RESUMO
The year 2014 was rich in significant advances in all areas of internal medicine. Many of them have an impact on our daily practice and on the way we manage one problem or another. From the use of the ultrasound for the diagnosis of pneumonia to the choice of the site of venous access and the type of line, and the increasing complexity of choosing an oral anticoagulant agent, this selection offers to the readers a brief overview of the major advances. The chief residents in the Service of internal medicine of the Lausanne University hospital are pleased to share their readings.
Assuntos
Medicina Interna/tendências , Corpo Clínico Hospitalar , Doença de Alzheimer/tratamento farmacológico , Anti-Inflamatórios não Esteroides/uso terapêutico , Anticoagulantes/uso terapêutico , Pressão Arterial/fisiologia , Cateterismo Venoso Central , Diverticulite/terapia , Serviço Hospitalar de Emergência , Hospitais Universitários , Humanos , Hipertensão/cirurgia , Fibrose Pulmonar Idiopática/tratamento farmacológico , Rim/inervação , Pneumonia/diagnóstico por imagem , Embolia Pulmonar/diagnóstico , Piridonas/uso terapêutico , Choque Séptico/terapia , Simpatectomia/métodos , Fator de Necrose Tumoral alfa/antagonistas & inibidores , Ultrassonografia , Tromboembolia Venosa/tratamento farmacológico , Deficiência de Vitamina B 12/etiologia , Vitamina E/uso terapêuticoRESUMO
The knowledge in internal medicine is constantly and so rapidly evolving that practices have to be updated and adjusted to recent scientific rules, in order to improve quality and efficiency in the day to day activities. Residents in the Service of internal medicine of the Lausanne University present several relevant papers published in 2012, whose results are susceptible to change the daily hospital practices. From modest impacts to real revolution, a variety of subjects are discussed in the perspective of evidence based medicine.
Assuntos
Doenças Cardiovasculares/terapia , Pneumopatias/terapia , Doenças Cardiovasculares/diagnóstico , Procedimentos Clínicos , Humanos , Medicina Interna , Pielonefrite/tratamento farmacológico , Sepse/terapia , Estado Epiléptico/tratamento farmacológico , Acidente Vascular Cerebral/prevenção & controleRESUMO
The finding of an ascites in in- or out-patients in inner medicine is relatively frequent. However, the differential diagnosis sometimes extends in rarer pathologies which need rapid investigations to begin a treatment and improve the patient's prognosis. We present the case of a 50-year-old patient with a progressive ascites in the context of a peritoneal carcinosis due to a malignant peritoneal mesothelioma.