Revista médica de Chile
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Revista médica de Chile · Jan 2015
Review Case Reports[Pneumomediastinum and cutaneous necrosis in dermatomyositis: Report of one case].
We report a 37 years old male with a dermatomyositis treated with oral cyclophosphamide. He was admitted to the hospital due to a zone of skin necrosis with purulent exudate, located in the second left toe. A complete blood count showed a leukocyte count of 2,600 cells/mm³. ⋯ Cyclophosphamide was discontinued and leukocyte count improved. The affected toe was amputated and a chest CAT scan showed a partial resolution of the pneumomediastinum. We discuss and review the pathogenesis, clinical presentation and management of pneumomediastinum and cutaneous necrosis in association with dermatomyositis.
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Revista médica de Chile · Jan 2015
Observational Study[Safety and efficacy of Vildagliptin in real life Chilean diabetic patients].
Vildagliptin is a dipeptidyl peptidase IV inhibitor (DPP4i). Its efficacy and safety of DPP4i in Chilean real life type 2 diabetic (T2D) patients is not well known. ⋯ Vildagliptin treatment reduced glycosylated hemoglobin by 1.1% and was well tolerated in this group of diabetic patients.
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Revista médica de Chile · Jan 2015
[Timed up and go right and left unipodal stance results in Chilean older people with different degrees of disability].
The Preventive Health Examination of older people in Chile incorporates the timed up and go (TUG) and right and left unipodal stance test (RUPS and LUPS) as functional assessment methods. ⋯ In this group of older participants there is an association between the degree of disability and the results of TUG, RUPS and LUPS.
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Solid organ transplantation is limited by donor availability. The loss of brain function produces hemodynamic, respiratory, hormonal and metabolic changes that lead to hypotension and organ dysfunction. Management of a potential donor is similar to any critically ill patient. ⋯ The administration of vasopressin analogues and steroids may be beneficial under certain conditions. Appropriate medical management helps to optimize the function of different organs prior to transplantation. This may increase the number of harvested organs and improve their functional outcome in the recipient.
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Revista médica de Chile · Dec 2014
[Changes in cerebral blood flow velocity in supine and sitting position in patients with aneurysmal subarachnoid hemorrhage].
Early mobilization in intensive care units (ICU) provides respiratory, neurological and cardiovascular benefits in hospitalized patients. However, the orthostatic effects of changing from a supine to a sitting position may interfere with cerebral hemodynamics of patients with aneurysmal subarachnoid hemorrhage (aSAH). ⋯ Sitting patients at the edge of the bed is a safe mobilization alternative for patients who suffered aSAH who did not have VS or had AVS.