Revista Clínica Escuela de Medicina UCR-HSJD, Volumen 1, Número 1
URI permanente para esta colecciónhttps://hdl.handle.net/10669/14675
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Ítem ENDOCARDITIS INFECCIOSA EN EL HOSPITAL SAN JUAN DE DIOS 2000 A 2010(2011-01-01 00:00:00) Solís Solís, Luis Diego; Quesada Aguilar, Carlos I.In our country there are no studies about epidemiology of Infective Endocarditis. Its microbiologic behavior is unknown, as well as the antibiotic resistance pattern. A retrospective, descriptive study is shown, based on medical files of patients discharged from Hospital San Juan de Dios and diagnosed as IE, between 2000 and 2011. The etiologic agents and its antimicrobial resistance pattern were assessed. Also, the risk factors, clinical presentation at the diagnosis and laboratory findings are described. The information from this study, are planted as basis for further national guidelines of IE in our country, based on clinical presentation and germen.Ítem INFILTRADO MILIAR EN PACIENTE CON CUADRO FEBRIL SUBAGUDO Y ANTECEDENTE DE ENFERMEDAD DE LYME.(2011-01-01 00:00:00) Ávila Sánchez, Diego; Bucknor Masis, JorgeÍtem POLINEUROMIOPATIA DEL PACIENTE CRITICAMENTE ENFERMO(2011-01-01 00:00:00) Vindas Miranda, TatianaThe critically ill patient’s myopathy is one of the most frequent complications in the intensive care units, it was described for the first time in 1977 by MacFarlane and collaborator. Different names have been used to describe the clinical status that more than a unique entity corresponds to multiple types of muscular damage. Among the most used there are: necrotizing myopathy,quadriplejic myopathy, post-paralysis syndrome and heavy filaments myopathy, although some authors prefer to include these clinical signs under the name of polyneuromyopathy. Nevertheless the most common denomination is acute neuromuscular syndrome. The objective of this document is to analyze the different causes and manifestations of the muscular weakness that critically ill patients develop in the intensive care unit period, and the diagnosis and evaluation of the myopathy of the critically ill patients, taking into account that the most common factors that trigger the development of this entity are: the clinical status, etiopathogenesis in sepsis processes, drug use like the neuromuscular blockaders, corticoids, sedative drugs, the relaxation, the respiratory muscle deficiency and the prolonged stay in bed.Ítem MASCULINO 39 AÑOS CON ALCALOSIS METABÓLICA HIPOCALÉMICA SAL RESISTENTE(2011-01-01 00:00:00) Quesada Aguilar, Carlos I.; Solís Solís, Luis DiegoAn analysis of a case of hipokalemic metabolic alkalosis, salt resistant and a description of a systematic medical approach according to clinical analysis methodology in Internal Medicine is exposed.