Medicina
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Item Complicaciones Postquirúrgicas por Tumor Carcinoide de Intestino Delgado(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Silva Bermeo, Verónica Daniela; López Terán, Gloria Paulina Dra. Esp.Small bowel tumors are rare and usually give vague and nonspecific symptoms that limit their diagnostic and therapeutic measures with a forecast incierto.1 Its annual rate of around 8.4 / 100,000 population, 14 constitute about 2% of all malignancies tube digestive and represent the third cause of small bowel obstruction. 13-14 new estimates in the United States per year is 5,300 cases and the estimated mortality is 1,210, respectively, while in Europe it is 3,500 and the estimated mortality is 1.100.6 The incidence of cancer of the small intestine increases with age, with peak onset between the sixth and seventh decade of life, 26 being greater in men than in women.15 the risk factors for this condition may include eating habits (high consumption of fat, protein animal foods smoked, etc.), smoking, alcohol consumption, biliary surgery (previous cholecystectomy), some occupations; prior radiotherapy, genetic diseases, among others. 12,15 The most common clinical symptoms are abdominal pain and intermittent colic usually type, weight loss and anorexia, 1 however, some may be asymptomatic until they reach an advanced stage. 5 More than 40 histopathologic types of tumors occur in the small intestine, of which 95% are carcinoid tumors malignos.6 tumors vary in appearance, from small to large intraluminal submucosal lesions ulcerated injury so its diagnosis is made on the basis of clinical manifestations and tests complementarios.8 differential diagnoses should include many causes of abdominal pain from irritable bowel syndrome to a endometriosis.20 the main management approach in these cases is surgical resection of the primary lesion, as the only option curativa.8 the presence of postoperative complications depend on several factors, including the extent of disease, clinical presentation, nutritional status, age and comorbidities of the patient. 9 During the course of this work a clinical case of a patient of 65 years of age, personal medical history of hypothyroidism and family history of cancer important risk factors for contracting the disease risk is analyzed, in addition, detailed specific clinical outcome, diagnostic methods, surgical treatment to which she was subjected during their hospital stay to allow us to confirm the importance of a complete medical history.Item Retinoblastoma más Desnutrición en Paciente Pediátrico(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Panimboza Guamán, Inés Paulina; Nájera Rodríguez, Cecilia Isabel Dra.This paper aims to document and analyze the vital and chronic risk to suffer from retinoblastoma, common in less industrialized countries economically poor and in rural areas, the etiology is not known but the possible influence of genetic, nutritional factors is postulated and environmental. There are two forms of the disease: hereditary and sporadic. The first is rarer, with an autosomal dominant inheritance pattern, commonly seen in young children and may be bilateral. The sporadic form is unilateral and the mutation found only in the neoplastic cells. 2 forms affect weight and height, interfering with the growth of children in early stages of development. Then the case of a 7 months old, born and resident in the Canton Arajuno located in a rural area of the province of Pastaza, born at home, the product of the second pregnancy without prenatal checkups, family history is as follows: 3 year old sibling diagnosed with retinoblastoma treatment, the patient is taken by her mother to Sub health center thermal rise unquantified where prescribe antipyretic (Paracetamol) without finding improvement also redness of right eye output yellowish discharge, edema palpebral, hyporexia and general decay so goes the Hospital General Puyo where we value: Ophthalmologist and pediatrician, decide to enter the area of Pediatrics with diagnosis of pre-septal cellulitis versus orbital cellulitis right eye more Malnutrition Grade II, perform laboratory tests and suspicion of ocular neoplastic disease: Computed tomography (CT) is paranasal sinuses and orbit ultrasound eye finding echogenic mass with irregular contours, measures 19 mm in length that moves the eyeball medially, these findings justify performing CT multidetector simple orbits and contrasted it suggests describing and right diagnosis of retinoblastoma. The patient remained hospitalized for nine days in treatment with antibiotics (Tobramycin, Ampicillin + Sulbactam, Metronidazole) for 7 days and its nutritional treatment for malnourished and at recommended doses required for age. The clinical course of acute infectious process was favorable but limited response capacity of retinoblastoma transfer to more complex Hospital decided, getting outpatient appointment for Ophthalmology at Children's Hospital Baca Ortiz.