Volumen 31 No. 2 (2013)

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Browsing Volumen 31 No. 2 (2013) by Subject "Diagnostico"

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    Cesárea por monitorización cardiotocográfica fetal no satisfactoria
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2013-07) Salazar Torres, Zoila Katherine; Castro, Boris
    This study is attained to establish the sensibility, specificity, positive predictive value, and negative predictive value, of the fetal cardiotocographic monitoring for the diagnosis of acute fetal suffering wich leads to the termination of the gestation with in an emergency cesarean surgery, compared to the APGAR test of the new born as a Gold Standard. The universe of the study consisted in 880 pregnant women to whom a cesarean surgery was made. A 110 new born sample was obtained. 46 of them were diagnosed with acute fetal suffering with Gold Standard test; with an Apgar test < 7 at the first minute, 64 were normal with an Apgar test ≥ 7. This study found that the sensibility of the fetal cardiotocographic monitoring was 21.7% (IC 95% 12.26, 35.57¹).), and the specificity was 84.4% (IC 95% 73.57, 91.29¹). The conclusion was that the fetal cardiotocographic monitoring helps more as a test to value fetal well-being, above everything in high obstetrics risk pregnancies, the test is pretty less sensitive to detect that a fetus is coursing acute fetal suffering.
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    Vasculitis nodular vs. eritema indurado de Bazín, a propósito de un caso
    (Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca, 2013-07) Castillo, Gladys K.; Encalada Orozco, Manuel; Castillo, Gladys C.; Cañarte J., Andrés; Tapia, Carlos F.
    Nodular vasculitis is infrequent in children. We present the case of an 11-year-old girl from the urban area of the canton Pasaje, who presented resistant dermatosis on the posterior right leg, receiving multiple treatments without a specific diagnosis with no health improvement. The chest X-ray was normal and tuberculin test negative. The patient did not have other symptoms; a sample was obtained for a biopsy, finding adipose lobules with extensive necrosis surrounded by granulomas. PAS analyzes: there was no evidence of fungi and Ziehl; acid alcohol resistant bacilli were not found.􀀀􀀀This case highlights the importance of suspecting erythema Induratum Bazin and an extensive research about the existence of active tuberculosis is suggested.