ABSTRACT
Se presenta el caso clínico de una paciente de 25 años portadora de una cirrosis hepática de etiología alcohólica, que ingresa a nuestro servicio cursando un embarazo de 18 semanas. Se resuelve mediante operación cesárea a las 30 semanas obteniéndose un producto vivo. Se comenta lo infrecuente de la asociación de ambos cuadros y se revisa la literatura respecto al manejo
Subject(s)
Humans , Female , Pregnancy , Adult , Liver Cirrhosis, Alcoholic/complications , Pregnancy Complications/therapy , Alcoholism/complications , Anemia, Iron-Deficiency/drug therapy , Cesarean Section , Jaundice/complications , Pregnancy Outcome , Sclerosing Solutions/administration & dosage , Urinary Tract Infections/drug therapy , Esophageal and Gastric Varices/therapyABSTRACT
The President of the Sociedad Médica de Santiago, briefly analyzes on its 110 anniversary the past and present role of the Society in the Chilean Medicine. He points out that the success of the institution, which mothered all the other medical Societies of the country either specialized or of the subspecialties of internal Medicine, should be attributed to two conditions: One is the strong influence in all the Chilean institutions of the 1833 Constitution of the Portalian era, and the second is the effort and courage of the memberships. During these 110 years it has emerged into a powerful national scientific society which is now mainly devoted to research and post-graduate teaching of Internal Medicine and its suspecialties. It also publishes since 1872 the second oldest medical journal in Spanish language, REVISTA MEDICA DE CHILE. This rich heritage poses a difficult but unavoidable duty towards the bettering of Internal Medicine in Chile, both in teaching and research. A task which has been severely obstructed in the past administration of Chile due to political and economical disorders and even now has to oppose serious obstacles mainly derived from administrative conditions which are not only suffered at present in the Chilean medicine and universities, but some of them are akin to many other developed and underdeveloped countries. The author singles out these unfavourable conditions both in the schools of medicine and in the national and private medical services, and suggests that they should be improved through a scientific and dispassionate investigation of their causes.(AU)
