{"id":26816,"date":"2025-11-06T10:37:00","date_gmt":"2025-11-06T09:37:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26816"},"modified":"2025-11-03T17:54:20","modified_gmt":"2025-11-03T16:54:20","slug":"sesion-clinica-20-2025-pti-y-masa-suprarrenal","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-11-06\/sesion-clinica-20-2025-pti-y-masa-suprarrenal\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 20\/2025: PTI y masa suprarrenal"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"868\" height=\"1300\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831.jpeg\" alt=\"question marks on paper crafts\" class=\"wp-image-26818\" style=\"width:145px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831.jpeg 868w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831-200x300.jpeg 200w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831-684x1024.jpeg 684w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831-768x1150.jpeg 768w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/pexels-photo-5428831-624x935.jpeg 624w\" sizes=\"auto, (max-width: 868px) 100vw, 868px\" \/><\/figure>\n<\/div>\n\n\n<p>El 1 de octubre de 2025, la Dra. Eva Soria (R4) realiz\u00f3 el diagn\u00f3stico diferencial de  un caso complejo y did\u00e1ctico: un var\u00f3n de 62 a\u00f1os que ingres\u00f3 por disnea progresiva, edemas y episodios de epistaxis. A la exploraci\u00f3n destacaban hematomas espont\u00e1neos, y en la anal\u00edtica, una anemia severa (Hb 2.7), trombopenia (6.000 plaquetas), coagulopat\u00eda e hipertransaminasemia. La TC revel\u00f3 una masa suprarrenal derecha y un patr\u00f3n pulmonar sugestivo de bronquiolitis o hemorragia alveolar. A continuaci\u00f3n la Dra. Vicente coment\u00f3 las pruebas practicadas y el diagn\u00f3stico final que confirm\u00f3 una PTI grave en el contexto de probable infecci\u00f3n respiratoria y disfunci\u00f3n hep\u00e1tica secundaria. Su presentaci\u00f3n conjunta puede descargarse en el enlace adjunto.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-20b2a3be-3ccf-416d-b893-3ce55062ac7a\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/Dras-Soria-y-Vicente-sesclin-Oct25.pdf\">Dras Soria y Vicente sesclin Oct25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/Dras-Soria-y-Vicente-sesclin-Oct25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-20b2a3be-3ccf-416d-b893-3ce55062ac7a\">Descarga<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>El 1 de octubre de 2025, la Dra. Eva Soria (R4) realiz\u00f3 el diagn\u00f3stico diferencial de un caso complejo y did\u00e1ctico: un var\u00f3n de 62 a\u00f1os que ingres\u00f3 por disnea progresiva, edemas y episodios de epistaxis. A la exploraci\u00f3n destacaban hematomas espont\u00e1neos, y en la anal\u00edtica, una anemia severa (Hb 2.7), trombopenia (6.000 plaquetas), coagulopat\u00eda [&hellip;]<\/p>\n","protected":false},"author":4,"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":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[1107,1054],"class_list":["post-26816","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-soria","tag-vicente"],"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\/26816","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\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=26816"}],"version-history":[{"count":1,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26816\/revisions"}],"predecessor-version":[{"id":26819,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26816\/revisions\/26819"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26816"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}