Revista Clínica Escuela de Medicina UCR-HSJD, Volumen 2, Número 1

URI permanente para esta colecciónhttps://hdl.handle.net/10669/14687

Examinar

Envíos recientes

Mostrando 1 - 5 de 5
  • Miniatura
    Ítem
  • Miniatura
    Ítem
    DEXTROCARDIA EN PACIENTE CON CUADRO DE DENGUE CLÁSICO.
    (2011-03-01 00:00:00) Duarte Sancho, Paolo C.
  • Miniatura
    Ítem
    INFECCIÓN VIRAL ASOCIADA A NEUMONÍA ADQUIRIDA EN LA COMUNIDAD EN PACIENTES INTERNADOS EN EL SERVICIO DE MEDICINA INTERNA DEL HOSPITAL CALDERÓN GUARDIA ENTRE LOS MESES DE MAYO A SETIEMBRE DEL 2009
    (2011-03-01 00:00:00) Grant Villegas, Stanley
    Background: Respiratory tract infection is one of the most common causes of seeking medical attention. Viruses are among the most common etiologic al agents of viral pneumonia, with apercentage that ranges between el 5 and 34%. In Costa Rica there are no epidemiological studies that describe the percentage of pneumonias associated to viral infections in hospitalized patients. Given the investment in in patient days and use of antibiotics, it is important to know what is the percentage of viral infections. Methods: The methodology was based on an observational retrospective cohort throughpatient files review. The primary outcome was to identify the prevalence of viral infection in the population hospitalized for community acquired pneumonia. The study was conducted at the Hospital Dr. Rafael Angel Calderon Guardia, during the months from May through September 2009. Findings: Out of 320 patients, 59 were included in the study. Viral infection was found in 18,4%.Most patients were healthy adults under 40 yearsold. Influenza A H1N1 was the most commonvirus in 50,8% of cases (n=30). The most frequent comorbidities were hypertension (20,3%) and asthma (13,6%). Patients with viralinfection had important elevation in biomarkers such as LDH, CPK, ALT, AST and creatinine. Conclusion: Viral infection in community acquired pneumonia is frequent. Measures to identify patients with pandemic Influenza influenced the high percentage of cases found inour cohort.
  • Miniatura
    Ítem
    NEFROPATÍAS POR TÓXICOS
    (2011-03-01 00:00:00) Avellán Boza, Marta
    Drug induced acute kidney injury has arelatively high frequency when it comes to the management of both, ambulatoryand hospitalized patients.Based on a clinical case, of a 49 years oldfemale, who presented to our hospital with non oliguric acute renal failure, after a short term tratment with nephrotoxic medication, aliterature review of toxic nephropathies, themechanism of injury, such as common riskfactors and general preventive measures is made. It is determined that the most common mechanism of injury is acute tubular necrosis, butother mechanisms playanincreasingly important role, especially in the understanding that the majority of renal changes regarding toxins are not only reversible, but preventable. 
  • Miniatura
    Ítem
    MASCULINO 21 AÑOS CON CUADRO SÚBITO DE DEBILIDAD, MIALGIAS Y CPK MAYOR A 400.000 UI/L
    (2011-03-01 00:00:00) Méndez Rodríguez, Juan Diego
    After physical exertion, the patient was admitedto the hospital with clinical and laboratoryfindings compatible with a clinical syndrome ofrhabdomyolysis, which main cause is an abnormal release of intracellular muscularcomponents, mainly creatine kinasa, into theblood flow, leading to metabolic, kidney andheart complications. Still, it is necessary toperform an focused clinical history to achieve athorough analysis that can help us to make anadequate diagnostic and therapeutic approach.