Ciencias de la Salud
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Item “Edema agudo de pulmón secundario a infección por influenza”(Carrera de Medicina, 2019-06-01) Pérez Plaza, Santiago Andrés; Cruz Castillo, Yessenia Magaly, Dra. Esp.Pneumonia is pulmonary parenchymal infection, very prevalent and with high morbidity and mortality. This pathology can be typical or atypical. The etiology of pneumonia must be determined. Acute pulmonary edema is an abnormal accumulation of fluid, of rapid development, in pulmonary extravascular components. It can be cardiogenic and non-cardiogenic. We review the non-cardiogenic acute pulmonary edema, which is due to a pulmonary injury. We present the case of an Influenza B infection with pulmonary edema and respiratory system in a 40-year-old male patient, which presents with brown expectoration, thermal rise, odynophagia, dyspnea and myalgias. Presents desaturation, bilateral cottony infiltrates in the imaging tests. A PAFI ratio of 220 mmHg is determined, which indicates an acute respiratory distraction syndrome, which does not require mechanical ventilation. A rapid test is performed that indicates the presence of Influenza B. The treatment used, including antibiotic therapy, antivirals, analgesia, oxygen therapy, beta-2 agonists and anticholinergics was effective, as the patient's clinical picture improved daily. The treatment was in accordance with the bibliographic suggestions investigated.Item “Sindrome de distres respiratorio primario en el adulto a consecuencia de neumonia adquirida en la comunidad”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Terapia Física, 2017-11-01) Quispe Gualpa, Amparo de las Mercedes; Cedeño Zamora, María Narciza Lcda. Msc.The present clinical case analysis was carried out in a 51-year-old female patient in October of 2013. She presented respiratory distress, cough, expectoration with fever, asthenia, arthritis, and arthritis. She went to a doctor where she was given medication specifies, without improvement, after 15 days, visits the Yerovi Mackuar Hospital for the emergency service due to the persistence of the symptoms where he receives medication, being discharged to his home at three hours, after 72 hours to a private clinic due to the intensification of symptoms where a chest x-ray is performed, the patient's clinical condition is transferred to the Yerovi Mackuar Hospital, where physical evaluation and complementary examinations are performed, diagnosing severe pneumonia, for which she is prescribed oxygen therapy, the Hospital already mentioned above does not have the proper equipment so it att transferred urgently to Ambato Teaching Hospital where he was finally attended to and diagnosed with severe community acquired pneumonia, primary respiratory distress syndrome in the adult, acute pulmonary edema, chronic anemic syndrome, pulmonary septic shock. The patient spent two months hospitalized receiving clinical treatment, to which she was referred to physiotherapy, after going a couple of sessions patient leaves the treatment for work and economic reasons. Currently the patient has respiratory distres, is under pharmacological treatment, to help a greater recovery of the patient has been proposed a physiotherapeutic treatment, based on exercises that help to gain greater lung expansion, which will improve their quality of life.Item Shock Séptico Secundario a Neumonía(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Moreno Caballeros, Evelyn Nataly; Lozano Heredia, Rebeca Dra. Esp.Female patient 11 months old emergency attends with his mother which refers thermal rise, irritability. Physical examination saturation of 84% to ambient air temperature 35.9 °, rhythmic heart sounds no heart murmurs, vesicular murmur preserved with diagnostic impression of acute respiratory infection to rule out community-acquired pneumonia. You are asking for a standard chest radiography, paracetamol 20 drops every 8 hours and return with X-ray results, returns at 15 hours referring watery rhinorrhea, but patient leaves the office while attention was performed. Attends private clinic where they treat the patient pathology but unfavorably evolves so is transferred to Hospital Básico IESS Latacunga. Pneumonia is a widespread localized infection or lung parenchyma with predominantly alveolar commitment, is a frequent cause of morbidity and mortality especially in populations with high risk factors such as: low socioeconomic status, low birth weight, absence of breastfeeding, the lower age, lack of immunizations, intra and extra home pollution, etc. Under these conditions there is a predominance of bacterial causes and cases of greater severity, in the winter months. So it is necessary to diagnose and treat in time to avoid complications. Finally we know for a diagnosis and make timely treatment of pneumonia have diagnostic criteria, additional tests which help us to avoid the complications of this disease and death in this case.Item Determinación de Agentes Patógenos Causantes de Neumonías y su Relación con Resistencia Bacteriana en la Unidad de cuidados Intensivos del Hospital Docente Ambato(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Laboratorio Clínico, 2016-06-01) Dávila Taco, Víctor Hugo; Tabares Rosero, Lourdes Gioconda Dra.This research project's main objective is to determine pathogens causing pneumonia and its relation to bacterial resistance in the Intensive Care Unit of the Teaching Hospital Ambato. The study was conducted by laboratory tests which were the culture and sensitivity by the Kirby Bauer method which is able to verify the hypothesis. The study was conducted in 50 patients with pneumonia in the ICU, which revealed that 39.6% have the bacteria K. pneumoniae, S. pneumoniae has 37.5%, 14.6% presented S. aureus and 8.3% have P. aeruginosa. It is concluded that K. pneumoniae is resistant to Amoxicillin + ac . Clavulanate with 57.9 % , 47.4 % resistant to imipenem , resistant to Ciprofloxacin 42.1 % , 31.6 % resistant to Piperacillin / Tazobactam , resistant Cefaxitina 26.3% and 10.5% Cefepime and resistant cefotaxime , S. pneumoniae 44.4 % are resistant to clindamycin and imipenem , 38.9 % resistant to Amoxicillin + ac . clavulanic , resistant to cefotaxime 33.3% , 27.8 % resistant to levofloxacin , rifampin resistant 16.7 % and 11.1 % resistant to erythromycin and ceftriaxone , S. aureus 71 , 4 % is resistant to levofloxacin , Gentamicin resistant 57.1 % , 28.6 % resistant to Ciprofloxacin and clindamycin and 14.3 % resistant to Amoxicillin + ac . clavulanate and amikacin and P. aeruginosa 50% is resistant to Gentamicin , cefepime , ciprofloxacin and levofloxacin and 25% resistant to ceftazidime , imipenem and meropenem .