Clínicas Médicas

Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases

Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases Purpose and Scope of the Guidance This is a comprehensive guidance on the diagnosis, evaluation, and management of ascites and hepatorenal syndrome (HRS) in patients with chronic liver disease from […]

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Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients?

Are Fourth-Year Medical Students as Prepared to Manage Unstable Patients as They Are to Manage Stable Patients? Abstract Purpose To evaluate the fourth-year medical student’s assessment and management of an unstable patient. Method The authors compared the performance of fourth-year medical students in a clinical performance examination (CPX) across a spectrum of simulated stable conditions […]

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Systemic lupus erythematosus: a clinical update

Systemic lupus erythematosus: a clinical update Abstract Systemic lupus erythematosus (SLE) is a multi-system autoimmune disease known for its complexity and heterogeneity. Striking diversity can be observed between individual patients, in terms of clinical manifestations, serological abnormalities, disease progression and response to therapy. Furthermore, dysfunction of a broad range of immune pathways underlies disease development […]

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Blood urea nitrogen, blood urea nitrogen to creatinine ratio and incident stroke: The Dongfeng-Tongji cohort

Highlights Both lower and higher levels of BUN were associated with excess risks of total and ischemic stroke independent of eGFR. Extreme BUN levels, even within the clinically normal range, may confer potential risks of stroke previously unidentified. A U-shaped relationship was identified between BUN/Cr and total stroke and its subtypes. Abstract Background and aims […]

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Kidney damage from nonsteroidal anti‐inflammatory drugs—Myth or truth? Review of selected literature

Abstract Nonsteroidal anti‐inflammatory drugs (NSAIDs) are widely available drugs with anti‐inflammatory and analgesic properties. Their mechanism of action is associated with the enzymes of the arachidonic acid cycle (cyclooxygenases: COX‐1 and COX‐2). The cyclooxygenase pathway results in the formation of prostanoids (prostaglandins [PGs], prostacyclins, and thromboxanes). It affects various structures of the human body, including […]

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2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure.

The aim of this ESC Guideline is to help health professionals manage people with heart failure (HF) according to the best available evidence. Fortunately, we now have a wealth of clinical trials to help us select the best management to improve the outcomes for people with HF; for many, it is now both preventable and […]

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Una Perspectiva Futura de la Historia Clínica

¿Cuánto tiempo le dedicamos a realizar una historia clínica? ¿Cuánto tiempo le dedicamos a nuestros pacientes? ¿Qué especialidad le dedica más tiempo a realizar una historia clínica? ¿Cuál es la perspectiva de nuestros pacientes? ¿Inteligencia artificial vs razonamiento clínico humano?  ¿iPatients?  Descubre las respuestas a todas estas preguntas…   Related Posts:Veinte errores comunes en la […]

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Diarrea Crónica

 Resumen La diarrea crónica es común y se presenta como la primera manifestación de varios diagnósticos o como un trastorno prolongado en el que la frecuencia, la urgencia y la incontinencia de las deposiciones tienen un impacto importante en la calidad de vida. Es necesario realizar una buena historia clínica, con diferentes causas a considerar: […]

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Pautas clínicas para la detección del cáncer colorrectal 2021

El Colegio Estadounidense de Gastroenterología (ACG) ahora sugiere que la detección del cáncer colorrectal comienza a los 45 años en personas de riesgo promedio. Anteriormente, la ACG recomendaba realizar una prueba de detección tan temprana solo para los afroamericanos.  Esta recomendación condicional, basada en evidencia de baja calidad, acompaña a la recomendación fuerte y continuada […]

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Secuelas gastrointestinales de COVID-19

Huang y sus colegas informaron recientemente que hasta el 76% de los pacientes dados de alta después de la hospitalización por COVID-19 tenían al menos un síntoma que persistía 6 meses después del inicio de la enfermedad, que incluía fatiga o debilidad muscular (63%), dificultades para dormir (26%), y ansiedad o depresión (23%). Además, más del 50% […]

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