Enfrentamiento terapéutico del paciente adulto hipertenso en Atención Primaria de Salud: una propuesta a considerar / Therapeutic coping of hypertensive adult patients in Primary Health Care: a proposal to consider

Arterial Hypertension (HT) is one of the most widely spread chronic diseases in the world, with a suspicion in the Chilean population of 27.6%, according to the results of the 2017 National Health Survey. Reponsible for high morbidity and mortality, being, in Chile, the main risk factor related to years of life lost due to disability and premature death (DALYs). This fact has motivaded a constant publication of clinical practices guidelines and recomendations from many scientific societies in whole wide world. Hypertension represents a significant proportion of medical consultations for the primary care doctors. In fact, may be a huge challenge to get acceptable percentages of compensation in blood pressure, and mainly, to reduce morbidity and mortality in their patients. Because of this, we propose a set of questions and answers to guide the management of hypertension un primary care, based on the recommendation of the main guidelines of clinical practice.

Neutropenia febril asociada a LES: reporte de un caso clínico / Systemic lupus erythematosus-associated febrile neutropenia: a case report

Introducción: Fiebre de Origen Desconocido (FOD) es una entidad clínica poco prevalente y amplio es el repertorio patologías conocidas como causales. Caso clínico. Se describe el caso de una mujer de 43 años, hipertensión arterial y "sífilis" tratada en 1994. Dos meses con Síndrome Febril Prolongado, baja de peso, poliartritis y compromiso del estado general progresivo, vómitos y diarrea. Destacaba en el examen físico temperatura axilar de 39°C, candidiasis oral, evidentemente enflaquecida y sensibilidad difusa del abdomen sin signos de alarma. Estudio revelo neutropenia febril y parámetros inmunológicos alterados, compatibles con Lupus Eritematoso Sistémico. Discusión.