Doença inflamatória pélvica e endometrite / Inflammatory pelvic disease and endometritis

A doença inflamatória pélvica (DIP) representa uma das principais causas de internação hospitalar por dor abdominal em mulheres. Trata-se de uma infecção polimicrobiana do trato genital superior por doenças sexualmente transmissíveis (DST) que frequentemente leva mulheres a infertilidade.

The pelvic inflammatory disease represents one of the main reasons for abdominal pain-related hospital admissions amongst women. It consists of a multibacterial infection of the upper genital tract by sexually transmitted diseases (STD), which frequently leads women into infertility.

Urgências em ortopedia / Urgencies in orthopedics

As urgências ortopédicas são recorrentes mesmo nos centros básicos de atenção à saúde. Mesmo que algumas lesões não ofereçam risco imediato à vida do paciente, o tratamento inicial adequado das urgências ortopédicas é vital para afastar o risco de possíveis sequelas, como infecção do ferimento, osteomielite, gangrena, tétano, deformidades, entre outros.

Orthopedic emergencies are recurrent even in the basic health care centers. Even if most injuries offer no immediate life-threatening risk to the patient, the appropriate initial treatment of orthopedic emergencies is vital to avoid the risk of possible sequelae, such as wound infection, osteomyelitis, gangrene, tetanus, deformities, among others.

Cardioembolic sources in stroke patients in South of Brazil.

Background. Stroke is a leading cause of mortality and disability in Brazil and around the world. Cardioembolism is responsible for nearly 30% of the origins of ischemic stroke. Methods. We analyzed data of 256 patients with cardioembolic ischemic stroke (according to TOAST classification) who were admitted into the Hospital São Lucas-PUCRS from October 2011 to January 2014. The cardioembolic subtype was divided into six subgroups: arrhythmias, valvular heart disease, coronary artery disease, cardiomyopathy, septal abnormalities, and intracardiac injuries. The prevalence of the most important cardiovascular risk factors and medications in use for prevention of systemic embolism by the time of hospital admission was analyzed in each patient. Results. Among 256 patients aged 60.2 +/- 6.9 years, 132 males, arrhythmias were the most common cause of cardioembolism corresponding to 50.7%, followed by valvular heart disease (17.5%) and coronary artery disease (16%). Hypertension (61.7%) and dyslipidemia (43.7%) were the most common risk factors. Less than 50% of patients with arrhythmias were using oral anticoagulants. Conclusions. Identifying the prevalence of cardioembolic stroke sources subgroups has become an increasingly important role since the introduction of new oral anticoagulants. In this study, arrhythmias (especially atrial fibrillation) were the main cause of cardioembolism.