Medicina
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Item “Accidente cerebrovascular isquémico: infarto de tallo cerebral”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Carrillo Bayas, Andrés Daniel; Córdova Peñaloza, OpilioDr. Esp.The Ischemic Stroke represents the third cause of death, the first cause of physical disability and the second cause of dementia in adults. Annually an estimated 15 million people in the world suffer a stroke, of these, five million die and another five suffer a permanent disability, which has a very significant impact on families and society. Ischemic stroke is the clinical syndrome that is characterized by symptoms and / or focal signs that develop rapidly, sometimes with global loss of brain function, lasting more than 24 hours, with no apparent cause other than a vascular origin due to obstruction or occlusion arterial. The probable reasons for this deterioration include the extension of the thrombus, the failure of the substitution of collateral circulation, and the progression towards arterial occlusion. The presence of hypotension due to cardiac compromise, or the increase in blood viscosity due to dehydration, can aggravate ischemic stroke and increase patient deterioration. The adequate initial care of these patients allows reducing the morbidity and mortality and sequelae associated with this pathology. Two clear phases are distinguished: 1) Prehospital and 2) Hospitable during the first hour. The knowledge of Controllable or treatable Risk Factors and the non-treatable ones; This starts from the daily practice in hospitals and primary care centers, as well as patients with neurological sequelae due to a Stroke caused by the lack of adequate control. xii The present Clinical Case Analysis was developed through a descriptive investigation based on Epidemiology and Public Health, reviewing the Clinical History of a patient with Ischemic Stroke: Cerebral Stem Infarction of the General Ambato Teaching Hospital of the Intensive Care Unit.Item Ruptura Vesical en Trauma Abdominal Secundario a un Accidente de Tránsito(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Pazmiño Andrade, Roxana Cristina; Yépez Yerovi, Fabián Eduardo Dr. Esp.Abdominal trauma is a common worldwide entity with the main cause traffic accidents. In our country accidents are among the five leading causes of death in the general population, so the trauma is the leading cause of deaths unrelated to an underlying disease. In blunt abdominal trauma, bladder injury is a rare entity and must meet precise physiological characteristics as this is distended that the present conditions it to break up with a soft thump. Bladder rupture may go unnoticed when associated with severe trauma and substances that alter an adequate response as the intake of alcohol. For the above conditions the importance of appropriate initial assessment of the patient with a detailed medical history, a thorough analysis of all risk factors, mechanisms of injury, physical examination and additional tests to reach a true diagnosis is emphasized. The management of intraperitoneal bladder rupture through the years and until now has been considered a surgical emergency; based on a quick scan with repair and bladder drainage this being the mainstay of treatment. So obtaining an excellent prognosis. This clinical case is a 30 year old patient presenting bladder rupture blunt abdominal trauma. The analysis of this case aims to generate scientific basis about the subject.