{"id":6095,"date":"2013-04-14T19:09:28","date_gmt":"2013-04-14T18:09:28","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6095"},"modified":"2013-04-14T19:09:28","modified_gmt":"2013-04-14T18:09:28","slug":"resolucion-al-caso-clinico-del-10-de-abril-2013","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-04-14\/resolucion-al-caso-clinico-del-10-de-abril-2013\/","title":{"rendered":"Resoluci\u00f3n al caso cl\u00ednico del 10 de Abril 2013."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/04\/imagen11.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-6096\" alt=\"Imagen1\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/04\/imagen11.png?w=300\" width=\"210\" height=\"102\" \/><\/a>Se trataba de un paciente var\u00f3n de 84 a\u00f1os que ingresa por ca\u00edda casual con traumatismo tor\u00e1cico. La radiograf\u00eda de t\u00f3rax inicial mostraba un infiltrado bilateral. La discusi\u00f3n la realiz\u00f3 la Dra. C. Sardi\u00f1a, R1 de nuestro Servicio, argumentando las diferentes posibilidades diagn\u00f3sticas y concluyendo con posible contusi\u00f3n pulmonar, fracturas costales y neumon\u00eda asociada. Adem\u00e1s, se planteaba la posibilidad de una infecci\u00f3n respiratoria cr\u00f3nica previa o de una neoplasia pulmonar no conocida. El caso lo resuelve el Dr. Guerra: manejado inicialmente como contusi\u00f3n pulmonar-neumon\u00eda bilateral, evoluci\u00f3n progresivamente desfavorable, episodios de agitaci\u00f3n-desorientaci\u00f3n-excesiva sedaci\u00f3n e imposibilidad de obtener muestras respiratorias. Un aspirado g\u00e1strico con tinci\u00f3n de auramina negativa y GenExpert negativo y finalmente cultivo positivo para <em>M. tuberculosis<\/em>.<\/p>\n<p style=\"text-align:justify;\">Descargar presentaci\u00f3n completa <span style=\"color:#008000;\"><strong><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaTzFJQnotTGtTQkk\/edit?usp=sharing\"><span style=\"color:#008000;\">AQU\u00cd<\/span><\/a><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se trataba de un paciente var\u00f3n de 84 a\u00f1os que ingresa por ca\u00edda casual con traumatismo tor\u00e1cico. La radiograf\u00eda de t\u00f3rax inicial mostraba un infiltrado bilateral. La discusi\u00f3n la realiz\u00f3 la Dra. C. Sardi\u00f1a, R1 de nuestro Servicio, argumentando las diferentes posibilidades diagn\u00f3sticas y concluyendo con posible contusi\u00f3n pulmonar, fracturas costales y neumon\u00eda asociada. Adem\u00e1s, [&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-6095","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\/6095","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=6095"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6095\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6095"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}