Download - C. teruel
![Page 1: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/1.jpg)
CASO CLÍNICO TERUEL: Karla Gonzales Farro
Residente de MFyC H. de ALCAÑIZ
X ENCUENTRO DE RESIDENTES Logroño ( La Rioja )
![Page 2: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/2.jpg)
ENFERMEDAD ACTUAL Antecedentes:› HVC› Hernia discal L4-L5› IQ: Vagotomia troncular + piloroplastia› No viajes al extranjero
Enfermedad Actual:
4 d.a.iDOLOR
2 d.a.iFIEBRE
URG
![Page 3: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/3.jpg)
EXAMEN FíSICO TA: 142/79 FC: 58 x´ T: 36ºC Sat 02: 96% BEG. Afebril. AC: Rítmico. No soplos AP: MVC. No ruidos agregados. ABD: Blando. Depresible. Dolor a la palpacion en flanco e hipocondrio derechos. Leve defensa muscular. Peristaltismo conservado.
![Page 4: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/4.jpg)
LABORATORIO
LEUCOCITOS: 23 600› Neutrofilos: 78%
PCR: 152 VSG: 70 FA: 126 GGT: 346
![Page 5: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/5.jpg)
ECOGRAFÍA URGENCIA
![Page 6: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/6.jpg)
TAC AL INGRESO
Haga clic para modificar el estilo de texto del patrón› Segundo nivel
Tercer nivel Cuarto nivel Quinto nivel
63x35 mm
![Page 7: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/7.jpg)
TRATAMIENTO INICIAL
CEFTRIAXONA
METRONIDAZOL
TOBRAMICINA
![Page 8: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/8.jpg)
MICROBIOLOGÍA
Hemocultivos Serología:
HidatidosisBrucellaYersiniaEntamoeba Histolytica
![Page 9: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/9.jpg)
TAC CONTROL TAC INICIAL
TAC A LAS 2 Sem.
71x47 mm63x35 mm
![Page 10: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/10.jpg)
EVOLUCIÓN
DRENAJE HEPÁTICO
![Page 11: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/11.jpg)
EVOLUCIÓN- LAB
INGRESO
ALTA
Leucocitos: 23 600VSG: 70PCR: 152FA: 126GGT: 346
Leucocitos: 7800 VSG: 32 PCR: 8.17 FA: 90
GGT: 199
![Page 12: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/12.jpg)
SEROLOGÍAENTAMOEBA HYSTOLITICA: 1/800
PAROMOMICINA
![Page 13: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/13.jpg)
CONFIRMACIÓN
PCR (+ ) E. Hystolitica
![Page 14: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/14.jpg)
![Page 15: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/15.jpg)
![Page 16: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/16.jpg)
![Page 17: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/17.jpg)
![Page 18: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/18.jpg)
Rev. esp. enferm. dig. v.102 n.2 Madrid feb. 2010
Absceso hepático piógeno versus amebiano. Estudio clínico comparativo de una serie de 58 casos
![Page 19: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/19.jpg)
![Page 20: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/20.jpg)
![Page 21: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/21.jpg)
DIAGNÓSTICO DIFERENCIAL AMEBIANO
Edad: <45 años Diarrea Unico Lobulo derecho
PIÓGENO
Edad: >50 añosHombreDiabetesBT y Transaminasas
![Page 22: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/22.jpg)
AHA Amebiasis
Entamoeba histolytica
Mucosa intestinal
HIGADO
![Page 23: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/23.jpg)
TRATAMIENTO AMEBICIDA TISULAR:
METRONIDAZOL
AMEBICIDA LUMINAL:
PAROMOMICINA
![Page 24: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/24.jpg)
AHA AUTÓCTONO Descripcion de 2 nuevos casos clinicos y de
una tecnica diagnóstica basada en la PCR
› Enferm Infecc Microbiol Clin.2009; 27(6): 326-330
![Page 25: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/25.jpg)
Total: 23Sin A. E: 17
![Page 26: C. teruel](https://reader035.vdocumento.com/reader035/viewer/2022062705/556dfc3dd8b42a1e138b5044/html5/thumbnails/26.jpg)
GRACIAS POR SU ATENCIÓN!!!
X ENCUENTRO DE RESIDENTES Logroño ( La Rioja )