ABSTRACT
OBJETIVO: La interconsulta médica es una labor asistencial generalmente poco valorada y estudiada. El principal objetivo ha sido describir y analizar las interconsultas solicitadas a Dermatología y los aspectos que inciden en su resolución. PACIENTES Y MÉTODOS: Estudio observacional retrospectivo en el que se recogieron las interconsultas de los pacientes ingresados durante 36 meses. Se analizaron variables con relación al manejo de los pacientes y a la calidad asistencial. RESULTADOS: Se incluyó a 750 pacientes, con una edad media de 64,85 ± 20,23 años. Los servicios médicos fueron los más solicitantes y, principalmente, Medicina Interna (37,9%). Destacaron las dermatosis inflamatorias (36,2%). El diagnóstico individual más frecuente correspondió al exantema medicamentoso (8,1%). CONCLUSIONES: La actividad consultora conlleva un importante impacto en el manejo de los pacientes ingresados, implica una mejora en la calidad asistencial y una reducción del coste sanitario, y conforma un valor formativo para los médicos residentes
OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians
Subject(s)
Humans , Hospitalization/statistics & numerical data , Skin Diseases/epidemiology , Patient Care Team/organization & administration , Referral and Consultation/statistics & numerical data , Retrospective Studies , Interdisciplinary Communication , Tertiary Healthcare/organization & administrationABSTRACT
El ectropión o eversión del párpado, es la malposición palpebral más frecuente. Al alterar la función protectora palpebral puede causar epífora, lagoftalmos, queratinización, irritación crónica, dolor o ulceración. Se distinguen 5 tipos de ectropión en función de su mecanismo causal: congénito, paralítico, involutivo, cicatricial y mecánico. Lo más habitual en dermatología, es la presencia de ectropión de tipo mixto, con elementos involutivos y mecánico-traccionales. Existen varias técnicas reparadoras de ectropión cuya indicación dependerá del componente patogénico principal. Revisamos la anatomía básica palpebral y exponemos la técnica exploratoria que nos permitirá analizar el riesgo de ectropión para prevenir su aparición o determinar la patogenia del ectropión ya establecido para definir la técnica reparadora más apropiada
Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Ectropion/prevention & control , Ectropion/surgery , Plastic Surgery Procedures/methods , Ophthalmologic Surgical Procedures/methods , Eyelids/surgeryABSTRACT
Ectropion, or eyelid eversion, is the most common form of eyelid malposition. By impairing the eyelid's protective function, ectropion can cause epiphora, lagophthalmos, keratinization, chronic irritation, pain, and ulceration. There are 5 types of ectropion, each with a different cause: congenital, paralytic, involutional, cicatricial, and mechanical. The most common presentation in dermatology is involutional eversion with a mechanical or tractional element. Several options exist for the surgical repair of ectropion and choice of technique will depend on the main pathogenic component. We review the basic anatomy of the eyelid and describe examination techniques for assessing risk and preventing ectropion and for identifying the main pathogenic component in order to select the most suitable repair technique.
Subject(s)
Ectropion , Lacrimal Apparatus Diseases , Skin Neoplasms , Dermatologic Surgical Procedures , Ectropion/etiology , Eyelids/surgery , HumansABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Adjuvants, Immunologic/adverse effects , Autoimmune Diseases/chemically induced , Inflammation/chemically induced , Prosthesis Implantation/adverse effects , Silicones/adverse effects , Exanthema/chemically induced , Autoimmune Diseases/drug therapy , Inflammation/drug therapy , Syndrome , Exanthema/drug therapy , BiopsyABSTRACT
OBJECTIVE: Medical consultations are a healthcare task that is generally undervalued and understudied. The main objective of this study was to describe and analyse the consultations requested of dermatology departments and the aspects that are involve in resolving the consultations. PATIENTS AND METHODS: We conducted an observational retrospective study that collected the consultations for patients hospitalised over a period of 36 months. We analysed variables related to the management of patients and the quality of the care. RESULTS: The study included 750 patients with a mean age of 64.85 (±20.23) years. The medical departments requested the most consultations, mainly internal medicine departments (37.9%). The most common topic for the consultations was inflammatory dermatoses (36.2%). The most common individual diagnosis was drug rash (8.1%). CONCLUSIONS: Consultation activities have a significant impact on the management of hospitalised patients, resulting in improved quality of care and reduced healthcare costs. These activities are also of training value for resident physicians.
ABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Occipital Bone/pathology , Head and Neck Neoplasms/diagnosis , Hyperplasia/diagnosis , Hyperplasia/pathology , Epidermal Cyst/pathology , Scalp/pathology , Head/pathologySubject(s)
Epidermal Cyst/pathology , Scalp Dermatoses/pathology , Aged, 80 and over , Female , Humans , Time FactorsABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Nose Neoplasms/surgery , Rhinoplasty/methods , Plastic Surgery Procedures/methods , Surgical Flaps , Cartilage/transplantation , Suture TechniquesABSTRACT
No disponible
