tag:blogger.com,1999:blog-18454380541793654822011-12-02T23:33:14.247-08:00schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.comBlogger161100tag:blogger.com,1999:blog-1845438054179365482.post-29456124838313411212008-06-18T13:42:00.001-07:002008-06-18T13:43:17.415-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_MfETRGbhvZg/SFlzWD4CgZI/AAAAAAAAAJA/gVTRVeWrqbQ/s1600-h/neurofibromatosis_xl.JPG"><img src="http://2.bp.blogspot.com/_MfETRGbhvZg/SFlzWD4CgZI/AAAAAAAAAJA/gVTRVeWrqbQ/s400/neurofibromatosis_xl.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5213324866492727698" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-2945612483831341121?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-26153416222296207702008-05-31T11:06:00.000-07:002008-05-31T11:18:34.787-07:00<img src="http://1.bp.blogspot.com/_MfETRGbhvZg/SEGUCAKlyII/AAAAAAAAAIo/g2egXpM5nq0/s400/vitiligo_09.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5206605406342072450" /><br /><br /><a href="http://www.dermatlas.org/derm/result.cfm?Diagnosis=45">manos con lesiones acromicas<br />por vitiligo</a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-2615341622229620770?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com2tag:blogger.com,1999:blog-1845438054179365482.post-17589052208581291372008-05-24T10:21:00.002-07:002008-05-24T10:24:38.516-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_MfETRGbhvZg/SDhOvwKlyEI/AAAAAAAAAII/8L9-ZberNts/s1600-h/calc_radial.JPG"><img src="http://3.bp.blogspot.com/_MfETRGbhvZg/SDhOvwKlyEI/AAAAAAAAAII/8L9-ZberNts/s400/calc_radial.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5203995951716747330" /></a><br />Enfermo de 72<br />diabetico con hallazgo radiologico<br />de calcificacion en arterias<br />popliteas radiales .<br />Enf de <a href="http://www.medspain.com/imagenes/imagenhoy/imagenhoy_081.HTML">Monckeberg</a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-1758905220858129137?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-31894679695131659132008-05-22T14:37:00.000-07:002008-05-22T14:39:20.794-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_MfETRGbhvZg/SDXn-QKlyBI/AAAAAAAAAHw/0U0vsIfiV5o/s1600-h/arteritis+temporal.JPG"><img style="cursor:pointer; cursor:hand;" src="http://2.bp.blogspot.com/_MfETRGbhvZg/SDXn-QKlyBI/AAAAAAAAAHw/0U0vsIfiV5o/s400/arteritis+temporal.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5203320001173768210" /></a><br /><br />Enferma de 77 años , diabetica ,que presenta<br />de forma brusca :<br /><br />cefalea severa unilateral con dolor <br />a palpacion en arteria temporal.<br />La arteria esta inflamada , roja,<br />no tiene latido y es muy dolorosa.<br />VSG urgente 120<br /><br />Se inicia tto. con prednisona 60 mgs /dia<br />con mejoria clinica y descenso de VSG<br /><br />Se mantuvo el tto. 2 años no lograndose bajar<br />de 20 mgs por dia de prednisona , apareciendo <br />al final del cuadro de AT clinica de Polimialgia Reumatica ,<br />que se asocia muchas veces a la arteritis temporal.<br /><br />__<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-3189467969513165913?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com1tag:blogger.com,1999:blog-1845438054179365482.post-89934142357833248972008-05-19T15:58:00.000-07:002008-05-19T16:02:02.383-07:00<img src="http://4.bp.blogspot.com/_MfETRGbhvZg/SDIGUvNVxgI/AAAAAAAAAHY/ZAkBN2r9N2k/s400/ar_manospies_03.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5202227472905913858" /><br /><br />artritis reumatoide seropositiva<br />muy evolucionada<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-8993414235783324897?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com2tag:blogger.com,1999:blog-1845438054179365482.post-21528109569315253892008-05-18T15:57:00.000-07:002008-05-18T16:07:56.178-07:00<img src="http://4.bp.blogspot.com/_MfETRGbhvZg/SDC0mPNVxfI/AAAAAAAAAHQ/f0w-2H1g-eM/s400/yoyo03.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5201856138623436274" /><br /><br /><a href="http://en.wikipedia.org/wiki/Flushing_(physiology)">sus causas son variadas</a>:<br /><br />carcinoide<br />vipoma<br />tumores secretores de catecolaminas<br />etilismo<br />menopausia<br />farmacos<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-2152810956931525389?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-91050747840022018932008-05-15T15:06:00.000-07:002008-05-15T15:07:50.186-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_MfETRGbhvZg/SCy0C_NVxeI/AAAAAAAAAHI/OuJ7rwHZZwY/s1600-h/bursitis_1010002.JPG"><img src="http://3.bp.blogspot.com/_MfETRGbhvZg/SCy0C_NVxeI/AAAAAAAAAHI/OuJ7rwHZZwY/s400/bursitis_1010002.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5200729633126204898" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-9105074784002201893?