RESUMO
The authors had made a study of 20 left laryngeal palsies. The etiological factor had been cardial an aortic pathology in all cases. They, had made one appeal of attention to generalist, about the Ent and thoracic explorations in this patients.
Assuntos
Doenças da Aorta/complicações , Cardiopatias/complicações , Nervos Laríngeos , Estenose da Valva Mitral/complicações , Nervo Laríngeo Recorrente , Adulto , Idoso , Idoso de 80 Anos ou mais , Aorta Torácica , Doenças dos Nervos Cranianos/etiologia , Doenças dos Nervos Cranianos/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Infecções por HIV/tratamento farmacológico , Sarcoma de Kaposi/etiologia , Infecções Oportunistas Relacionadas com a AIDS/complicações , Adulto , Terapia Antirretroviral de Alta Atividade , Infecções por HIV/complicações , Humanos , Pessoa de Meia-Idade , Sarcoma de Kaposi/prevenção & controle , Fatores de TempoRESUMO
OBJECTIVE: Infectious pharyngotonsillitis is usually managed with antibiotics by general practitioners and pediatricians both in primary care and the emergency services. In the present work we try to assess the antibiotic variability and appropriateness in the management of acute pharyngotonsillitis among several emergency services in our country related to scientific evidence based in an expert panel criteria. METHOD: A transversal trial was carried on in ten emergency services of our country. We included patients older than fourteen years an analyzed the following variables: type of respiratory infection, antibiotic prescription, comorbidity, physician's status and hospital admission. The antibiotics were classified in three levels according to the expert panel criteria: first election, alternative use and inappropriate use. We compared the antibiotic treatments to these three levels. RESULTS: 2,869 patients were diagnosed of acute respiratory infection, 356 (12.4%) with pharyngotonsillitis. Commonly the patients were prescribed antibiotics (315; 81%) and the most used were amoxicillin-clavulanate (33%), amoxicillin (16%), penicillin (7%), cefuroxime (6%), erythromicin (4%) and cefixime (3%). Among the 315 prescriptions, 98 (32%) were first election, 147 (50%) alternative use and 50 (17%) inappropriate use. CONCLUSIONS: Most of the patients suffering of pharyngotonsillitis were empirically prescribed antibiotics probably many of these cases were non-bacterial pharyngotonsillitis. Alternative and inappropriate use of antibiotics was high.
Assuntos
Antibacterianos/uso terapêutico , Faringite/tratamento farmacológico , Tonsilite/tratamento farmacológico , Doença Aguda , Adolescente , Adulto , Idoso , Uso de Medicamentos , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Padrões de Prática Médica , EspanhaRESUMO
El presente estudio se realiza mediante la revisión retrospectiva de 61 historias clínicas de pacientes que fueron admitidas en Sala de Partos del HCAM, con el diagnóstico de Embarazo Ectópico, desde enero de 1990 hasta diciembre de 1992. La edad promedio de las pacientes fue de 30 mas o menos 3.4 años; el número de embarazos fluctúa entre 2 y 3, con el antecedente de abortos anteriores en 22 casos, y del embarazo ectópico previo en 6 pacientes. Entre los signos y síntomas mas frecuentes encontramos el dolor pélvico, la hemorragia vaginal y la amenorrea. Los métodos de diagnóstico más utilizados fueron la ecosonografía, la laparoscopia, culdocentesis y prueba de embarazo. El procedimiento quirúrgico más frecuente realizado fue la salpingectomía total.