Ciencias de la Salud

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    “Absceso hepático y esplénico secundario a apendicitis aguda”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-05-01) Reinoso Torres, Lizeth Carolina; Guanuchi Quito, Franklin Hernan Dr. Esp
    We present the case of a male patient of 15 years of age, with a surgical history of grade II appendicitis resolved 1 month ago on the day of admission, go to the emergency service, presenting abdominal pain of 7 days of evolution, add boost non-quantifiable thermal, cough that does not mobilize secretions, chills, went to a private doctor 4 days ago who prescribes antipyretic treatment and discharge with medication, improvement picture however 2 days ago it presents thermal rise not quantified, yellow skin, upper abdominal pain so they go to this health house. Physical examination at admission: TA: 91/49; FC: 120; FR: 28; SO2: 92%, temperature 36.8 ° C; General Appearance: Algico, jaundiced, conscious, oriented patient, Glasgow scale15 / 15. Mouth: dry oral mucosa; skin: icteric dye; heart: hyperphonic noises, no murmurs; lungs: diminished vesicular murmur in right lung base; abdomen: soft, depressible, painful on palpation, positive blumberg, liver palpation 2 cm under the costal margin; lower extremities: multiple petechiae, patient is operated on the following day approaching an exploratory laparotomy evidencing yellow inflammatory fluid approximately 600cc in suprahepatic and perihepatic space and 300 cc in perisplenic space, placing drainages; due to the septic and hemodynamic condition, patient enters the Intensive Care Unit, 17 days after admission, hepatic abscess is seen in segment VI on Computed Tomography, performing percutaneous drainage; on the second day after drainage, new abscess is evidenced in segment VII of 14cc , total of 6 percutaneous drainages, plus abscess culture reports Pseudomonas aeruginosa, presents complications of a subconjunctival hemorrhage, hypoacusis due to possible drug ototoxicity, patient is transferred to the surgery service where it ends with antibiotic scheme, presenting favorable clinical evolution is discharged to the month 4 days and control with treating doctor in outpatient clinic.
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    “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.