Ciencias de la Salud
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Item “Perforación yeyunal producto de lesión deportiva”(Carrera de Medicina, 2019-06-01) Pico Álvarez, Erika Monserrath; Loaiza Merino, Iván Patricio, Dr. Esp.Objective: Give characterize for patients who present traumatic perforation of the jejunum, identifying risk factors, diagnostic and therapeutic processes, to propose diagnostic-therapeutic strategies. Development: Jejunal perforation presents different etiologies, the most common, traumatic cause, in this study we present the case of a male patient to 18-year-old, he has abdominal pain of great intensity after blunt trauma while playing soccer that does not yield with analgesics. It is accompanied by qualm and trew up. Physical examination: conscious, afebrile, painful, abdomen tense in the table, absent hydroaerous noises, painful on palpation, dullness on the flanks and iliac pits. Chest X-ray shows pneumoperitoneum, bilateral subphrenic. Conclusions: The jejunal perforation is of surgical management, due to the complications that occur, death or abdominal sepsis. Doesn´t identify risk factors that are related to the traumatic cause, and its diagnostic is considered in clinic and on image exams, which help to improve therapeutic management. Recommendations: Active management with complementary tests in the shortest possible time would achieve a good forecast in the patient.Item “Fibrilación auricular más isquemia mesentérica”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2017-04-01) Hidalgo Iza, Sandra Elizabeth; Mullo Guaminga, Guido Edgar Dr.A 65-year-old male patient living in the community of Conambo, a Shuar ethnic group, married, without school instruction, a farmer, with no pathological antecedents, ten hours before admission, presented severe abdominal pain localized in the epigastrium and mesogastrium accompanied by Nausea that reach the vomit for several occasions of bilious content in addition to a syncope prior to admission, is evaluated by the Internal Medicine Service who evaluate the patient and determine that he presents a Paroxysmal Atrial Fibrillation for which they administer an Antiarrhythmic, Of abdominal pain is performed a CT scan of the abdomen finding free fluid in all its spaces, distended small bowel loops and thickened walls, are consulted to the Surgery Service who by evaluating the case and decide to perform an Exploratory Laparotomy finding, liquid of more or Minus 1000 cen Cubic meters in the abdominal cavity at one meter of the ileocecal valve, ischemia and signs of intestinal suffering of one meter of extension with segments of ischemia are present, so that peritoneoostomy is left, the patient is admitted to the Intensive Care Present hemodynamic compromise, presents criteria for anti-coagulation, is performed re-intervention finding necrotic areas so that the resection of 50 cm of small intestine is performed and performing a terminated anastomosis terminal with continuous points.Item Abdomen Agudo por Absceso Tubárico Secundario A Enfermedad Inflamatoria Pélvica más Apendicitis Aguda(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-11-01) Guamancuri Silva, Jorge Gabriel; Pozo Mayorga, Fernando Patricio Dr. Esp.At the Hospital Provincial Docente Ambato (HPDA), the acute abdominal pain is the most frequent cause of query. In the Hospital Provincial Docente Ambato (HPDA), acute abdominal pain is the most frequent cause of consultation. By the other hand, the Gíneco-obstetric pain constitutes the second cause of hospitalization, being in this way the Emergency Service the first contact with the patient. For this reason, is really vital to know about the different pathologies which causes the acute abdomen, and so confront them in the better way. Likewise, it is crucial to determine the first instance if it’s about of a quirurgic acute abdomen and if it needs immediate hospitalization. The most important factor in this situation, because of our environment, is discard a pregnancy at the beggining of the evaluation in a female patient. Considering the possibility of a broken ectopic pregnancy that could turn it in a death or life event, becomes essential. The opportune pelvic acute ache diagnosis is vital, at the first instance, because the delay in the diagnosis increases in a devastating proportion the mortality, and consequently, the recovery time for the patient, the inherent economic spending, and even, in these time too hostile with the medicine career, because of the legal demands.