Ciencias de la Salud

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    Insuficiencia Renal Aguda por el uso de Aines
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Curipallo Caiza, Andrea Carolina; Lituma Jumbo Dra. Esp., Rosalina de Lourdes
    Introduction. Acute renal failure (ARF) is defined as the decreased ability of the kidneys to eliminate nitrogenous waste products, which is established in hours to days. The etiology may be pre-renal, among them the use of NSAIDs decreases prostaglandins, who regulate vasodilation glomerular or there is an infiltration of inflammatory cells in the interstitium of the kidney, also it presented by renal causes and post-renal. So it is necessary to detect the initial damage to prevent progression and initiate timely treatment and if necessary the use of renal replacement therapy techniques are valued Objective. thoroughly analyze the clinical case to arrive at a proper diagnosis of ACUTE RENAL Development. This case corresponds to a male patient of 23 years without a history major, who came to the emergency room for posterior lumbar pain trauma inebriated (fall in tiers from his own height) is analgesic treatment for 3 times for long time, 8 days after Acute renal failure has apparently NSAID use the same treatment expectantly recovers Conclusions. There are multiple causes of renal failure, one NSAID use so it should be avoided in patients at risk and renal failure especially in the hospital setting.
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    Enfermedad Renal Crónica Secundaria A Glomeruloesclerosis Focal y Segmentaria
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Gavilánez Guerrero, Silvia Janeth; Lituma Jumbo, Rosalina de Lourdes Dra.
    Patient , 28 , male , without relevant history , reports that approximately 1 year actual date makes presents lower limb edema lasting 2 weeks and subsides spontaneously , then it becomes intermittent with an appearance of 1 once a month and duration of 2 weeks.- 3 days unexplained presents facial edema and palpebral morning , extends to the lower limbs , is symmetrical , cold, painless , soft consistency , inelastic leaves fovea difficult ambulation , accompanied by generalized asthenia, pain the knee joints , not self-medicating patient reports , is referred to internal medicine , where they perform laboratory tests and impaired renal function evidence. Physical examination shows blood pressure of 140/90 mmHg, facial edema is evident, and lower extremity edema soft , inelastic , not painful on palpation, Godet sign +++ / ++++ consistency. The cause of impaired renal function is investigated , performing exams evidenced proteinuria in the nephrotic range , hypoalbuminemia and hypoproteinemia, features of nephrotic syndrome; tests requested to determine its etiology including: renal Eco , eco doopler renal artery , renal biopsy and antibodies to rule autoimmune diseases. Is able to determine focal segmental glomerulosclerosis on biopsy primary etiology because immunological tests were negative , treatment is initiated with corticoid to reverse proteinuria and prevent progression of kidney damage, it is administered for 16 weeks but proteinuria remains in nephrotic range , without changes in renal function , the same as was altered from the beginning , being in chronic kidney disease 3b , due to the lack of response to corticosteroid resistance is considered the same . In an attempt to reduce proteinuria and lack of medication you decide to start with a cycle of methylprednisolone to prevent progression of kidney damage, but despite treatment continues with proteinuria, treatment is suggested with other immunosuppressive so it is transferred to a tertiary hospital where tests performed value note the chronic kidney disease, proteinuria, and anti- refer to this nursing home with no indication of treatment to follow. Given the refusal of tertiary hospital with other immunosuppressants support is decided to administer intravenous pulse cyclophosphamide is administered three times with an interval of 15 days, showing partial reduction of proteinuria levels.
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    Evaluación de Microalbuminuria y su Relación con el daño Renal en pacientes del Club de Diabéticos del Centro de Salud Cevallos
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Laboratorio Clínico, 2016-06-01) Manobanda Tenisaca, Ana Gabriela; Guaygua Silva, Ana Gabriela BqF.
    This research was question knowing kidney damage in people with diabetes club Health center Cevallos. The study was conducted using a quantitative approach because by the tests performed in the clinical laboratory results could be established that guided the hypothesis testing. 35 samples of blood and urine of the day were processed, underwent the determination of glucose, urea, creatinine and mircoalbuminuria before each test performed their respective control. The research results showed that 42.8% of people with diabetes develop kidney damage, 51.52% had high glucose, 40% had high urea, 42.8% had elevated creatinine. It is therefore very important to determine microalbuminuria as it helps to detect kidney problems. The survey was concluded that there is 60% of diabetics who do not have a planned and 45.71% have a family history diet, by gender 60% are women and 40% men. With the research conducted it was concluded that if there is a percentage considered diabetes who have kidney problems. Therefore diabetics should be aware of the different diseases that triggers it, one of them is kidney failure is why people should know the clinical manifestations of the same and thus to prevent or take appropriate treatment
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    Correlación entre Microalbuminuria y el Cociente Albúmina/Creatinina para el Diagnóstico de Insuficiencia Renal en Pacientes con Diabetes Mellitus
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Laboratorio Clínico, 2016-08-01) López Naranjo, Ana Lorena; Acosta Morales, José Iván. Dr. B.F.
    This work was carried out by means of a quantitative research, mixed (camp - lab) has had direct contact with patients by applying techniques such as surveys and quantitative tests whose results have allowed us to know the sensitivity of the used tests thus determining the most appropriate method for the diagnosis of kidney failure and thus to meet the objectives set, this research was developed with patients who come to the Hospital San Pedro de Pelileo diabetics Club during the period October 2015 - March 2016 prior informed consent. For research was taken as general objective to determine the correlation between microalbuminuria and albumin/creatinine ratio and validate it as an indicator of renal damage in patients with diabetes mellitus and specific objectives to determine the values of microalbuminuria in patients with diabetes mellitus, establish the albumin/creatinine ratio in patients with diabetes mellitus and correlating values of microalbuminuria and albumin/creatinine ratio to determine the stage of kidney failure. The study was carried out through the determination of Microalbuminuria in 24-hour urine and ratio /creatinina in morning urine albumin 60 patients who attended Club diabetics of the Hospital San Pedro de Pelileo in the study period, through blood and urine tests to determine Renal failure, which resulted in that of the entire population in study 55 patients with the disease which corresponds to the 91.7% in this way We conclude that there is a direct correlation between Microalbuminuria in 24-hour urine and morning urine albumin/creatinine ratio, showing that the latter is indicative diagnosis of diabetic nephropathy and renal damage in general