ABSTRACT
La evolución de las técnicas quirúrgicas en ortopedia repercute en el tratamiento de fisioterapia que debe completar la buena recuperación funcional de los pacientes. El síndrome de atrapamiento o impingement femoroacetabular (AFA) en la articulación de la cadera es tratado con cirugía relativamente conservadora y rehabilitación posterior. Aquí presentamos el primer paciente tratado en nuestro servicio. A propósito de este hacemos una revisión de medidas de valoración y pautas de tratamiento en fisioterapia con el fin de divulgar la importancia del seguimiento escrupuloso de la cronología en la aplicación de técnicas analgésicas, antiinflamatorias, masoterapia y cinesiterapia (AU)
The evolution of the surgical techniques in orthopaedics reverberates in the physical therapy treatments that must complete the good functional recovery of the patients. The femoroacetabular impingement (FAI) or impingement syndrome of the hip joint is treated by relatively conservative surgery and later rehabilitation. Herein, we present the first patient treated in our service. Furthermore, speaking of this case, we make a review of the evaluation measurements and treatment guidelines in physiotherapy in order to spread the importance of meticulous monitoring of the chronology in the application of analgesics, anti-inflammatory drugs, massage therapy and kinesiotherapy (AU)
Subject(s)
Humans , Femoracetabular Impingement/rehabilitation , Nerve Compression Syndromes/rehabilitation , Analgesics/therapeutic use , Anti-Inflammatory Agents/therapeutic useABSTRACT
We report the clinical case of a man who survived a massive attack of Africanized bees (>2000 bee stings). The man experienced anaphylactic shock and multisystem organ failure (neurologic, hepatic, renal, and hematologic failure). He was treated with administration of dopamine hydrochloride, antihistaminic agents, corticosteroids, fluid and electrolyte replenishment, peritoneal dialysis, and plasmapheresis. No sequelae have been observed during follow-up.
Subject(s)
Anaphylaxis/etiology , Bees , Insect Bites and Stings/complications , Multiple Organ Failure/etiology , Adult , Animals , Humans , Male , SurvivorsABSTRACT
Gastric carcinoid tumors arise from enterochromaffin-like (ECL) cells, these tumors represent 2-41% of all neuroendocrine tumors and 0.3% of malignant gastric neoplasias, being more common in men than in women, and commonly affecting people over 60 years old. These tumors arise from accelerated proliferation of the ECL cells as a consequence of the hypersecretion of gastrin, situation that can be present in atrophic gastritis and the Zollinger-Ellison syndrome. We report the case of a 51 year old hispanic female who presented with a 3 month history of abdominal pain, meteorism and constipation; she was treated with ranitidine and metoclopramide without clinical improvement, thus she underwent upper gastrointestinal endoscopy which showed an atrophic gastritis and gastric polyps. Histopathologic examination revealed a neuroendocrine gastric tumor which was positive to serotonine and gastrin stainings. Hormonal screening showed normal serum levels of LH, FSH, estradiol, ACTH, progesterone, calcitonin and cortisol. The serum level of gastrin was elevated with 500 pg/mL. Gammagraphic scanning with octreotide was negative for metastasis.
