{"id":4928,"date":"2012-07-30T20:15:48","date_gmt":"2012-07-30T19:15:48","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=4928"},"modified":"2012-07-30T20:15:48","modified_gmt":"2012-07-30T19:15:48","slug":"solucion-al-caso-clinico-del-25-julio","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2012-07-30\/solucion-al-caso-clinico-del-25-julio\/","title":{"rendered":"Soluci\u00f3n al Caso Cl\u00ednico del 25 Julio"},"content":{"rendered":"<p style=\"text-align:justify;\">El diagn\u00f3stico diferencial lo hizo la Dra. Susana Garc\u00eda, R5 del servicio de M. Interna. Se trataba de un var\u00f3n de 19 a\u00f1os que ingresaba por shock cardiog\u00e9nico secundario a derrame peric\u00e1rdico masivo. El diagn\u00f3stico de presunci\u00f3n final fue de hipotiroidismo severo, asociado a otras alteraciones endocrinas. La soluci\u00f3n la present\u00f3 el dr. J.A. Calder\u00f3n: sindrome pluriglandular autoinmune tipo II (el paciente tambi\u00e9n ten\u00eda una insuficiencia suprarrenal primaria).<\/p>\n<p>Descargar Sesi\u00f3n <a href=\"https:\/\/mileon.files.wordpress.com\/2012\/07\/caso-clinico-25-julio-2012.pdf\">aqu\u00ed<\/a><br \/>\n<span class=\"smarterwiki-popup-bubble smarterwiki-popup-bubble-active smarterwiki-popup-bubble-flipped\" style=\"top:82px;left:149px;margin-left:-54px;opacity:1;\"><span class=\"smarterwiki-popup-bubble-body\"><span class=\"smarterwiki-popup-bubble-links-container\"><span class=\"smarterwiki-popup-bubble-links\"><span class=\"smarterwiki-popup-bubble-links-row\"><a class=\"smarterwiki-popup-bubble-link\" title=\"Search Google\" href=\"http:\/\/www.google.es\/search?q=El%20diagn%C3%B3stico%20diferencial%20lo%20hizo%20la%20Dra.%20Susana%20Garc%C3%ADa%2C%20R5%20del%20servicio%20de%20M.%20Interna.%20Se%20trataba%20de%20un%20var%C3%B3n%20de%2019%20a%C3%B1os%20que%20ingresaba%20por%20shock%20cardiog%C3%A9nico%20secundario%20a%20derrame%20peric%C3%A1rdico%20masivo.%20El%20diagn%C3%B3stico%20de%20presunci%C3%B3n%20final%20fue%20de%20hipotiroidismo%20severo%2C%20asociado%20a%20otras%20alteraciones%20endocrinas.%20La%20soluci%C3%B3n%20la%20present%C3%B3%20el%20dr.%20J.A.%20Calder%C3%B3n%3A%20sindrome%20pluriglandular%20autoinmune%20tipo%20II%20%28el%20paciente%20tambi%C3%A9n%20ten%C3%ADa%20una%20insuficiencia%20suprarrenal%20primaria%29.\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"smarterwiki-popup-bubble-link-favicon\" src=\"https:\/\/www.google.com\/favicon.ico\" alt=\"\" \/><\/a><a class=\"smarterwiki-popup-bubble-link\" title=\"Search Surf Canyon\" href=\"http:\/\/search.surfcanyon.com\/search?f=nrl1&amp;q=El%20diagn%C3%B3stico%20diferencial%20lo%20hizo%20la%20Dra.%20Susana%20Garc%C3%ADa%2C%20R5%20del%20servicio%20de%20M.%20Interna.%20Se%20trataba%20de%20un%20var%C3%B3n%20de%2019%20a%C3%B1os%20que%20ingresaba%20por%20shock%20cardiog%C3%A9nico%20secundario%20a%20derrame%20peric%C3%A1rdico%20masivo.%20El%20diagn%C3%B3stico%20de%20presunci%C3%B3n%20final%20fue%20de%20hipotiroidismo%20severo%2C%20asociado%20a%20otras%20alteraciones%20endocrinas.%20La%20soluci%C3%B3n%20la%20present%C3%B3%20el%20dr.%20J.A.%20Calder%C3%B3n%3A%20sindrome%20pluriglandular%20autoinmune%20tipo%20II%20%28el%20paciente%20tambi%C3%A9n%20ten%C3%ADa%20una%20insuficiencia%20suprarrenal%20primaria%29.&amp;partner=fastestfox\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"smarterwiki-popup-bubble-link-favicon\" src=\"image\/x-icon;base64,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%3D%3D\" alt=\"\" \/><\/a><\/span><\/span><\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El diagn\u00f3stico diferencial lo hizo la Dra. Susana Garc\u00eda, R5 del servicio de M. Interna. Se trataba de un var\u00f3n de 19 a\u00f1os que ingresaba por shock cardiog\u00e9nico secundario a derrame peric\u00e1rdico masivo. El diagn\u00f3stico de presunci\u00f3n final fue de hipotiroidismo severo, asociado a otras alteraciones endocrinas. La soluci\u00f3n la present\u00f3 el dr. J.A. Calder\u00f3n: [&hellip;]<\/p>\n","protected":false},"author":5,"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":[],"class_list":["post-4928","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas"],"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\/4928","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=4928"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/4928\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=4928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=4928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=4928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}