Browsing by Author "Ayala Yunga, Jonathan Alfredo"

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Determinación de factores de riesgo para apendicitis aguda complicada en el Hospital Vicente Corral Moscoso. 2018
(Universidad de Cuenca, 2020-02-27) Ayala Yunga, Jonathan Alfredo; Sarmiento Altamirano, Doris Adriana
Background: complicated acute appendicitis (CAA) is defined as a stage of infection that may suffer a delay in the presentation, diagnosis or treatment of the pathology, the resolution of the picture is like a common procedure and basic knowledge in the area of General Surgery. Objective: to determine the risk factors for complicated acute appendicitis in the Vicente Corral Moscoso hospital during the period January to December 2018. Material and methods: A cross-sectional study was carried out to identify the prevalence of CAA and risk factors. The variables analyzed were: age, sex, time of evolution, ethnic identification, self-medication, comorbidities, family history, fever, leukocytosis. Data were collected using a form and were tabulated with the SPSS v 22. program. Qualitative variables will be analyzed with frequency and percentage and quantitative variables with average, standard deviation, minimum and maximum values; The factors associated with the CAA are analyzed with OR, 95% CI, Chi2 and binary logistic regression. Results: 280 records of patients who met the inclusion criteria were analyzed, the majority were women (51.8%), the mean age was 32.46 years SD ± 13.74. Among the factors associated with CAA with statistical significance are: self-medication (OR 6.85; 95% CI 2.82-16.63. P <0.05), thermal increase (OR 21.24; 95% CI 6.26 -72.02. P <0.05) and evolution time greater than 24 hours (OR 330.55; 95% CI 44.43-2458.76. P <0.05). Conclusions: the prevalence of complicated acute appendicitis is high in our environment and is associated with factors such as the time of evolution greater than 24 hours, self-medication and thermal rise
Hallazgos tomográficos en pacientes con traumatismo craneoencefálico. Departamento de Imagenología. Hospital Vicente Corral Moscoso. Cuenca. Julio-diciembre, 2012.
(2013) Avilés Chamaidan, Cristian Xavier; Ayala Yunga, Jonathan Alfredo; Bermeo Cornejo, Juan Carlos; Reinoso Naranjo, Jeovanni Homero; Flores Durán, Carlos Teodoro
Objective. To determine the CT findings in patients with head injury. Methods. Descriptive study - retrospective study in which we worked with all tomographic reports of patients diagnosed with head trauma. Imaging Department, Hospital "Vicente Corral Moscoso" Basin City, during the period July to December 2012. Results. From reports the tomographic by sex (66.3%) were men, and women one (33.8%). The most common age group of patients who undergo a CT conducting plain skull is between 50 - 59 years old (41.50%), followed by (23.5%) between the ages of 40 -49 years. of (34.8%) were diagnosed with reports cerebral edema. (14.8%) with epidural hematomas. Subarachnoid hemorrhage is represented by a (10.8%). The most common site of injury was at the level of various locations (38.8%), followed by a (21.4%) in the frontal region. The (16.7%) and represents the open fractures (83.3%) of closed fractures. tomographic most common feature was blade with one (33%), and one (59%) mixed. There is little information on the characteristics of tomographic brain images present in head injury which does not allow a comparison of densities specific information provided is general. Conclusions. It is considered important to encourage student health areas deep analysis of imaging studies, particularly CT scan as it is today and complementary method for early diagnosis of the lesion
Manejo quirúrgico del secuestro pulmonar complicado. Informe de un caso.
(2019) Ayala Yunga, Jonathan Alfredo; Quizhpi Lazo, Julia Marcela; Crespo Guillen, Mauro Rogelio; Salamea Molina, Juan Carlos; Endis Miranda, Miurkis
Introduction: pulmonary sequestration is a rare disease in adulthood; its highest incidence is in early stages of life. It is accompanied by repeated or severe chronic lung infections, and may be associated with congenital malformations. The diagnosis is based on the detection of anomalous irrigation through a vessel of the systemic circulation.This case allows us to propose a differential diagnosis in patients of adulthood, even when it is pathology with higher incidence in children and young people, and guide the management according to this diagnostic possibility.Clinical case: female patient, 19 years old, with a history of asthma and respiratory infections after a month of evolution. The patient was admitted with respiratory distress, fever and productive cough.A tomography and chest X-ray are performed; that show images compatible with collection in the left pulmonary field and pleural effusion. BAAR is performed in sputum with a negative result for tuberculosis.Posterolateral left thoracotomy is performed, left lower lobe resection, and pleural drain is placed. Pulmonary abscess is identified in the left lower lobe, and findings of anatomical pulmonary sequestration. Patient presents positive evolution; The clinical and radiographic control in the immediate and intermediate postoperative period was satisfactory.Conclusion: we present the case of adulthood, where an adequate diagnosis and multidisciplinary management allows a satisfactory evolution of the patient.