Revista médica de Chile
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Revista médica de Chile · Feb 2007
[Predictive value of history and physical examination for the diagnosis of community-acquired pneumonia in adults].
Community-acquired pneumonia in adults is a serious health problem in the ambulatory care setting. ⋯ Clinical judgment prior to observation of chest X rays had moderate sensitivity and specificity for the diagnosis of pneumonia. There were no individual clinical findings, or combination of findings, that could confirm or exclude the diagnosis of pneumonia for a patient suspected of having this illness.
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Revista médica de Chile · Feb 2007
[Detection and typification of human papilloma virus in pre cancerous cervical lesions].
The association of different genotypes of human papilloma virus (HPV) with cervical cancer is well known. However, there is little information about their association with pre-cancerous lesions. ⋯ There is a high rate of infection with HPV with a high oncogenic risk among these women.
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Revista médica de Chile · Dec 2006
[Intensified insulin therapy plus antineuritic medication is more effective than antineuritics alone in painful diabetic neuropathy].
The basis of the treatment of painful diabetic neuropathy is the use of drugs that block the transmission of pain (antineuritics) and a good metabolic control of underlying disease. ⋯ The addition of intensified insulin therapy to the symptomatic treatment of painful neuropathy in type-2 diabetics, significantly enhanced the reduction of pain. The lowering of glycosilated hemoglobin was a significant predictor of success in pain reduction.
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Many patients with irritable bowel syndrome (IBS) have lowered sensory thresholds to rectal distention when compared to control subjects, a phenomenon called visceral hypersensitivity. ⋯ Our results do not support the usefulness of the electronic rectal barostat as a diagnostic method to diagnose IBS.
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Revista médica de Chile · Dec 2006
Case Reports[Panic attacks in a patient treated with isotretinoin for acne. Report of one case].
The use of isotretinoin as a treatment for acne is related to psychiatric syndromes such as psychosis and depression. On the other hand, several drugs have been identified as causing panic attacks. A relationship between dermatologic and psychiatric disease has also been established. We report a 20 year-old male who started to suffer panic attacks after using isotretinoin for acne.