{"id":2027,"date":"2011-02-10T20:42:13","date_gmt":"2011-02-10T19:42:13","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=2027"},"modified":"2011-02-10T20:42:13","modified_gmt":"2011-02-10T19:42:13","slug":"solucion-sesion-clinica-del-9-ii-2011-anemia-perniciosa-y-tumor-carcinoide","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2011-02-10\/solucion-sesion-clinica-del-9-ii-2011-anemia-perniciosa-y-tumor-carcinoide\/","title":{"rendered":"Soluci\u00f3n Sesi\u00f3n Cl\u00ednica del 9 II 2011: Anemia perniciosa y tumor carcinoide."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2011\/02\/imagen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-2028\" title=\"imagen\" src=\"https:\/\/mileon.files.wordpress.com\/2011\/02\/imagen.jpg?w=300\" alt=\"\" width=\"210\" height=\"154\" \/><\/a>El Dr. Mario Prieto Garc\u00eda (R2 MI) nos presento el diagn\u00f3stico diferencial (<a href=\"https:\/\/mileon.files.wordpress.com\/2011\/02\/dr-prieto-sesclin-feb11.pdf\">ver<\/a>) del caso y la Dra. Isabel Muinelo Voces (adjunto MI) el desenlace. Se detect\u00f3 def\u00edcit severo de v\u00edtamina B12 y en gastroscopia se tomo biopsia g\u00e1strica (gastritis cr\u00f3nica atr\u00f3fica) y se hizo una polipectom\u00eda (tumor neuroendocrino tipo carcinoide). Se completo con determinaci\u00f3n de 5 hidroxi-indol-ac\u00e9tico en orina de 24 horas, TAC abdominal y rastreo corporal con gammagraf\u00eda con octre\u00f3tido, que no aportaron m\u00e1s alteraciones. Los anticuerpos antifactor intrinseco y c\u00e9lulas parietales fueron positivos. En nueva gastroscopia al mes se vieron diversas formaciones polipoides. Fue remitido a cirug\u00eda y se efect\u00fao gastrectom\u00eda, sin incidencias.<br \/>\nFinalmente la Dra. Muinelo actualiza el tema de los tumores carcinoides (<a href=\"https:\/\/mileon.files.wordpress.com\/2011\/02\/dra-muinelo-sesclin-feb11.pdf\">ver<\/a>).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El Dr. Mario Prieto Garc\u00eda (R2 MI) nos presento el diagn\u00f3stico diferencial (ver) del caso y la Dra. Isabel Muinelo Voces (adjunto MI) el desenlace. Se detect\u00f3 def\u00edcit severo de v\u00edtamina B12 y en gastroscopia se tomo biopsia g\u00e1strica (gastritis cr\u00f3nica atr\u00f3fica) y se hizo una polipectom\u00eda (tumor neuroendocrino tipo carcinoide). Se completo con determinaci\u00f3n [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[947],"class_list":["post-2027","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-muinelo"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/2027","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=2027"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/2027\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=2027"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=2027"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=2027"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}