Rabdomiolisis secundaria a hipernatremia / Rhabdomyolysis secondary tohypernatraemia

No disponible

Abdominalgias de causa ginecológica: una realidad en adolescentes / Gynaecological abdominal pain in adolescent females

Objetivos: Determinar la prevalencia del dolor de origen ginecológico en las adolescentes atendidas por dolor abdominal en un servicio de Urgencias de Pediatría. Valora la sintomatología acompañante del dolor, las pruebas complementarias realizadas y la evolución posterior. Métodos: Estudio descriptivo observacional. Se incluyen todas las pacientes con edad entre 12–18 años que consultaron durante el 2008 en un servicio de Urgencias de Pediatría por dolor abdominal que se orientó al alta como de origen ginecológico. Resultados: Se incluyeron 699 consultas por dolor abdominal, 54 (7,7%) se orientaron de origen ginecológico. Su edad media fue de 15,2 años (DE 1,7). El 94,4% habían tenido la menarquia. Trece (59,3%) de las 32 adolescentes a las que se les preguntó eran sexualmente activas. La mediana de tiempo de evolución del dolor fue de 2 días (p25–75: 6h–4días). Los síntomas asociados más frecuentes fueron el síndrome miccional (11; 20,4%) y los vómitos (9; 16,7%). Treinta y una (57,4%) de las adolescentes requirieron valoración por dos o más especialistas. En 42 (77,7%) se realizó alguna exploración complementaria, siendo las más frecuentes la ecografía (29; 53,7%) y el sedimento de orina (26; 48,1%). El dolor periovulatorio (16; 29,6%) y la dismenorrea (14; 25,9%) fueron los diagnósticos más frecuentes. Seis pacientes (9,3%) ingresaron y 4 (7,4%) precisaron intervención quirúrgica. Conclusiones: Aunque las principales causas de dolor abdominal en adolescentes son procesos fisiológicos, es preciso realizar una anamnesis dirigida y una exploración física completa, para descartar otras enfermedades más graves, siendo necesaria, en muchas ocasiones, una valoración multidisciplinar para un diagnóstico correcto (AU)

Objective: To determine the prevalence, the presentation, the evaluation and the evolution of abdominal pain of gynaecological cause in adolescents who came to a Paediatric Emergency Department. Methods: An observational and descriptive study was performed. All adolescent female aged 12 to 18 years who came to Emergency Service during 2008 with abdominal pain were included. The patients diagnosed with gynaecological disorders were studied. Results: Six hundred and ninety-nine adolescents with abdominal pain were evaluated and 54 (7,7%) of them were of gynaecological cause. Their mean age was 15,2 (SD 1,7) years. Fifty-one (94,4%) had had the menarche. Thirteen (59,3%) of the 32 adolescents, who were asked, said that they had had sex. The median evolution of pain was 2 days (p25–75: 6hours–4days). The most frequent associated symptoms were micturition syndrome (11; 20,4%) and vomiting (9; 16,7%). Thirty-one (57,4%) adolescents were evaluated by two or more specialists. Forty-two (77,7%) patients were subjected to complementary examinations; abdominal ultrasound (29; 53,7%) and urinary sediment (26; 48,1%) were the two most common. The main diagnoses were peri-ovular pain (16; 29,6%) and dysmenorrhoea (14; 25,9%). Six (9,3%) patients were admitted to the hospital and 4 (7,4%) needed surgery. Conclusions: Although the main causes of abdominal pain in adolescent females are physiological, an accurate anamnesis and physical examination is essential to rule out other more serious causes. A multidisciplinary evaluation is often necessary to make a correct diagnosis (AU)

[Gynaecological abdominal pain in adolescent females]. / Abdominalgias de causa ginecológica: una realidad en adolescentes.

OBJECTIVE: To determine the prevalence, the presentation, the evaluation and the evolution of abdominal pain of gynaecological cause in adolescents who came to a Paediatric Emergency Department. METHODS: An observational and descriptive study was performed. All adolescent female aged 12 to 18 years who came to Emergency Service during 2008 with abdominal pain were included. The patients diagnosed with gynaecological disorders were studied. RESULTS: Six hundred and ninety-nine adolescents with abdominal pain were evaluated and 54 (7,7%) of them were of gynaecological cause. Their mean age was 15,2 (SD 1,7) years. Fifty-one (94,4%) had had the menarche. Thirteen (59,3%) of the 32 adolescents, who were asked, said that they had had sex. The median evolution of pain was 2 days (p25-75: 6hours-4days). The most frequent associated symptoms were micturition syndrome (11; 20,4%) and vomiting (9; 16,7%). Thirty-one (57,4%) adolescents were evaluated by two or more specialists. Forty-two (77,7%) patients were subjected to complementary examinations; abdominal ultrasound (29; 53,7%) and urinary sediment (26; 48,1%) were the two most common. The main diagnoses were peri-ovular pain (16; 29,6%) and dysmenorrhoea (14; 25,9%). Six (9,3%) patients were admitted to the hospital and 4 (7,4%) needed surgery. CONCLUSIONS: Although the main causes of abdominal pain in adolescent females are physiological, an accurate anamnesis and physical examination is essential to rule out other more serious causes. A multidisciplinary evaluation is often necessary to make a correct diagnosis.

Corea de Sydenham: un pasado aún presente / No disponible

No disponible