Medicina
Permanent URI for this collectionhttp://repositorio.uta.edu.ec/handle/123456789/815
Browse
3 results
Search Results
Item Absceso Esofágico Secundario a Ingesta de Cuerpo Extraño en Paciente Adulto Mayor(2016-10-01) Silva Rodríguez, Luis Ramón; Vilaña Icaza, Juan Carlos Dr. Esp.The ingestion of foreign bodies is very common in everyday medical practice, constituting the second indication of emergency upper gastrointestinal endoscopy after gastrointestinal bleeding. In children is more frequent intake of inorganic foreign bodies and these round and blunt (coins, buttons, batteries, parts of toys), rather than sharp; however, in adults organic foreign bodies are the most common (poorly chewed food bowls, bones, fish bones). One of the complications of foreign body ingestion (Fishtail) can be INTRAMURAL esophageal abscess is a rare disorder characterized by a large laceration between mucosal and submucosal layer of the esophageal wall without drilling. They are also responsible for 7 to 14% of all esophageal perforations, which can lead to serious injuries such as neck deep abscesses, mediastinitis among others. This case is a female patient 75 years old with a history of diabetes mellitus type two. Refers back to the accidental ingestion of Fishbone, 48 hours, presents dysphagia and neck pain of moderate intensity, go to sub-health center where it is valued, and they decide to transfer to conducting imaging study. It is valued in emergency, irritable patient, algica, physical examination presence of clots level oropharynx is evident, further examination which report a high glycemia, leukocytes with deviation to the left, elementary and microscopic examination of urine, infection is performed. In cervical spine x-ray foreign body in esophagus projected level 6. cervical vertebra seen its entry into service of Internal Medicine is decided, by apparent box esophageal abscess, esophageal perforation and decompensation of their underlying disease and to complement other tests. reporting chest tomography us morphology of the esophagus is distended in almost all their passage predominantly performed above level - carinal, study suggests supplementing with upper endoscopy, the same as reported ESOPHAGEAL Abscess.Item Absceso Esofágico Secundario a Ingesta de Cuerpo Extraño en Paciente Adulto Mayor(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Silva Rodríguez, Luis Ramón; Vilaña Icaza, Juan Carlos Dr. Esp.The ingestion of foreign bodies is very common in everyday medical practice, constituting the second indication of emergency upper gastrointestinal endoscopy after gastrointestinal bleeding. In children is more frequent intake of inorganic foreign bodies and these round and blunt (coins, buttons, batteries, parts of toys), rather than sharp; however, in adults organic foreign bodies are the most common (poorly chewed food bowls, bones, fish bones). One of the complications of foreign body ingestion (Fishtail) can be INTRAMURAL esophageal abscess is a rare disorder characterized by a large laceration between mucosal and submucosal layer of the esophageal wall without drilling. They are also responsible for 7 to 14% of all esophageal perforations, which can lead to serious injuries such as neck deep abscesses, mediastinitis among others. This case is a female patient 75 years old with a history of diabetes mellitus type two. Refers back to the accidental ingestion of Fishbone, 48 hours, presents dysphagia and neck pain of moderate intensity, go to sub-health center where it is valued, and they decide to transfer to conducting imaging study. It is valued in emergency, irritable patient, algica, physical examination presence of clots level oropharynx is evident, further examination which report a high glycemia, leukocytes with deviation to the left, elementary and microscopic examination of urine, infection is performed. In cervical spine x-ray foreign body in esophagus projected level 6. cervical vertebra seen its entry into service of Internal Medicine is decided, by apparent box esophageal abscess, esophageal perforation and decompensation of their underlying disease and to complement other tests. reporting chest tomography us morphology of the esophagus is distended in almost all their passage predominantly performed above level - carinal, study suggests supplementing with upper endoscopy, the same as reported ESOPHAGEAL Abscess.Item Disfagia Esofágica Motora por Acalasia(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-05-01) Celi Abad, María Luisa; Vilaña Icaza, Juan Carlos Dr.This case is a patient of 45 years with a history of appendectomy surgery 30 years ago whose table starts with dysphagia to solid foods from 4 years of evolution the same as is exacerbated by intake of coffee, yields on standing. The clinical picture heartburn of moderate intensity, acidity and weight loss adds, comes to optional city of Guayaquil who prescribe nifedipine 20 mg with what frame partially improves, 6 months picture makes progress to dysphagia to liquids and vomiting postprandial so CSN who comes to one where it is valued and derived Ambato Provincial Teaching Hospital where he is assessed by outpatient Gastroenterology. Physical examination pale presence of halitosis patient, level painful to deep palpation epigastrium. Additional tests are sent Endoscopy being found in the presence of nonprogressive peristaltic waves that form rings protruding into the light suggestive eosinophilic esophagitis, plus slight deformity in the distal esophagus difficult to pass the equipment. A level of antral stomach ulcer seen in healing process corresponding to a Forrest III. It sends Series Gastroduodenal meeting esophageal dilation throughout the thoracic segment of the esophagus reaching a maximum diameter of 6.5cm leading to radiological sign of beak, plus certain irregularities at the level above which suggests investigate cardinal esophagitis. Two months ago Esophageal manometry examination is performed High Resolution being found lower esophageal sphincter pressure at the upper limit of normal but with no relaxation swallows concluding the study with a diagnosis of achalasia Type I classification of Chicago. Currently patient post-surgery recovery definitive Heller myotomy with fundoplication more Door type.