Revista médica de Chile
-
Revista médica de Chile · Feb 2021
Review[Performance of formulas for the evaluation of 24-hour urine collections using urine creatinine excretion].
Creatinine excretion is widely used as a method to evaluate the adequacy of urine collection in different clinical settings. Many factors influence its elimination, such as protein intake, exercise, muscle mass, age, and sex, among many others. As 24-hour urine collections can be cumbersome, several equations have been developed to aid clinicians to correctly interpret results derived from them. In this review article, we report the factors that can modify creatinine excretion and we evaluate the accuracy of different published equations to estimate 24-hour urine creatinine excretion.
-
Rheumatoid meningitis (RM) is a rare complication of rheumatoid arthritis (RA). RM mimics many other conditions such as subdural empyema, unsteady gait, focal brain dysfunction, stroke, relapsing-remitting motor signs, headache, neuropsychiatric disorders, seizures, parkinsonism, and meningeal tumors. RM is considered a disease with poor prognosis. ⋯ She worsened and required endotracheal intubation. Cyclophosphamide was started and the patient became asymptomatic three months later. We propose that treatment should not be delayed waiting a biopsy when a diagnosis of RM is made and after a cerebrospinal fluid infection has been ruled out.
-
Revista médica de Chile · Feb 2021
[Association of hyperglycemia with the length of stay in hospitalized patients].
Hyperglycemia during hospital stay is associated with adverse outcomes. ⋯ Hyperglycemia during hospitalization affects more than half of hospitalized patients and is associated with a longer length of stay.
-
Revista médica de Chile · Feb 2021
Case Reports[Successful deployment of a percutaneous aortic valve in a patient with a mitral prosthesis. Risks and technical considerations].
The deployment of a percutaneous aortic valve is challenging in patients with a mitral prosthesis. The risk of prosthetic deformation, embolization or dysfunction is higher in this group of patients, which requires a series of technical considerations. We report a successful implantation of an Evolut Pro # 29 self-expanding valve in a 67-year-old female with a previous Starr-Edwards caged-ball mitral prosthesis.
-
Revista médica de Chile · Feb 2021
Results of the ACTION-IO survey in Chilean patients with obesity and health care providers.
Most of the Chilean population has overweight or obesity. The ACTION-IO survey identified the perceptions, attitudes, and barriers to effective obesity care in people with obesity (PwO) and healthcare professionals (HCPs). ⋯ Chilean data reveal misconceptions among PwO and HCPs about obesity and highlights the need to improve education about its biologic background and clinical management.