department referring dyspepsia symptoms, vomiting and abdominal pain of maximal intensity, in the medical exam upper abdominal pain was found, blood laboratories were unremarkable except a high net eosinophil-count >2000 cells/ul, abdominal ultrasound were normal, upper endoscopy revealed duodenitis with rigid and thickened folds, colono...
7
artículo
Publicado 2023
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Giant hiatal hernia is a condition in which more than 30 % of the stomach is displaced upward toward the thorax, thusproducing an abnormal protrusion above the diaphragmatic clamp. This can occur by various mechanisms such as alterationsat the gastroesophageal junction or diaphragmatic atrophy that can take place due to a number of reasons, includinginvolutional changes, extensive trauma or damage to the phrenic nerve.Most cases are usually asymptomatic; however, when clinical manifestations occur, they vary depending on the size of theherniation and range from chest pain (also epigastric pain), nausea, vomiting to abdominal distension. In case of presentingcomplications such as gastric volvulus or Cameron lesions, the symptoms include Borchardt’s triad, which consists ofabdominal pain and distension, violent vomiting and difficulty passing a nasogastric tube.We present the case of an ...
8
artículo
Publicado 2022
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Rasmussen’s encephalitis is an unusual clinical entity characterized by drug-resistant focal epilepsy, neurological deficit and progressive cerebral hemiatrophy. The diagnostic and therapeutic approach is complex, even more so in patients with Rasmussen’s encephalitis of late onset (in adolescence and adulthood) whose clinical picture could be atypical when compared with its occurrence in children. We report a series of three clinical cases of late-onset Rasmussen’s encephalitis confirmed by histopathology and immunohistochemistry evaluations and in which clinical improvement was achieved after surgical interventions. Literature reviews on the clinical evolution and therapeutic alternatives for this type of presentation are included.
9
artículo
Publicado 2022
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In this article, the laboratory practices (PL) implemented in Biological Chemistry I during the second year of Microbiology, a university course offered by the UNRC in Argentina, are reviewed. The hypothesis that the PL do not reflect an adequate image of scientific activity and knowledge is addressed. For this, the PL guidelines are described and analyzed through a qualitative methodological approach. The results agree with the hypothesis, so suggestions are proposed to restructure the PL.
10
artículo
Publicado 2022
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In this article, the laboratory practices (PL) implemented in Biological Chemistry I during the second year of Microbiology, a university course offered by the UNRC in Argentina, are reviewed. The hypothesis that the PL do not reflect an adequate image of scientific activity and knowledge is addressed. For this, the PL guidelines are described and analyzed through a qualitative methodological approach. The results agree with the hypothesis, so suggestions are proposed to restructure the PL.
11
artículo
Publicado 2024
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We analyzed a young man with a history of jaundice since childhood and cholelithiasis, who presented with abdominal pain, jaundice and splenomegaly. Initially, a diagnosis of dengue was considered, given the prevalence of this disease in the patient's geographic region. However, additional testing identified hereditary spherocytosis, a genetic hemolytic disorder. The importance of considering alternative diagnoses in the face of common symptoms in emergencies is emphasized. Initial dengue-oriented management was followed by targeted treatment for hereditary spherocytosis after the diagnosis was confirmed, resulting in significant improvement in the patient. This case emphasizes the need for thorough anamnesis and meticulous diagnostic evaluation to prevent diagnostic errors and inappropriate treatment, highlighting how inherited diseases can mimic infectious conditions in complex clinica...
12
artículo
Publicado 1956
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The various mechanisms of pain production by neoplasms according to their location and extent arises. A systematic study of patients sore oriented evolution of each case to appropriate therapy, summarized in a "BLADE PAIN" type is presented. The need to employ in an orderly and logical analgesics, indicating a working method in the Service who work arises. Technique, indications and contradictions of the various types of analgesic use more surgery is considered. Recordada- necessity, not always directly treat the culprit lesion pain, with the means available to the oncologist, using analgesia by various means discussed in the thesis, in addition to surgery, radiation is stressed, or hormone therapy, etc. It emphasizes the need to alleviate the pain in the fullest possible way, ensuring minimal damage to the body or the personality of the patient.
13
artículo
Publicado 2020
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Coronary artery disease involving chronic occlusions and bifurcation lesions continues to be a challenge for the interventional cardiologist. The improvement in the techniques has allowed a higher success rate, however, the best intervention strategy is unknown in this subgroup of patients with chronic occlusions and associated bifurcation lesions. We present the case of a patient in whom, in an angiography for study of chest pain, a chronic total occlusion and a bifurcation lesion were evidenced and were successfully treated by coronary intervention.
