{"id":8427,"date":"2015-05-21T18:25:32","date_gmt":"2015-05-21T17:25:32","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=8427"},"modified":"2015-05-21T18:25:32","modified_gmt":"2015-05-21T17:25:32","slug":"sesion-clinica-162015-adenoma-hipofisario","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2015-05-21\/sesion-clinica-162015-adenoma-hipofisario\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 16\/2015: adenoma hipofisario."},"content":{"rendered":"<p style=\"text-align:justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-8428\" src=\"https:\/\/mileon.files.wordpress.com\/2015\/05\/imagen3.jpg?w=300\" alt=\"imagen\" width=\"133\" height=\"100\" \/>El 20 de mayo de 2015 la Dra. Elena Aguirre Alastuey (R3 MI) hizo\u00a0el diagnostico diferencial del caso de la semana que trata de un var\u00f3n de 37 a\u00f1os con obesidad que presenta desde hace dos meses cansancio, edemas e hipertensi\u00f3n arterial. Su presentaci\u00f3n se puede ver\u00a0<a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaeUxPd2xNd2tUWkE\/view?usp=sharing\">aqu\u00ed.<\/a><br \/>\nEl Dr. Antonio Arce Manzahusen (adjunto MI) coment\u00f3 la evoluci\u00f3n y pruebas realizadas. El cortisol en orina de 24 horas fue superior a 600, la ACTH plasm\u00e1tica 40 y en RNM craneal hay aumento de la hip\u00f3fisis. Se hicieron test de supresi\u00f3n con dexametasona y se consideraron las posibilidades de depencia de ACTH o secreci\u00f3n ect\u00f3pica. Se decidi\u00f3 cirug\u00eda v\u00eda transfenoidal resultando una evoluci\u00f3n cl\u00ednica y anal\u00edtica favorables.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El 20 de mayo de 2015 la Dra. Elena Aguirre Alastuey (R3 MI) hizo\u00a0el diagnostico diferencial del caso de la semana que trata de un var\u00f3n de 37 a\u00f1os con obesidad que presenta desde hace dos meses cansancio, edemas e hipertensi\u00f3n arterial. Su presentaci\u00f3n se puede ver\u00a0aqu\u00ed. El Dr. Antonio Arce Manzahusen (adjunto MI) coment\u00f3 [&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":[],"class_list":["post-8427","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\/8427","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=8427"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/8427\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=8427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=8427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=8427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}