Revista médica de Chile
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Revista médica de Chile · Jun 2020
[Patients with sudden cardiac death receiving an implantable cardiac device: survival at 30 days and one year].
The use of implantable cardiac devices in patients with sudden cardiac arrest has contributed to their survival. ⋯ Survival at 30 days and one year, was high in patients with sudden death or cardiac arrest who required intracardiac devices.
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Revista médica de Chile · Jun 2020
[Features of pulmonary hydatidosis in 368 patients admitted to a regional hospital].
Lungs are the second location in frequency of hydatidosis or cystic echinococcosis. ⋯ In these patients, pulmonary hydatidosis was diagnosed mainly during working ages and half of patients had a complicated cyst.
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Revista médica de Chile · Jun 2020
Adherence to levothyroxine prescription in patients with hypothyroidism.
Hypothyroidism occurs in 1-2% of the general population, is associated with significant morbidity and requires continuous treatment with levothyroxine. ⋯ In a large proportion of these patients, TSH levels were controlled, and most patients were adherent to levothyroxine therapy.
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Revista médica de Chile · Jun 2020
[Structured clinical examinations with simulated patients during internal medicine clerkship].
Practice is essential in clinical training and can be carried out with simulations. The medical school of the University of Chile performs Objective Structured Clinical Examinations (OSCE) using standardized simulated patients for interns. ⋯ OSCE's continuously assess competences during internal medicine clerkship in an environment with a high number of students.
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Revista médica de Chile · Jun 2020
Case Reports[Stress induced ketoacidosis in spinal muscular atrophy. Report of one case].
Spinal muscular atrophy is an uncommon cause of ketoacidosis, where there is a decrease in muscle mass, an abnormal metabolism of glucose and fatty acids, and changes in neuroendocrine function. These conditions favor the accumulation of keto acids and the development of metabolic acidosis. We report a 26-year-old female, with a history of spinal muscular atrophy type III, consulting for abdominal pain and vomiting lasting one week. ⋯ She had a pH of 6.98, HCO3- of 3.8 mmol/L, pCO2 of 16.4 mmHg, BE of -26 mmol/L, delta ratio of 1.05, anion gap of 31 mEq/L, creatinine of 0.37 mg/dL, sodium of 147 mEq/L, potassium of 3.7 mEq/L, chloride of 112 mEq/L, lactate of 1.2 mmol/L, glucose of 108 mg/dL, albumin of 4.2 g/dL, ketonemia +++, ketonuria +, measured plasma osmolality of 322 mOsm/kg, estimated osmolality of 314 mOsm/kg, toxilab negative, salicylate levels < 3 µg/mL, acetaminophen levels < 1.2 µg/mL. Intravenous hydration and bicarbonate were started, without satisfactory response. Interpreting the clinical picture as a ketoacidosis induced by stress in a patient with spinal muscular atrophy, it was handled with glucose, amino acids, vitamins and trace elements, with a favorable response.