14
artículo
Publicado 2020
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Coronary artery disease involving chronic occlusions and bifurcation lesions continues to be a challenge for the interventional cardiologist. The improvement in the techniques has allowed a higher success rate, however, the best intervention strategy is unknown in this subgroup of patients with chronic occlusions and associated bifurcation lesions. We present the case of a patient in whom, in an angiography for study of chest pain, a chronic total occlusion and a bifurcation lesion were evidenced and were successfully treated by coronary intervention.
15
artículo
Publicado 2020
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Acute aortic syndromes (AAS) include a variety of overlapping anatomical and clinical conditions. Intramural hematoma (IMH), penetrating aortic ulcer (UAP), and aortic dissection occur in isolation or may coexist in the same patient. All entities are potentially life threatening, so prompt diagnosis and management are a primary goal of care. IMH represents 5-30% of all AAS and 60-70% of cases are located in the descending portion of the aorta. The diagnosis relies on a high index of clinical suspicion and on the use of complementary images (computed tomography and magnetic resonance imaging). Management is conservative, but patients with persistent pain despite treatment, with hemodynamic instability, with a maximum diameter of the aorta of> 55 mm, with periaortic hemorrhage and focal intimal disruptions have a higher risk of mortality in the acute phase, therefore surgical management...
16
artículo
Publicado 2024
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The case presents a 46-year-old woman with left acute pyelonephritis and bilateral duplicated ureters. Acute pyelonephritis is a severe urinary tract infection that can vary in clinical presentation, from mild symptoms to sepsis. Lower back pain is a common symptom and can be unilateral or bilateral. Duplicated ureters are a congenital anomaly resulting in the transport of urine from the same kidney to the bladder, and can cause complications such as vesicoureteral reflux and ureteral obstruction. Treatment involved antibiotics and outpatient urology follow-up. The case underscores the importance of a meticulous diagnostic approach and consideration of underlying congenital anomalies that can complicate clinical management and treatment. The integration of clinical findings and complementary tests was essential for an accurate diagnosis and appropriate treatment plan.
17
tesis de grado
Introducción: La mionecrosis diabética (MD) es una complicación rara y grave de la diabetes mellitus, caracterizada por la necrosis del tejido muscular esquelético sin la presencia de aterosclerosis ni oclusión de grandes arterias, fue descrita por primera vez en 1965, pero sigue siendo una entidad poco reconocida y mal diagnosticada, lo que puede llevar a un retraso en el tratamiento y a peores resultados clínicos. Metodología: La búsqueda de literatura se llevó a cabo en las bases de datos PubMed, Scopus, Web of Science y EMBASE hasta marzo de 2024. Se incluyeron reportes de caso publicados en inglés, español y portugués que describieran características clínicas, laboratoriales e imagenológicas de pacientes con MD. Resultados: Se identificaron 1038 artículos, 133 cumplieron los criterios de inclusión, reportando un total de 162 casos de MD. La mayoría de los pacientes...
18
artículo
Publicado 2020
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The clinical case of a 38-year-old female patient, seen in an emergency room in a New York hospital, who consults for abdominal pain, fever and fatigue is presented. Complementary studies show lymphopenia and slight alteration of transaminases. Abdominopelvic CT scan visualizes images in the lung bases, reticulonodular type. A sample was taken for COVID-19. She was managed in emergencies with parenteral hydration, antipyretics, oral antibiotics are indicated and social isolation measures are instructed. Two days later, it cost again, confirming positive COVID-19. It is followed on an outpatient basis, one week later with good clinical evolution. Additionally, a clinical review and pathophysiological explanation of the involvement of the digestive tract by the virus and the atypical form of presentation with abdominal pain are shown.
19
artículo
The first successful case of surgical treatment of a superior mesenteric artery aneurysm is described at the Honorio Delgado Regional Hospital III in Arequipa. The case report involved a patient who had experienced 18 months of epigastric pain and was diagnosed with computed tomography and computed tomography. The patient underwent laparotomy for aneurysm resection and a bypass of the superior mesenteric artery was performed using a polytetrafluoroethylene graft. The patient had a rapid and uncomplicated recovery and has since progressed well. This type of aneurysm is rare, with no epidemiological data in Peru. Surgical treatment requires careful planning due to the high risk of rupture and mortality. Technological support is essential in the surgical approach of these patients, which is often a challenge in non-specialized public hospitals.
20
artículo
Publicado 2022
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Millipedes are not considered poisonous animals, although in some cases their chemical defense mechanisms may be deleterious for human beings, manifesting as erythematous, purpuric and/ or cyanotic lesions alongside local pain and paresthesia. According to the exposure, the clinical condition may progress to moderate and severe lesions such as ulcers and blisters. We describe a case of a male child from the Andean region in Colombia, an area with daily temperatures between 15° and 30° C and 72% average humidity. The boy accidentally stepped on a millipede, and this occurrence became a challenge for its diagnosis amongst staff who provided emergency health care.
