ISSN: 2310-2799
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546,196 artículos
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Año:
2019
ISSN:
2308-0531, 1814-5469
Juárez Granda, Héctor; Cornejo Carrasco, Consuelo; Ramos Castillo, Wilder
Universidad Ricardo Palma
Resumen
Hepatic cystadenoma is a very rare neoplasm, with less than 250 cases reported in the world literature, which occurs more frequently in women. Due to the difficulty of differentiating the simple cyst and the hydatid cyst with the hepatic cystadenoma; as well as its recurrence and possibility of dysplasia or carcinoma, if it is not treated by complete resection, we present the case of a woman of 56 years old with history of simple hepatic cyst treated on 2 occasions with simple hepatic cyst unroofing and that they relapsed, so it was a hepatic cystadenoma.
DOI:10.25176/RFMH.v19.n2.2075
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Año:
2019
ISSN:
2308-0531, 1814-5469
Correa-López, Lucy E.; Segura Márquez, Carmen L.; Cedillo Ramirez, Lucy; Morales Romero, Andrea M.; Olivera Ruiz, Jesus E.
Universidad Ricardo Palma
Resumen
The World Health Organization defines smoking as a chronic addictive disease widespread worldwide. It represents one of the greatest threats to public health, affecting children, youth and adults. It is estimated, that there are 1.300 million smokers in the world and about 80% of these live in countries where there is a high rate of morbidity and mortality associated with tobacco mainly in adult consumers. In particular, the consumption of tobacco among young university students is evident and worrisome. Different authors in the world have raised factors for tobacco use among adolescents and young adults. Such studies argue that the habit of smoking usually begins during adolescence and consolidates in the university stage. Smoking in parents, relatives, and friends is a factor, perhaps the most remarkable, which is associated with the acquisition of smoking as a habit.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Soto, Alonso; Ascarza-Huando, Manuel Ismael
Universidad Ricardo Palma
Resumen
A 32-year-old woman admitted to the medical service with a clinical picture of recurrent biliary pancreatitis and symptomatic cholelithiasis. Abdominal ultrasound and cholangioresonance showed a gallbladder in an unusual position (posterior) and an anomaly of the biliary tree. Incidentally, the presence of an atrial septal defect associated with signs compatible with pulmonary hypertension is evident. We have not found in the literature an association between the presence of this gallbladder abnormality and the presence of atrial or other congenital heart disease.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Ponce Blas, Shirley del Carmen; Ruíz Contreras, Graylin; Medrano Vega, Luis Alfredo; Rossani Alatrista, Germán
Universidad Ricardo Palma
Resumen
The incidence of schizophrenia in developed and considered developing countries ranges from 7 - 14% per 100,000 inhabitants, according to reports to 2019 of the World Health Organization (WHO).
Schizophrenia is one of the most serious mental illnesses that exist, affecting the patient's thoughts, will, emotions and social relationships, directly involving their closest relatives.
In general, the causes that lead the patient to develop schizophrenia are not known, however, it is known that those patients where family members have suffered from schizophrenia are more predisposed to have it. There are currents that strongly support the theory that there are alterations in the neonatal brain or even before birth that will cause these structural alterations in neurotransmitters, especially in dopamine and serotonin.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Catalán, Ismael; Carril, Marlene; Loo, Haylin; Loo, María
Universidad Ricardo Palma
Resumen
The present case corresponds to a 1-month-old male patient with a diagnosis of non-compacted cardiomyopathy associated with congenital heart defects. Noncompacted cardiomyopathy is newly included by the AHA as its own since the second half of the last decade. The diagnosis is mainly echocardiographic. Symptoms in children under one year may start with heart failure. The evolution is variable and tends to improve in some cases. Finally, in later decades, heart failure, thromboembolic events, malignant arrhythmias and sudden death become more pronounced. The management is in medicines for heart failure, to avoid malignant arrhythmias and thromboembolic events.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Sotelo, Pedro Paolo; Ramírez Calderón, Fanny Elizabeth; Quiñones Avila, María Del Pilar
Universidad Ricardo Palma
Resumen
Introduction: POEMS (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) syndrome is a rare multisystem disorder. Castleman disease is an atypical lymphoproliferative disorder of unknown cause, which can be associated to POEMS.
Clinical Case: This is the case of a 37-year-old patient with 2-year history of numbness and weakness in lower limbs associated to multiple adenopathy, skin hyperpigmentation and hypertrichosis. Electromyography showed active chronic sensory-motor polyneuropathy of axonal type; and serum electrophoresis showed a monoclonal band of A Immunoglobulin lambda type. Submaxillary lymph node biopsy was consistent with Castleman Disease.
Conclusion: This report highlights the fact that Castleman Disease is frequent among patients with POEMS syndrome, constituting a significant variant, and should always be ruled out. Furthermore, plasmapheresis could be a useful alternative among patients with severe neurological symptoms.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Jumpa-Armas, David Victorino
Universidad Ricardo Palma
Resumen
The policy of the Universal Health Insurance (AUS) established that access to health services will be carried out through the financial intermediation of health insurance, establishing for this four axes of "reform": plan of benefits, financing and payments, targeting of subsidies, service provision and regulation. The policy of the AUS was based on the theory of quasi-markets where the intention of the State is to avoid being the provider of resources and the service provider at the same time; instead, it seeks to become the primary provider of funds to a variety of private, public and nonprofit providers, all operating in competition against each other.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Cáceres-del Carpio, Javier
Universidad Ricardo Palma
Resumen
There is no doubt that we live longer, that is, the world population is aging; partly thanks to advances in science and technology, and its application to medicine for the prevention, cure, and recovery of different nosological entities previously considered lethal. The world life expectancy in 1990 was 65.45 years; for the dawn of the new millennium, it increased to 67.68, for 2010 to 70.68 and for 2017 to 72.25 years of life at birth. In general terms, the world population of people over 50 almost doubled from 878 million in 1990 to 1,640 million in 2015. As is already known, the fact that the population is living longer brings with it the increase of so-called degenerative diseases, among which is age-related macular degeneration (AMD). We live longer, but we see less.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Ramírez-Calderón, Fanny; Huari-Pastrana, Roberto; Ayala-García, Ricardo
Universidad Ricardo Palma
Resumen
Patient used for 82 years. Emergency service to present a time of illness of 15 days with hyporexia, dysarthria, rigidity of upper and lower limbs, general condition, periodic with edema, skin lesions and sensory disorder, bradycardia. sustained Therefore, at the beginning, it presents as a problem of respiratory insufficiency, sensory disorder to rule out a stroke. Patient worsens with greater sensory and hemodynamic compromise refers to myxedema coma by applying the Clinical Score of Coma Mixedematoso, treatment is started, patient dies.
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Año:
2019
ISSN:
2308-0531, 1814-5469
Castillo-Velarde, Edwin Rolando
Universidad Ricardo Palma
Resumen
Amyloidosis constitutes a differential diagnosis in a patient with nephrotic syndrome. The presence of systemic and evolutive manifestations supports the possibility of primary amyloidosis. A review of the clinical is presented in relation to a case.
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