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-89991128412994676952008-05-15T15:02:00.000-07:002008-05-15T15:05:35.518-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_MfETRGbhvZg/SCyzdPNVxdI/AAAAAAAAAHA/jPCn34-1N6w/s1600-h/fina_07.JPG"><img src="http://4.bp.blogspot.com/_MfETRGbhvZg/SCyzdPNVxdI/AAAAAAAAAHA/jPCn34-1N6w/s400/fina_07.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5200728984586143186" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-8999112841299467695?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-38262244297273737042008-05-13T16:09:00.000-07:002008-05-13T16:11:21.642-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_MfETRGbhvZg/SCogDPNVxcI/AAAAAAAAAG4/fRKUOx87RYY/s1600-h/angor_flutter_02.JPG"><img src="http://2.bp.blogspot.com/_MfETRGbhvZg/SCogDPNVxcI/AAAAAAAAAG4/fRKUOx87RYY/s400/angor_flutter_02.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5200003959746840002" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-3826224429727373704?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-65437150616871574662008-05-13T02:59:00.001-07:002008-05-13T03:12:11.063-07:00<img src="http://1.bp.blogspot.com/_MfETRGbhvZg/SClm3PNVxYI/AAAAAAAAAGY/O3R8EYDjqTQ/s400/ojival1.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5199800343937271170" /><br /><br /><strong>se ve en casos de:</strong><strong><br /></strong><ol><li><strong>idiopatica</strong><strong><br /></strong></li><li><strong>Turner</strong></li><li><strong>Ehler Danlos</strong></li><li><strong>Cardiopatias congenitas</strong></li><li><strong>X fragil</strong></li></ol><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-6543715061687157466?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com3tag:blogger.com,1999:blog-1845438054179365482.post-79040077195214275782008-05-10T11:08:00.000-07:002008-05-10T11:18:09.845-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_MfETRGbhvZg/SCXm1m_22AI/AAAAAAAAAEQ/HrqSzcRdLig/s1600-h/pitting_psoriasis.JPG"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;" src="http://4.bp.blogspot.com/_MfETRGbhvZg/SCXm1m_22AI/AAAAAAAAAEQ/HrqSzcRdLig/s400/pitting_psoriasis.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5198815153544943618" /></a><br /><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p></p><p><p>artritis interfalangica distal en manosy "pitting ungueal"</p><p>, forma comun de inicio de la artropatia psoriasica</p><p></p><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-7904007719521427578?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-45598680752209277892008-05-08T15:26:00.002-07:002008-05-08T15:39:14.375-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_MfETRGbhvZg/SCN_SPjTzmI/AAAAAAAAADo/pLCefLeQKrM/s1600-h/zoster1.JPG"><img src="http://1.bp.blogspot.com/_MfETRGbhvZg/SCN_SPjTzmI/AAAAAAAAADo/pLCefLeQKrM/s400/zoster1.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5198138346304687714" /></a><br /><br />enfermo de 83 años con <strong><span>GMSI (gammapatia monoclonal de signicado incierto)</span></strong><br />desarrolla durante los ultimos 5 años <a href="http://www.medspain.com/fotodehoy/herpesoftalm.HTML">6 episodios de HZ</a> en distintos territorios metamericos ,<br />sin evolucion de su GMSI de base.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-4559868075220927789?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com4tag:blogger.com,1999:blog-1845438054179365482.post-1432972014434339112008-05-08T15:03:00.001-07:002008-05-08T15:15:46.685-07:00<a href="http://3.bp.blogspot.com/_MfETRGbhvZg/SCN49vjTzjI/AAAAAAAAADQ/Z7MIs0SSHIs/s1600-h/condrocalcinosis_03.JPG"><img id="BLOGGER_PHOTO_ID_5198131397047602738" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; CURSOR: hand" alt="" src="http://3.bp.blogspot.com/_MfETRGbhvZg/SCN49vjTzjI/AAAAAAAAADQ/Z7MIs0SSHIs/s400/condrocalcinosis_03.JPG" border="0" /></a><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br /><br />Enfermo de 53 años que tras ingesta etilica presenta dolor muy intenso<br />e inflamacion de rodilla derecha<br /><br /><a href="http://www.medspain.com/revisiones/urico.HTML">Monoartritis aguda de rodilla derecha<br /></a><br /><a href="http://www.medspain.com/casosclinicos/condrocalcinosis.HTML"><strong><span style="color:#ff0000;">DX: condrocalcionosis</span></strong> </a><br /><br />-calcificaciones de meniscos rodillas<br />-cristales de pirofosfato calcico ,birrefringentes , al microscopio de luz polarizada<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-143297201443433911?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com1tag:blogger.com,1999:blog-1845438054179365482.post-52339941640957633522008-05-08T11:26:00.001-07:002008-05-08T12:28:50.229-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_MfETRGbhvZg/SCNHQ_jTzhI/AAAAAAAAAC4/GIRfkBo4iLU/s1600-h/ekg_cardiopisquemica.JPG"><img src="http://4.bp.blogspot.com/_MfETRGbhvZg/SCNHQ_jTzhI/AAAAAAAAAC4/GIRfkBo4iLU/s400/ekg_cardiopisquemica.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5198076752178695698" /></a><br /><br /><br />Enferma de 80 años<br />__________________________________________<br />DX<a href="http://www.medspain.com/curso_ekg/cursoekg_indice.htm">electrocardiogafico</a> compatible con su historia clinica.