Ciencias de la Salud

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Subject: search.filters.subject.TOMOGRAFÍA COMPUTARIZADA

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    Actualización del tratamiento del absceso del psoas apropósito de un caso
    (Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Medicina, 2022-10-14) Castañeda Ron, David Alejandro; Suaste Pazmiño, Kathya Verónica
    Psoas muscle abscess is an infrequent but lethal pathology; due to its non-specific clinical manifestations, it is difficult to diagnose; since its first description, its clinical manifestations were given by Mynter's triad (fever, lumbar pain and lameness); however, this only occurs in 30-33% of all cases; the psoas muscle due to its anatomical configuration and its relationship with retroperitoneal and intra-abdominal organs makes it susceptible to infectious processes. A descriptive, analytical and retrospective investigation of an unusual case of unilateral psoas abscess was carried out. We used scientific databases such as Scopus, Springer, Science Direct, Embase, ElSeiver, UpToDate, Cochrane, PubMed; in addition to meta-analysis and scientific articles in high impact journals such as The New England Journal of Medicine, Scielo, BJM Journals published within the last 5 years. We presented the case of a 54-year-old patient with a history of alcoholism, chronic smoker and type 2 diabetes mellitus; who presented 3 months ago with colicky pain in the left lumbar fossa; accompanied by paresthesias in the lower limb, nausea and difficulty in ambulation; abdominal ultrasound identified an irregular lesion of 145x70 mm; a CT scan was performed which showed a collection of 16. 5 cm with a volume of 609 cc and a spondylodiscitis in T12-L1; compatible with inflammatory myopathy due to a left-sided psoas abscess. Psoas abscess is a rare suppurative myositis accompanied by a systemic inflammatory response syndrome due to the involvement of the iliopsoas compartment at the retroperitoneal level; its nonspecific manifestations represent a great diagnostic challenge, requiring a high clinical suspicion and confirmation by tomographic study. Treatment involves the use of antibiotic therapy accompanied by image-guided percutaneous or surgical drainage.
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    Hallazgos clínicos y tomográficos de covid-19, en pacientes sintomáticos tratados en el hospital básico clínica santa Cecilia
    (Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2021-03-01) Ayala Quishpe, Noemi Patricia; Costales Coronel, Blanca GeorginaLcda. Mg.
    Introduction: The COVID-19 pandemic is a global health problem, with high morbidity and mortality rates. Thus, computed tomography is essential in the diagnosis because of the important findings show in the image. Objective: To analyze the clinical and tomographic findings of COVID-19, classify them, tabulate them and create a statistical data bank of morbidity of symptomatic patients treated in the basic Hospital “SANTA CECILIA CLINIC”. Methods: A quantitative, descriptive, documentary and cross sectional study based on the review of 96 medical records of positive COVID-19 patients treated during May-October 2020. A data collection sheet was used as a technique, with a descriptive statistical analysis. Establishing the morbidity rate, based on the cumulative incidence formula. Results: 96 medical records were included, 62 with a Computed tomography. Of which 9,38% presented comorbidities with a predominance of arterial hypertension. Common symptoms were cough (80%), fever (73%), dyspnea (63%) and fatigue (54%). The predominant tomographic pattern was bilateral tarnished glass with involvement of all lobes and subpleural distribution. Morbidity was 25,6%. Conclusions: The main symptoms of COVID-19 were cought, fever, dyspnea and fatigue, with pulmonary involvement, with the predominance of tarnished, bilateral, multilobular and subpleural glass. In this population, a worrying mortality rate was given, therefore, it is important to have adequate clinical and tomographic assessment of the patient suspected of COVID-19 to avoid unnecessary exposure to health personnel and family members