ABSTRACT
Como parte de un proyecto de atención médica primaria llevado a cabo en localidades rurales de la provincia del Chaco (Argentina), se realizó un estudio epidemiológico sobre la HTA (hipertensión arterial). La población analizada incluyó a 473 adultos. Según la clasificación del JNC-VII la prevalencia de HTA fue del 32,3%, prehipertensión arterial del 34,7%, y presión arterial normal del 33%. El sexo no era significativamente distinto en la población general, nientre los subgrupos de hipertensos y no hipertensos. La diabetes fue significativamente mayor entre los hipertensos, y los fumadores eran estadísticamente menos frecuentes en el grupo de HTA. En un subgrupo de paciente con diagnóstico de HTA, el 2,5% tenía criterios de hipertrofiaventricular izquierda en el electrocardiograma; el 14% retinopatía leve, y el 5% moderada en el examen del fondo de ojo (AU)
An epidemiological study on hypertension was carried out as part of a primary medical care program conducted in the rural areas of the Chaco state (Argentina). The population studied included 473 adults. According to the JNC-VII classification criteria, prevalence of hypertension was 32.3%, prehypertension 34.7%, and normal blood pressure 33%. Gender was not statistically different in the general population or between the subgroups of subjects with hypertension or normal blood pressure. Diabetes was significantly greater among the hypertensive group and smokers were statistically less frequent in the arterial hypertensive group. In the subgroup of patients with a diagnosis of hypertension, 2.5% had criteria for left ventricular hypertrophy (LVH) on the electrocardiogram whereas the eye fundus examination showed that14% had mild retinopathy and 5% had moderate retinopathy (AU)
Subject(s)
Humans , Hypertension/epidemiology , Hypertrophy, Left Ventricular/epidemiology , Argentina/epidemiology , Rural Population/statistics & numerical data , Smoking/epidemiology , Hypertensive Retinopathy/epidemiologyABSTRACT
A 37-year-old man with hypertransaminasaemia, astenia, anorexia and weight loss is presented. After a search for the usual causes of hypertransaminasaemia, without a positive result, finally Addison's disease was diagnosed. This is an association that is very rarely published.
Subject(s)
Addison Disease/blood , Addison Disease/diagnosis , Transaminases/blood , Adult , Humans , Liver Function Tests , MaleABSTRACT
We present a case of acute abdomen due to a jejunal perforation. The final diagnosis was concluded a multiple endocrine neoplasia type I. In the literature reviewed, no similar clinical presentation was found. We review the diagnostic sequence and the management of these patients.
Subject(s)
Abdomen, Acute/etiology , Adenoma/diagnosis , Gastrinoma/diagnosis , Intestinal Perforation/etiology , Jejunal Diseases/etiology , Multiple Endocrine Neoplasia Type 1/diagnosis , Pancreatic Neoplasms/diagnosis , Parathyroid Neoplasms/diagnosis , Pituitary Neoplasms/diagnosis , Adenoma/complications , Adult , Gastrinoma/complications , Humans , Intestinal Perforation/surgery , Jejunal Diseases/surgery , Magnetic Resonance Imaging , Male , Multiple Endocrine Neoplasia Type 1/complications , Pancreatic Neoplasms/complications , Parathyroid Neoplasms/complications , Pituitary Neoplasms/complications , Tomography, X-Ray ComputedABSTRACT
Jejunal diverticulosis is an unusual finding. We present the case of 70-year-old man with bacterial overgrowth secondary to multiple diverticula of the small intestine. The diagnosis was based on clinical events, x-ray films and mainly on the optimal answer to antibiotic treatment.
Subject(s)
Bacterial Infections/etiology , Diverticulum/complications , Duodenal Diseases/complications , Jejunal Diseases/complications , Aged , Bacterial Infections/diagnosis , Diverticulum/diagnosis , Duodenal Diseases/diagnosis , Humans , Jejunal Diseases/diagnosis , Malabsorption Syndromes/diagnosis , Malabsorption Syndromes/etiology , MaleSubject(s)
Blood Coagulation Disorders/etiology , Liver Transplantation/methods , Mushroom Poisoning/therapy , Amanita , Blood Coagulation Disorders/therapy , Chemical and Drug Induced Liver Injury/etiology , Chemical and Drug Induced Liver Injury/surgery , Female , Humans , Middle Aged , Renal DialysisABSTRACT
Primary pancreatic hydatidosis is exceptional. Only 12 cases have been reported in Spain up to 1982. In large series of patients with hydatidosis, pancreatic involvement occurs in 0.25% of cases. We describe a 55-yr-old man who was admitted to the hospital because of fever, epigastric pain, and abdominal mass. Endoscopy, upper gastrointestinal series, and computerized tomography revealed a fistula between the duodenum and the pancreatic tumor. At surgical exploration, a primary infected hydatid cyst in the head of the pancreas communicating with the duodenum was encountered. The cyst was removed and drained. We have been unable to find in the literature a review of this form of presentation of pancreatic hydatidosis.
Subject(s)
Duodenal Diseases/etiology , Echinococcosis/complications , Intestinal Fistula/etiology , Pancreatic Diseases/complications , Pancreatic Fistula/etiology , Humans , Male , Middle AgedSubject(s)
Tuberculosis/epidemiology , Adolescent , Adult , Age Factors , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Tuberculosis/mortality , UruguayABSTRACT
El objetivo es hacer un breve compendio de las metodologias usadas para la pesquisa de casos en tuberculosis, dentro de un programa de control de la endemia y cuales de ellas se aplican en diferentes estados epidemiologicos. Los resultados de los diferentes metodos son observados para nuestro Pais, segun estudios realizados por abreugrafia de masas en forma indiscriminada, abreugrafia sobre grupos considerados de mayor riesgo, bacteriologia sobre grupos seleccionados. Se concluye que es lo aconsejable aplicar segun las regiones; y, especificamente, que es lo indicado para paises de baja prevalencia, entre los que se incluye el nuestro
