Subject(s)
Humans , Glomerulonephritis, Membranous , Autoantibodies , Cyclophosphamide , Nephrotic Syndrome , Proteins , Creatinine , BiopsySubject(s)
Hearing Loss, Sensorineural , Nephrocalcinosis , Humans , Hearing Loss, Sensorineural/etiology , Hearing Loss, Sensorineural/genetics , Nephrocalcinosis/etiology , Nephrocalcinosis/genetics , Renal Tubular Transport, Inborn Errors/genetics , Renal Tubular Transport, Inborn Errors/complicationsSubject(s)
Antibodies, Monoclonal, Humanized , Glomerulonephritis, Membranous , Receptors, Phospholipase A2 , Humans , Antibodies, Monoclonal, Humanized/therapeutic use , Glomerulonephritis, Membranous/drug therapy , Receptors, Phospholipase A2/immunology , Drug Resistance , Male , Female , Middle AgedABSTRACT
Resumen Se presenta el caso de un paciente masculino de 41 años de edad con derrame pericárdico y una masa intra cardíaca (mixoma like) que producía un efecto valvular sobre el plano tricuspídeo. Debido a la imposibilidad de realizar una cirugía radical y un diagnóstico anátomo-patológico, se decidió realizar un explante total y un trasplante cardíaco ortotópico en un segundo tiempo, concretado exitosamente a los 23 días después de la cirugía diagnóstica.
We present the case of a 41-year-old male patient with pericardial effusion and intra cardiac mass, mixoma like, which produces a valve effect in the tricuspid valve. Due to the impossibilities to perform a radical surgery and the anatomopathological diagnosis we decided to do a total explant and perform an orthotopic heart transplant. The impossibility to perform a radical surgery and the diagnosis of angiosarcoma of cells fused, decided us to perform a total cardiac explant and an orthotopic heart transplant finally realized in the second surgical time, 23 days after the diagnostic surgery.
Apresentamos o caso de um paciente masculino de 41 anos de idade com derrame pericárdico e uma massa intra cardíaca (mixoma like) que produz um efeito de valvular sobre o plano tricuspídeo. Devido às impossibilidades para realizar uma cirurgia radical, e o diagnóstico anatomopatológico decidimos realizar um explante total e um transplante cardíaco ortotópico num segundo tempo, concretado aos 23 dias após a cirurgia diagnóstica.
Subject(s)
Heart Atria , HemangiosarcomaABSTRACT
Nursing records are one of the main sources of information about the status of patients admitted to intensive care units. In spite of its importance, this information is not always written down. The objective of this study was to analyze the level of compliance and content of sections related with nursing records, overall and by shifts. A retrospective analysis was made of 14 variables in 358 nursing charts chosen randomly, involving a total of 1.075 shifts. The study variables analyzed were: 1) monitoring, 2) medication, 3) losses, 4) nursing incidents, 5) cures, 6) changes, 7) pressure sores, 8) physical therapy, 9) respirator recordings, and 10) nurses' comments (classified by content into 11) systems, 12) priorities, 13) personal observations, and 14) duplication of information. Nursing records related with medical therapy had a significantly better compliance than records of nursing activities per se. When the variables were analyzed by shifts, the only statistically significant variable was nurses' comments. Systems being the modality most frequently used. We conclude that nursing records, which inform us of the patient's status, showed a good level of compliance. Records of therapeutic medical activities were of better quality than those directly related with nursing activities per se.