RESUMEN
Deep vein thrombosis (DVT) of the limbs is a common disease and causes significant morbidity and mortality. It is frequently the prelude to pulmonary embolism (PE), it can recur in 30% of patients and in 25-40% of cases they can develop post-thrombotic syndrome (PTS), with a significant impact in functional status and quality of life. This document contains the recommendations on the diagnosis and treatment of acute DVT from the Thromboembolic Disease group of the Spanish Society of Internal Medicine (SEMI). PE and thrombosis of unusual venous territories (cerebral, renal, mesenteric, superficial, etc.) are outside its scope, as well as thrombosis associated with catheter and thrombosis associated with cancer, which due to their peculiarities will be the subject of other positioning documents of the Thromboembolic Disease group of the Spanish Society of Internal Medicine (SEMI).
Asunto(s)
Trombosis de la Vena , Humanos , Trombosis de la Vena/diagnóstico , Trombosis de la Vena/terapia , Extremidad Inferior/irrigación sanguínea , Extremidad Superior/irrigación sanguínea , Anticoagulantes/uso terapéutico , Medicina Interna , EspañaRESUMEN
BACKGROUND AND OBJECTIVE: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. METHOD: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015. RESULTS: A total of 226 patients were included, of whom 44.2% of them had an intentional weight loss ≥ 5% in 6 months. The most frequent diagnosis in this group was a neoplasia, whereas in the rest of patients the most common diagnosis was a gastrointestinal disease. In light of this study we can conclude that there is a relationship between unintentional weight loss≥5% and the presence of neoplasia. CONCLUSION: An unintentional weight loss greater than 5% in the previous 6 months is associated with the presence of neoplastic diseases, and therefore requires further diagnostic study.
Asunto(s)
Enfermedades Gastrointestinales/diagnóstico , Neoplasias/diagnóstico , Pérdida de Peso , Anciano , Anciano de 80 o más Años , Femenino , Enfermedades Gastrointestinales/complicaciones , Humanos , Masculino , Persona de Mediana Edad , Neoplasias/complicaciones , Estudios RetrospectivosAsunto(s)
COVID-19 , Vasculitis , Humanos , SARS-CoV-2 , COVID-19/prevención & control , Vacunación , Vasculitis/diagnóstico , Vasculitis/etiologíaAsunto(s)
Actinomyces , Actinomicosis/microbiología , Bacteriemia/microbiología , Actinomyces/efectos de los fármacos , Actinomyces/aislamiento & purificación , Actinomicosis/tratamiento farmacológico , Adulto , Combinación Amoxicilina-Clavulanato de Potasio/uso terapéutico , Antibacterianos/uso terapéutico , Bacteriemia/tratamiento farmacológico , Ceftazidima/uso terapéutico , Neoplasias Cerebelosas/tratamiento farmacológico , Daptomicina/uso terapéutico , Humanos , Masculino , Meduloblastoma/tratamiento farmacológicoAsunto(s)
Adenocarcinoma/diagnóstico , Neoplasias Pulmonares/diagnóstico , Neoplasias Cutáneas/diagnóstico , Adenocarcinoma/patología , Adenocarcinoma del Pulmón , Anciano de 80 o más Años , Humanos , Neoplasias Pulmonares/patología , Masculino , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/secundarioRESUMEN
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