Assuntos
Duodenopatias/etiologia , Melena/etiologia , Escleroderma Sistêmico/diagnóstico , Telangiectasia/complicações , Diagnóstico Diferencial , Sistema Digestório/irrigação sanguínea , Epistaxe/etiologia , Dedos/irrigação sanguínea , Humanos , Masculino , Pessoa de Meia-Idade , Mucosa/irrigação sanguínea , Escleroderma Sistêmico/complicações , Telangiectasia Hemorrágica Hereditária/diagnósticoRESUMO
Budd-Chiari syndrome can be defined as an interruption or diminution of the normal blood flow out of the liver. Patients with Budd-Chiari syndrome present with varying degrees of symptomatology that can be divided into the following categories: fulminant, acute, subacute and chronic. The subacute form is the most common presentation. A majority of patients with Budd-Chiari syndrome have an underlying hypercoagulability state. We present the case of a young woman with Crohn s disease on oral contraceptives who developed bilateral pulmonary thromboembolism and Budd-Chiari syndrome.
Assuntos
Síndrome de Budd-Chiari/complicações , Anticoncepcionais Orais/efeitos adversos , Doença de Crohn/complicações , Etinilestradiol/efeitos adversos , Embolia Pulmonar/induzido quimicamente , Adulto , Síndrome de Budd-Chiari/diagnóstico por imagem , Colonoscopia , Doença de Crohn/diagnóstico , Doença de Crohn/diagnóstico por imagem , Feminino , Heparina de Baixo Peso Molecular/uso terapêutico , Humanos , Embolia Pulmonar/diagnóstico por imagem , Embolia Pulmonar/tratamento farmacológico , Radiografia Abdominal , Radiografia Torácica , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
El síndrome de Budd-Chiari consiste en la interrupción o disminuciónde flujo de las venas suprahepáticas. Tiene una gran variabilidadclínica en cuanto a su forma de presentación siendo la másfrecuente la forma subaguda. La gran mayoría de los pacientesresponden a estados de hipercoagulabilidad. Presentamos el casode una paciente joven con enfermedad de Crohn que estaba entratamiento con anticonceptivos orales y desarrolló un cuadro clínicode tromboembolismo de pulmón bilateral y síndrome deBudd-Chiari(AU)
Budd-Chiari syndrome can be defined as an interruption or diminutionof the normal blood flow out of the liver. Patients withBudd-Chiari syndrome present with varying degrees of symptomatologythat can be divided into the following categories: fulminant,acute, subacute and chronic. The subacute form is the mostcommon presentation. A majority of patients with Budd-Chiarisyndrome have an underlying hypercoagulability state. We presentthe case of a young woman with Crohns disease on oralcontraceptives who developed bilateral pulmonary thromboembolismand Budd-Chiari syndrome(AU)
Assuntos
Humanos , Feminino , Adulto , Síndrome de Budd-Chiari/complicações , Anticoncepcionais Orais/efeitos adversos , Doença de Crohn/complicações , Colonoscopia/métodos , Etinilestradiol/efeitos adversos , Embolia Pulmonar/induzido quimicamente , Síndrome de Budd-Chiari , Doença de Crohn/diagnóstico , Doença de Crohn , Heparina de Baixo Peso Molecular/uso terapêutico , Embolia Pulmonar/tratamento farmacológico , Embolia Pulmonar , Radiografia Abdominal/métodos , Radiografia Torácica/métodos , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
A study was made of the incidence of psychiatric malaise among health workers in the health area of La Axarquía, in the province of Málaga. Goldberg's General Health Questionnaire (GHQ, 28 items) was applied to the sample population (n = 137), and the differences obtained are discussed in relation to social and job-related variables. The occurrence of psychiatric malaise among the whole sample was 29.85%, with significant differences among those above the cutoff and place of work (hospital), sex (women), tobacco habit (smokers), and pleasantness of work situation (not pleasant). There were no significant differences among those above the cutoff and profession (although higher scores were recorded among administrative personnel), nor according to contractual situation (although higher scores were recorded among contracted staff). The study concludes with a series of measures aimed at early prevention and detection of symptoms of psychiatric maladjustment within the working environment.
