{"id":9602,"date":"2016-03-25T21:43:46","date_gmt":"2016-03-25T20:43:46","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=9602"},"modified":"2016-03-25T21:43:46","modified_gmt":"2016-03-25T20:43:46","slug":"sesion-clinica-23-de-marzo-de-2016-solucion","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2016-03-25\/sesion-clinica-23-de-marzo-de-2016-solucion\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 9\/2016: Tuberculosis pulmonar y peric\u00e1rdica"},"content":{"rendered":"<p style=\"text-align:justify;\">EL Dr. J. Llorente, R5 de nuestro Servicio, hizo el diagn\u00f3stico diferencial del caso. Recordamos que se trataba de una mujer de 88 a\u00f1os con antecedentes de HTA y cardiopat\u00eda <img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-9616 alignright\" src=\"https:\/\/mileon.files.wordpress.com\/2016\/03\/pericardialeffusion.jpg\" alt=\"Pericardialeffusion\" width=\"227\" height=\"148\" \/>hipertensiva que ingresaba con un taponamiento cardiaco. La discusi\u00f3n del caso se centro en el estudio y manejo del derrame peric\u00e1rdico (ver presentaci\u00f3n <em><strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaZkY5ZmpHN2dDNGs\/view?usp=sharing\">AQU\u00cd<\/a><\/strong><\/em>) y sus alternativas diagn\u00f3sticas fueron derame peric\u00e1rdico secundario a neoplasia no conocida (mama, pulm\u00f3n,&#8230;) o tuberculosis. En el turno de opiniones se discuti\u00f3 sobre las caracter\u00edsticas del l\u00edquido peric\u00e1rdico (hemorr\u00e1gico) y la posibilidad de un origen tumoral, y sobre si en el caso de no llegar a ning\u00fan diagn\u00f3stico definitivo empezar tratamiento tuberculost\u00e1tico emp\u00edrico. El Dr. \u00c1ngel Mart\u00ednez aport\u00f3 la soluci\u00f3n al caso: BK+ en esputo, TBC pulmonar y peric\u00e1rdica y evoluci\u00f3n favorable con tratamiento tuberculost\u00e1tico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>EL Dr. J. Llorente, R5 de nuestro Servicio, hizo el diagn\u00f3stico diferencial del caso. Recordamos que se trataba de una mujer de 88 a\u00f1os con antecedentes de HTA y cardiopat\u00eda hipertensiva que ingresaba con un taponamiento cardiaco. La discusi\u00f3n del caso se centro en el estudio y manejo del derrame peric\u00e1rdico (ver presentaci\u00f3n AQU\u00cd) y [&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":[747],"class_list":["post-9602","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\/9602","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=9602"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/9602\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=9602"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=9602"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=9602"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}