Medicina y Cirugía

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Diez emergencias más comunes del fin de semana en el Hospital Vicente Corral Moscoso durante el año 2009
(2011) Córdova Loja, Gabriela Fernanda; Córdova López, Mónica Fabiola; Cuenca Quito, Mayra Alexandra; Piedra Abril, Luis Iván; Flores Durán, Carlos Teodoro
Antecedents The weekends are days in which the entrance of patients by the emergency area increases by traffic accidents, change in their habitual diets and excess of alcohol. Objectives.- To determine the 10 more common emergencies happened in the weekend (Friday, Saturday, Sunday). We established its frequency and we characterized according to the age, sex, state to the discharge, date of entrance to the hospital and origin. Methods.-Descriptive study, total universe of 207 income at hospital, for the data collection we used a form, entered the data to Excel program, it was made tables and graphs with the variables to be analyzed. Results.- The 10 main emergencies are: Acute abdomen 26 income (12.6%); Head injury 25 income (12.1%); Poisoning by organic phosphorus 19 income (9.2%); Gastrointestinal bleeding 12 income (5.8%); Acute Pancreatitis 11 patients (5.3%); Gastroenteritis, Community-acquired pneumonia and Polytrauma 9 patients each one (4.3%); Unbalanced diabetes mellitus 8 patients (3.9%); Acute Cholecystitis and Epilepsy 7 income each one (3.4%). The age in greater risk is between 15 to 34 years old. The origin of the patient in their majority is Cuenca. Conclusions.- The emergencies in this investigation correspond to problems caused by the diet, consumption of alcohol, traffic accidents and suicide. The emergency area must be supplied; personal enabled in these cases to diminish mortality, the dwell time in the hospital and will improve the attention offered to the community.
Embarazo y abdomen agudo en el Hospital José Carrasco Arteaga del IESS en el año 2016 –2017.
(2018) Aguilar Jaramillo, Diego Vinicio; Tenesaca Tenesaca, Pedro Alonso; Ñauta Baculima, Manuel Jaime
BACKGROUND: Acute abdomen refers to the critical situation experienced by a person with severe abdominal symptoms, requiring immediate medical and / or surgical treatment. OBJECTIVE: To determine the frequency of acute abdomen and its characteristics in pregnant women who attended the Hospital José Carrasco Arteaga of the Ecuadorian Social Security Institute (IESS), during the year 2016 - 2017. METHODOLOGY: A descriptive study was conducted, with 899 medical records of pregnant patients with acute abdomen who attended the José Carrasco Arteaga Hospital of the IESS, in the period from January 2016 to December 2017. The data was collected from the clinical histories of pregnant women and they were analyzed with SPSS version 19.0. The mean and standard deviation were calculated for the quantitative variables, for the categorized qualitative variables frequencies and percentages were used. RESULTS: The mean age was 29.59 years and standard deviation of ± 6.3. The main cause of acute abdomen was related to complications of pregnancy, such as cholelithiasis, appendicitis, ovarian cysts, among others. The main symptom was abdominal pain, followed by hemorrhage. Imaging was the most used diagnostic method and observation and rest only linked to drugs was the main treatment. The evolution of pregnancy after presenting the pathology depends on the week in which it occurs. CONCLUSIONS: Less than a fifth of pregnant women presented with acute non-obstetric causes.
