Assuntos
Infecções por HIV/complicações , Lipomatose/complicações , Dorso , Infecções por HIV/tratamento farmacológico , Humanos , Lipomatose/induzido quimicamente , Masculino , Pessoa de Meia-Idade , Pescoço , Inibidores de Proteases/efeitos adversos , Inibidores de Proteases/uso terapêutico , OmbroRESUMO
Cancer screening is a valuable intervention to reduce breast cancer mortality and the incidence of invasive cervical carcinoma. We conducted a retrospective survey to determine the residents' compliance with use of mammography and Pap smear in Hispanic women. A total of 280 charts that met the inclusion criteria were reviewed. According to the guidelines, 784 mammograms and 714 Pap smears were indicated. The residents' compliance with mammography was 10.6% (+/- 9.16) and with Pap smear, 6.6% (+/- 7.68). The study demonstrates an unacceptable level of cancer screening practice by the medicine residents caring for this Hispanic population.
Assuntos
Atitude do Pessoal de Saúde , Neoplasias da Mama/prevenção & controle , Hispânico ou Latino , Internato e Residência , Programas de Rastreamento , Americanos Mexicanos , Neoplasias do Colo do Útero/prevenção & controle , Adulto , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/etnologia , Protocolos Clínicos , Comportamento Cooperativo , Feminino , Humanos , Seguro Saúde , Mamografia , Pessoa de Meia-Idade , Teste de Papanicolaou , Reprodutibilidade dos Testes , Estudos Retrospectivos , Texas , Neoplasias do Colo do Útero/etnologia , Neoplasias do Colo do Útero/patologia , Esfregaço VaginalRESUMO
This article reports a case of cytomegalovirus (CMV) ileitis with perforation in a woman with transfusion-acquired human immunodeficiency virus (HIV) infection. The clinical problem of small bowel perforation due to CMV disease in association with HIV infection is emphasized. Typically, a patient with a history of chronic diarrhea, fever, and abdominal pain develops the superimposed picture of an acute abdomen and has pneumoperitonium on radiograph. The prognosis is poor.
