Revista Clínica Escuela de Medicina UCR-HSJD, Volumen 2, Número 8
URI permanente para esta colecciónhttps://hdl.handle.net/10669/14735
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Ítem GENERALIDADES SOBRE EL MANEJO DE FRACTURAS DE CADERA(2011-10-01 00:00:00) González, BernalHip fractures are a common cause of morbidity and mortality, mainly in elderly people, nevertheless, as world population ́s life expectation grows up, more people is in danger of suffering from this clinical condition. Another important issue is that an accurate diagnosis and an appropriate treatment in an early manner are critical to reduce the risk of major complications, that traditionally have been associated to this lesion, as immobilization, infec- tions, pulmonary embolism and the lost of functional independency, mainly in elderly fragile patients. In this article, a comprehensive revision of the different forms of hip fractures is presented, as well as the right surgical techniques to fix them and the new therapeutic tools that have been developed.Ítem Importancia del entrenamiento físico previo a la práctica de ejercicio físico: prevención de lesiones y complicaciones(2011-10-01 00:00:00) Barguil Meza, IbrahimÍtem MASCULINO 88 AÑOS CON DISTENSIÓN COLÓNICA AGUDA MASIVA: SÍNDROME DE OGILVIE(2011-10-01 00:00:00) Barrantes León, Carlos; Quesada Aguilar, Carlos I.We present an 88 years-old male patient, with treated type 2 diabetes and hypertension, resident of a nursing home, who came to our hospital for mental status impairment. The clinical assessment showed evidence of upper intestinal tract bleeding and abdominal distension, as well as clinical and laboratory findings suggesting intestinal ischemia. An urgent mini-laparotomy was performed in the emergency room and it showed massive colonic distension, so the patient was taken to surgery room for the appropriate and definitive treatment.Ítem PRUEBA TERAPÉUTICA CON NEOSTIGMINA EN PACIENTE CON MIASTENIA GRAVIS.(2011-10-01 00:00:00) Henríquez Varela, FreddyÍtem RABDOMIOLISIS POR EJERCICIO EN EL HOSPITAL SAN JUAN DE DIOS, OCTUBRE 2006 A OCTUBRE 2007(2011-10-01 00:00:00) Figueroa Ramos, Hannia; Quesada Aguilar, Carlos I.Exercise induced rhabdomyolysis is an important clinical syndrome because of its potential complications. Also, it represents a significant cost for the medical care systems, which is completely avoidable by using a proper exercise plan. The present article describes the cases of patients with this disease, that consulted to the emergency oom of San Juan de Dios Hospital, between october 2006 and october 2007. We gave special attention to complications and we tried to make a patient profile, tended to identify potential high risk patients. In a national search, we did not find any work on this direction. We found that young women, participating in spinning groups for the first time, near for 1 hour and without any education about the intensity of the excercice prior to it and according with their basal excercise capacity, were the most frecuent patient pattern. Finally, the main complication was acute renal failure.