[Ultrasound use in the first three-month period of pregnancy. 10 basic directions]. / Ultrasonido en el primer trimestre del embarazo.10 consideraciones básicas.

The aim of this paper is to provide the directions for the ultrasound study use and the understanding to make useful it in the first three months of pregnancy. We intend to do ten easy recommendations: pregnancy diagnosis confirmations, the localization of gestational sac, to check the viability of pregnancy, checking the fetal vitality, identify risk factors of miscarriage, to settle number of fetus and gestational age, look for uterine and ovary disturbances and the recognition of aneuploidy. Then after, based on the ultrasound diagnosis features you must decide the medical following of pregnancy. The knowledge on ultrasound is to offer a quality prenatal care and not to replace the pregnancy following in the prenatal care clinic. Ultrasound is innocuous, no invasive with low cost. When ultrasound is employed early in the first care medical attention, it will help to lowering costs of prenatal care and it is an useful diagnostic tool confirm that provide with ultrasound the family care units is a good strategy.

[Clinical and therapeutic approach to Klippel-Feil syndrome in the primary care medicine]. / Tratamiento en el primer nivel del síndrome de Klippel-Feil.

A case of Klippel-Feil syndrome in a female nine years is informed. The patient presented a clinical picture compatible with Klippel-Feil syndrome: short neck with joint movements diminished and low hair implantation. We showed the diagnostics and treatment approach at the primary medicine level, the follow-up until the presence of clinical manifestations of the main clinical problems associated. The liver, cardiovascular, audiology, and muscle-bones are describe and finally some aspects of her physical rehabilitation.

[Fetal hydrops diagnosed by ultrasonographics images. A case report]. / Hidropesía fetal. Diagnóstico ultrasonográfico en el primer nivel de atención.

We reported a non-immune case of fetal hydrops diagnosed at the 15th week of pregnancy with ultrasonographic images. Follow-up was made but the death in utero occurred at the week 16. The treatment with the induct conduction labor was carrying out and finally an abortion was performed. The pathological study of the product was made. With this case, we point out the importance of ultrasound screening in the first quarter of pregnancy for an early diagnosis with high probability of aneuploidy and high morbidity and mortality malformations was highlighted.

Reseña cronológica del movimiento médico 1964-1965 / Chronological review of medical movement 1964-1965

La historia de los movimienos sociales en México es vasta y la del área médica durante noviembre 1964 a septiembre de 1965, fue singular. Este artículo tiene una visión histórica basada en una revisión hemerográfica de las diferentes y más importantes etapas del movimiento. Proporciona un enfoque sutentado y crítico acerca del papel qu jugaron los médicos en los cambios sociopolíticos en el México del siglo XX. [AU]