ABSTRACT
Un 20-25% de las mujeres tiene galactorrea en algún momento de su vida. Es una situación clínica que debe manejar el médico de Atención Primaria. La secreción elevada de prolactina es una causa frecuente de galactorrea. La clínica típica de la hiperprolactinema es la presencia de infertilidad, oligoamenorrea y galactorrea. Describimos un caso clínico que es interesante en varios aspectos. Los niveles de prolactina sérica pueden ser orientativos de la causa de la hiperprolactinemia. El manejo de las elevaciones poco importantes de la prolactina es muchas veces conservador, retirando medicación y con pruebas de imagen y de laboratorio espaciadas. La coincidencia de hiperprolactinemia y lesión identificable en una prueba de imagen no siempre es indicativa de adenoma secretor de prolactina (AU)
About 20-25% of women suffer galactorrhea at some timein their lives. It is a clinical situation that should be treatedby the Primary Care physician. Elevated secretion of prolactinis a frequent cause of galactorrhea. The typical symptomsof hyperprolactinema are presence of infertility, oligoamenorrheaand galactorrhea. We describe a clinical case that isof interest in several aspects. The serum prolactin levels maybe orientative of the cause of the hyperprolactinemia. Managementof the unimportant elevations of prolactin is oftenconservative, withdrawing medication and with imagingtests and spaced laboratory tests. Coincidence of hyperprolactinemiaand identifiable lesion in an imaging test is not alwaysindicative of prolactin secretory adenoma (AU)
Subject(s)
Humans , Female , Adult , Galactorrhea/etiology , Hyperprolactinemia/complications , Infertility, Female/drug therapy , Galactorrhea/diagnosis , Hyperprolactinemia/diagnosis , Contraceptive Agents, Female/adverse effects , Contraceptive Agents, Female/pharmacology , Administration, Oral , Estradiol/adverse effects , Algestone Acetophenide/analogs & derivativesABSTRACT
A need for oxygen is determined by the base pathology a patient suffers which produces immobilization, due to being bedridden and due to the problems which began due to an organic insufficiency associated with muscular weakness, a failure in the respiratory system, insufficient sputum, and cardiovascular alterations. This article deals with those alterations which cause a need to provide oxygen to a patient and its prevention in bedridden patients.
Subject(s)
Immobilization , Respiratory Insufficiency/prevention & control , Spirometry/methods , Humans , Risk FactorsABSTRACT
La necesidad de oxigenación está determinada por la patología de base que produce la inmovilización, por el encamamiento y por los problemas originados por la insuficiencia orgánica asociada a debilidad muscular, fallo del sistema respiratorio, expectoración insuficiente y alteraciones cardiovasculares. En el artículo se tratan las alteraciones de la necesidad de oxigenación y su prevención en el enfermo encamado(AU)
A need for oxygen is determined by the base pathology a patient suffers which produces immobilization, due to being bedridden and due to the problems which began due to an organic insufficiency associated with muscular weakness, a failure in the respiratory system, insufficient sputum, and cardiovascular alterations. This article deals with those alterations which cause a need to provide oxygen to a patient and its prevention in bedridden patients(AU)