Estudio descriptivo el abdomen agudo en el Hospital Regional y docente Vicente Corral Moscoso de Cuenca Junio 1979 Julio 1981
(1982) Jaya Q., Angel; Ochoa M., Mireya; Ormaza, César; Paredes, Mariana; Astudillo Molina, Rubén Arturo
Hallazgos quirúrgicos en el abdomen agudo del adulto
(1969) Palacios Serrano, Oswaldo; Ospina R., Rosemberg; López Arenas, Jorge
Hallazgos quirúrgicos en el abdomen agudo infantil
(1968) Colorado, Klinton; López Arenas, Jorge
Laparoscopía como método de diagnóstico en abdomen agudo Hospital Vicente Corral Moscoso y Hospital Latinoamericano. Cuenca 1999 - 2000
(2000) Ojeda Orellana, Marco Ribelino; Palacios Vintimilla, Diego Patricio; Pavón Romero, Jaime Leonidas; Astudillo Molina, Rubén Arturo; García Alvear, Jorge Luis
Necrosis intestinal en el abdomen agudo
(1982) Andrade M., Hugo; Iglesias S., Fernando; Malla C., Celso; Figueroa Morales, Francisco Efraín
Radiología del adomen agudo
(1962) Rodas Andrade, Edgar; Carvallo Valdiviezo, Honorato
Uso de analgesia durante el proceso de diagnóstico del dolor abdominal agudo y/o abdomen agudo por los cirujanos generales de la zona de planificación 6, Cuenca-Ecuador, 2014
(2014) Cárdenas Arias, Geovanna Vanessa; Serrano Béjar, Leonardo Alfredo; Roldán Fernández, José Vicente; Mosquera Vallejo, Lorena Elizabeth
Introduction Knowledge of avoiding the use of analgesia during the diagnostic process in acute abdominal pain are rooted in older publications, however current evidence says it is safe and appropriate to control pain and may even improve the diagnostic accuracy. Objective To identify the use and characteristics of analgesia during the diagnostic process of acute abdominal pain by surgeons of the area 6. Methodology A quantitative descriptive study was conducted, having as universe all physicians who worked as General Surgeons in the area 6. We used a validated questionnaire, adapted from previously published works. Data collection was performed between March and April 2014 through an online survey using Google Drive© software. For tabulation and analysis of data, IBM-SPSS 18 software was used. Frequency distribution, percentages and measures of central tendency were used to examine the association of the independent and dependent variables. Chi Square and Fisher Exact Test were used to assess the level of statistical significance. Results A return of 73,68 % was obtained. 54,8 % of the surgeons use analgesia and 73,8 % have read current evidence related to the topic. The most commonly used analgesics are NSAIDs and opioids with 39,1 % each. The most important finding of our study is the statistically significant relationship found between those surgeons who read current evidence on the use of analgesia in acute abdominal pain and the decision to use it (p = 0.043). Conclusions The results showed us that although most surgeons use analgesia and know the current scientific evidence, they don’t use opioids as their first option.
"Validez de la ecografía como método de diagnóstico imagenológico frente al diagnóstico quirúrgico de abdomen agudo en pacientes atendidos en el Hospital Vicente Corral Moscoso durante el año 2009"
(2011) Rodríguez Contreras, María Verónica; Coronel Montero, Jorge Sebastián; Astudillo Molina, Rubén Arturo
Objective: To determine the characteristics of Actinic Keratosis and Solar Lentigo. Methods and materials: A descriptive and quantitative, retrospective and transversal study. Interviews and a physical examination in which skin was evaluated observing and identifying dermatology injuries were carried out. Before performing the interview, participants attended a speech about Skin Care. Results: It was observed that a 99,1% of the participants presented Solar Lentigo from which 33.1% also presented Actinic Keratosis. The most dominant factors were: Former occupation performed under ultraviolet exposure in 58,94%; the time of exposure to UV radiation was of two hours with a 38,08%; the time of the day for sun exposure for more than one hour was from 11 a.m to 3: p.m. in a 39,74%; 22.92% looked for shadow as the main protection and 27,81% used sunscreen everyday. The prevailing skin phototype in all of the participants was phototype III with a 48.01%; participants who suffer keratosis have phototype I and II and they represent 33.82% for both cases. The most common body location for the participants with solar lentigo were the hands with 26, 25%; for the ones with actinic keratosis it was the cheekbones with 24.58%. From the people with actinic keratosis a 33,82 % are between 70 and 74 years old. Conclusions From the 302 participants of the research, 99,1% presents Solar Lentigo and 33,1% has also Actinic Keratosis.

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Browsing Medicina y Cirugía by Subject "Abdomen Agudo"