Revista médica de Panamá
-
Osler-Weber-Rendu disease, also known as hereditary hemorrhagic telangiectasia is an arteriovenous malformation of different organs and systems, due to fibrovascular displasia. The knowledge of its molecular genetic basis has developed in the last few years. Generally, these patients are evaluated each time they have hemorrhagic manifestations as isolated events, rather than integrating these events into a single disorder. This is the case of a patient who had several skin and visceral manifestations years before the diagnosis was made.
-
Revista médica de Panamá · Jan 1997
Comparative Study[Factors involved in the survival and mortality of intensive care patients in Panama].
Biotechnology has been important for the management of the critical ill patients. Today the treatment is expensive and even more with complications, this work has the purpose to find out about mortality and survival and the associated factors that could promote alterations in the outcome. ⋯ We concluded that there is a high mortality related to the septic syndrome. Prevention to avoid the septic syndrome, is the best way to lower the high cost in the intensive care units.
-
Partial nephrectomy combined with chemotherapy has been the most effective treatment in bilateral Wilms tumors. We present two cases. The bilateral synchronous tumor are present in 4.2% and the metachronous tumor in 1.6%, in the world statistics. The synchronous bilateral Wilms tumor, Stage V, have an excellent prognosis: over 87% survival, compared to 40% of the metachronous bilateral Wilms tumors.
-
Revista médica de Panamá · Jan 1996
[Cause of mortality in the surgery intensive care unit at the Social Security Branch of Panamá].
The authors analyzed the mortality of patients admitted to the Surgical Intensive Care Unit of the Social Security Metropolitan Hospital Complex (SSMHC) in the city of Panama, from January to July 31, 1994. They determined that most of patients were males under 65 years of age and that the main cause of death was multiple trauma with shock. There was also a strong correlation between the syndrome of multiple organ failure, sepsis and death. The 17% mortality indicates an acceptable, good management of the patients admitted to the Surgical Intensive Care Unit of the SSMHC.
-
Revista médica de Panamá · May 1993
[Acute leukemias at the Complejo Hospitalario Metropolitano Dr. Arnulfo Arias M. from 1982 to 1990].
The authors studied 60 records of patients from the Social Security Metropolitan Hospital Complex Arnulfo Arias Madrid in whom the final diagnosis was acute lymphoblastic or myeloblastic leukemia. The age, and sex, distribution and the place of origin of the patients, the signs, and symptoms and type of leukemia were determined. The authors discuss the treatment recommended to induce a remission and for prophylaxis of the central nervous system. They study the morbidity and the results of therapy.