<br /><br />1-HTA con HVI concentrica (color rojo, criterios)<br />2-Angor Ts isquemicas en cara izquierda (naranja)<br />3-Fibrilo flutter (verde)<br />4-episodios frecuentes de fallo cardiaco izquierdo<br />__________________________________________<br /><br />santiago casares<br />__________________________________________<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-5233994164095763352?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-87706866529486471052008-05-07T16:09:00.000-07:002008-05-07T16:38:28.183-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_MfETRGbhvZg/SCI4YvjTzdI/AAAAAAAAACY/JiWweSFXpog/s1600-h/riedel_01.JPG"><img src="http://2.bp.blogspot.com/_MfETRGbhvZg/SCI4YvjTzdI/AAAAAAAAACY/JiWweSFXpog/s320/riedel_01.JPG" border="0" alt="" id="BLOGGER_PHOTO_ID_5197778917671554514" /><br /><br /></a><br /><br /><br />Enferma de 30 años , con elevacion discreta de las transaminasas y<br />dolor en flanco derecho de 2 semanas de evolucion.<br />Las GTs se normalizaron en analiticas posteriores de control<br />__________________________________________<br />En la exploracion destacaba hepatomegalia , no dolorosa, de borde liso,<br />y a 3 cms por debajo del reborde costal.<br />__________________________________________<br />La Ecografia y la placa simple de abdomen (KUB) pusieron de<br />manifiesto : Lobulo de Riedel hepatico<br />__________________________________________<br />Una pielografia (a la que pertenece la KUB)<br />mostro Lobulo de Riedel hepatico y doble sistema colector de ambos riñones.<br />__________________________________________<br />El lobulo de Riedel es una variante normal de la anatomia hepatica y que<br />aparece ocasionalmente en mujeres jovenes<br />__________________________________________<br />El doble sistema calicial se relaciona , a veces con ITUs y microlitiasis<br />renal , siendo quizas la causa de su clinica que cedio con espasmoliticos.<br />__________________________________________<br />La enferma esta actualmente asintomatica.<br /><br />La presencia de un hígado o un bazo palpables no siempre indica hepatosplenomegalia, ya<br />que el hígado y el bazo pueden estar desplazados hacia abajo por el diafragma o los órganos<br />torácicos, en caso de acumulación de aire enel tórax (neumotórax, distrés respiratorio), o<br />debido a anomalías ortopédicas tales como caja torácica estrecha (hábito asténico) o pec-<br />tus excavatum.<br />En la exploración hay que asegurarse de que lo que se palpa no corresponde a otras estruc-<br />turas, ya que una masa retroperitoneal, un quiste de colédoco, una vesícula biliar disten-<br />dida o un absceso perihepático pueden confundirse con hepatomegalia. Una variante<br />normal del lóbulo hepático derecho (lóbulode Riedel) puede extenderse muy por debajo<br />del reborde costal derecho y ser confundidocon hepatomegalia; en este caso no existirán<br />datos clínicos ni analíticos de afectación hepática<br /><br /><br /><br /><br />santiago casares<br />___________________________________<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-8770686652948647105?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0tag:blogger.com,1999:blog-1845438054179365482.post-36830438822717136842008-05-06T10:23:00.000-07:002008-05-06T16:15:48.755-07:00<div align="right"><div align="left"><div align="center"><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_MfETRGbhvZg/SCCVU9Y6KmI/AAAAAAAAACI/QVOaQ90GshE/s1600-h/cassatt_summertime.jpg"><img src="http://4.bp.blogspot.com/_MfETRGbhvZg/SCCVU9Y6KmI/AAAAAAAAACI/QVOaQ90GshE/s320/cassatt_summertime.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5197318157294512738" /><br /></a><br /><div align="left">Enferma de 38 años , embarazada 6º mes,en contacto con niño de 1 año portador de varicela<br />en fase contagiosa..La madre no conoce si tuvo o no varicela ni<br />tampoco su estado vacunal<br /><br />¿que actitud debemos tomar?<br /><br />Solicitar un estudio urgente de anticuerpos VHZ ,para ver su situacion inmunitaria<br />Si es negativa para anticuerpos administrar inmunoglobulina antivaricela<br />VARITECT , y posteriormente al partovacunar a la madre.<br /><br /></div><div align="center"><img src="http://3.bp.blogspot.com/_MfETRGbhvZg/SCC_ztY6KnI/AAAAAAAAACQ/WQGDL9IxCSc/s320/virusvaricela.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5197364865063856754" /></div><br />virus Varicela (m. electronico)<br /><br /><div align="left">La Varicela en el embarazo es causa de malformaciones<br />sobre todo en los primeros 4 meses.<br /><br />santiago casares</div></div></div></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1845438054179365482-3683043882271713684?l=casosclinicosenap.blogspot.com' alt='' /></div>schttp://www.blogger.com/profile/15532319694255254793noreply@blogger.com0