Browsing by Author "Espinoza Saquicela, Edison Ricardo"

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Pulsioximetría basal y post ejercicio en estudiantes de primero a quinto año de la Universidad de Cuenca, Escuela de Medicina, 2006
(2007) Espinoza Saquicela, Edison Ricardo; Encalada Palacios, Juan Fernando; Andino Vélez, José Gerardo; Mosquera Vallejo, Lorena Elizabeth
Quantitative study, descriptive students in first through fifth year of medical school at the University of Cuenca, 2006 period, on the sample 107 students chosen. Aims to determine the values pulsioximétricos basal and post exercise 2535 meters high in relation to the sea, used as variables: age, sex, origin, habits, exercise, pulse and hemoglobin saturation, Data collected in the study Through surveys they were tabulated through the EPI INFO and EXCEL programs. Results: There are significant differences in hemoglobin saturation related to the members of the study sample when subjected to intense physical exercise; consequently the process of adaptation to the altitude (2450 meters above sea level) takes into account as important variables used. Conclusions reaffirms what is clear that many civilizations located in extreme geographical conditions have anatomical and physiological exceptional weapons that make the human being a reality and not just a passing planet earth
Tratamiento laparoscópico de incidentaloma suprarrenal derecho. Informe de caso
(Universidad de Cuenca, 2018-06) Serrano Olmedo, Stefanía del Cisne; Espinoza Saquicela, Edison Ricardo; Idrovo Hugo, Moisés
The adrenal incidentalomas are silent adrenal masses. Its prevalence is 1 - 2% in occasional abdominal TC scans. A directly proportional increase in relation to the age is evident. Approximately 80% are nonfunctioning adenomas, in a lower percentage, they produce subclinical Cushing's syndrome, Pheochromocytoma, and Aldosterone among others and this is closely related to the clinical manifestations presented by the patient. In a tomographic study, suggestive data of malignancy can be evidenced such as: a diameter greater than 4cm, higher density 10HU, and high degree of heterogeneity, calcifications, jagged edges and areas of necrosis. It is important to differentiate between a benign or malignant lesion, hormonally functioning or not, since this depends on the medical action. Patient Information: Female, 29 years old, with no personal pathological history, presented with right hypochondrium pain, nausea, vomiting, chills, generalized pallor, visceromegaly at the right hypochondrium level, laboratory tests, and tumor markers: negative, negative catecholamines, Cortisol negative; Contrast Abdominal-Pelvic TC: hypodense mass with 11.5 x 9.5 cm, regular borders, liquid density, peripheral calcification. A presumptive diagnosis of a tumor dependent on the right adrenal gland versus hepatic tumor is established. Treatment: A diagnostic laparoscopy is performed, showing a giant right adrenal gland tumor of 15 cm in diameter, adhered to the lower face of the liver, completely freed, completely dry, and removed through a laparoscopic umbilical port without complications. Favorable postoperative evolution, medical discharge at 24 hours, stable and asymptomatic. Anatomopathological diagnosis : Adrenal cortical adenoma with hemorrhagic cystic degeneration Conclusions: Adrenal incidentaloma is a pathology of low prevalence, variable clinical and insidious presentation. The importance of its diagnosis lies in the possibility of differentiating between a benign lesion and a malignant and determining its hormonal potential on the host. The laparoscopic treatment has limited indications, but it is an effective and safe strategy.