{"id":6342,"date":"2013-06-28T15:48:30","date_gmt":"2013-06-28T14:48:30","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6342"},"modified":"2013-06-28T15:48:30","modified_gmt":"2013-06-28T14:48:30","slug":"solucion-caso-clinico-26-junio-2013-pericarditis-constrictiva-idiopatica","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-06-28\/solucion-caso-clinico-26-junio-2013-pericarditis-constrictiva-idiopatica\/","title":{"rendered":"Soluci\u00f3n caso cl\u00ednico 26 junio 2013: pericarditis constrictiva idiop\u00e1tica."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/06\/imagen7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-6343\" alt=\"imagen\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/06\/imagen7.jpg?w=300\" width=\"240\" height=\"197\" \/><\/a>Mujer de 65 a\u00f1os sin antecedentes de interes que presenta disnea desde hace 15 d\u00edas con tos, dolor tor\u00e1cico, sudoraci\u00f3n, oliguria y edemas. En radiograf\u00eda de t\u00f3rax gran cardiomegalia. Adem\u00e1s PCR y proBNP altos e hipoxemia.<\/p>\n<p style=\"text-align:justify;\">La Dra. Saray Rodr\u00edguez Garc\u00eda (R4 MI) fue la encargada del diagn\u00f3stico diferencial del caso que se puede ver <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaZDItdFMwUU0xcTA\/edit?usp=sharing\"><span style=\"color:#0000ff;\">aqu\u00ed.<\/span><\/a><\/span><\/strong><\/p>\n<p style=\"text-align:justify;\">La soluci\u00f3n la aport\u00f3 el Dr. Angel Mart\u00ednez Gonz\u00e1lez (adjunto MI). Las imagenes de la ecocardiograf\u00eda, TAC tor\u00e1cico y RNM cardiaca se pueden ver en la siguiente <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaM0JiYmlpSFB2TGM\/edit?usp=sharing\"><span style=\"color:#0000ff;\">presentaci\u00f3n.<\/span><\/a><\/span><\/strong><\/p>\n<p style=\"text-align:justify;\">Ante los hallazgos de una pericarditis efusivo-constrictiva se deriv\u00f3 a Cirug\u00eda Cardiaca. Se realiz\u00f3 pericardiectom\u00eda total. La Anatom\u00eda Patol\u00f3gica dio granulomas sin necrosis. La evoluci\u00f3n fue favorable. Han transcurrido 6 a\u00f1os aproximadamente sin incidencias. Durante la discusi\u00f3n de la sesi\u00f3n se coment\u00f3 la indicaci\u00f3n o no de tratamiento tuberculost\u00e1tico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mujer de 65 a\u00f1os sin antecedentes de interes que presenta disnea desde hace 15 d\u00edas con tos, dolor tor\u00e1cico, sudoraci\u00f3n, oliguria y edemas. En radiograf\u00eda de t\u00f3rax gran cardiomegalia. Adem\u00e1s PCR y proBNP altos e hipoxemia. La Dra. Saray Rodr\u00edguez Garc\u00eda (R4 MI) fue la encargada del diagn\u00f3stico diferencial del caso que se puede ver [&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":[747],"class_list":["post-6342","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-angel-martinez"],"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\/6342","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=6342"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6342\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}