Medicina Interna

Standards of Care in Diabetes—2024

Standards of Care in Diabetes—2024 Cambios generales El campo de la atención de la diabetes está cambiando rápidamente a medida que siguen surgiendo nuevas investigaciones, tecnologías y tratamientos que pueden mejorar la salud y el bienestar de las personas con diabetes. Con actualizaciones anuales desde 1989, la Asociación Estadounidense de Diabetes (ADA) ha sido durante mucho […]

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Management of diabetic ketoacidosis

Management of diabetic ketoacidosis 𝙻𝚘𝚜 𝚘𝚋𝚓𝚎𝚝𝚒𝚟𝚘𝚜 𝚍𝚎 𝚎𝚜𝚝𝚎 𝚊𝚛𝚝𝚒́𝚌𝚞𝚕𝚘 𝚜𝚘𝚗 𝚛𝚎𝚟𝚒𝚜𝚊𝚛 𝚕𝚊𝚜 𝚕𝚊𝚐𝚞𝚗𝚊𝚜 𝚍𝚎 𝚌𝚘𝚗𝚘𝚌𝚒𝚖𝚒𝚎𝚗𝚝𝚘 𝚢 𝚕𝚊𝚜 𝚌𝚘𝚗𝚝𝚛𝚘𝚟𝚎𝚛𝚜𝚒𝚊𝚜 𝚎𝚗 𝚎𝚕 𝚝𝚛𝚊𝚝𝚊𝚖𝚒𝚎𝚗𝚝𝚘 𝚍𝚎 𝚕𝚊 𝗰𝗲𝘁𝗼𝗮𝗰𝗶𝗱𝗼𝘀𝗶𝘀 𝗱𝗶𝗮𝗯𝗲́𝘁𝗶𝗰𝗮 (𝗖𝗔𝗗) 𝚢 𝚋𝚛𝚒𝚗𝚍𝚊𝚛 𝚗𝚞𝚎𝚜𝚝𝚛𝚊 𝚙𝚎𝚛𝚜𝚙𝚎𝚌𝚝𝚒𝚟𝚊 𝚜𝚘𝚋𝚛𝚎 𝚎𝚜𝚝𝚘𝚜 𝚝𝚎𝚖𝚊𝚜. 𝚃𝚊𝚖𝚋𝚒𝚎́𝚗 𝚋𝚞𝚜𝚌𝚊𝚖𝚘𝚜 𝚎𝚡𝚊𝚖𝚒𝚗𝚊𝚛 𝚕𝚘𝚜 𝚌𝚊𝚖𝚋𝚒𝚘𝚜 𝚢 𝚕𝚊𝚜 𝚝𝚎𝚗𝚍𝚎𝚗𝚌𝚒𝚊𝚜 𝚎𝚗 𝚎𝚕 𝚝𝚛𝚊𝚝𝚊𝚖𝚒𝚎𝚗𝚝𝚘 𝚍𝚎 𝚕𝚊 𝙲𝙰𝙳 𝚌𝚘𝚗 𝚞𝚗𝚊 𝚙𝚎𝚛𝚜𝚙𝚎𝚌𝚝𝚒𝚟𝚊 𝚍𝚎 𝚍𝚎𝚜𝚊𝚛𝚛𝚘𝚕𝚕𝚘𝚜 𝚏𝚞𝚝𝚞𝚛𝚘𝚜. 𝐂𝐎𝐍𝐓𝐑𝐎𝐕𝐄𝐑𝐒𝐈𝐒𝐀𝐒 𝐄𝐍 […]

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Actualización 2023 en Sepsis y Shock Séptico en Pacientes Adultos: Manejo en el Servicio de Urgencias

Actualización 2023 en Sepsis y Shock Séptico en Pacientes Adultos: Manejo en el Servicio de Urgencias Abstract Background: Sepsis/septic shock is a life-threatening and time-dependent condition that requires timely management to reduce mortality. This review aims to update physicians with regard to the main pillars of treatment for this insidious condition. Methods: PubMed, Scopus, and […]

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Criterios de diagnóstico recientemente propuestos para el síndrome de dificultad respiratoria aguda: ¿Resuelve el problema la inclusión de una cánula nasal de alto flujo?

Criterios de diagnóstico recientemente propuestos para el síndrome de dificultad respiratoria aguda: ¿Resuelve el problema la inclusión de una cánula nasal de alto flujo? Abstract Acute respiratory distress syndrome (ARDS) is a common life-threatening clinical syndrome which accounts for 10% of intensive care unit admissions. Since the Berlin definition was developed, the clinical diagnosis and […]

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The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition

The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition Abstract Background Severe trauma represents a major global public health burden and the management of post-traumatic bleeding continues to challenge healthcare systems around the world. Post-traumatic bleeding and associated traumatic coagulopathy remain leading causes of potentially preventable multiorgan failure and death […]

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Intoxicación aguda por agua en un hombre adulto: revisión de la ‘hiponatremia dental’

Acute water intoxication in an adult man: ‘dental hyponatraemia’ revisited ABSTRACT The differential diagnosis of hyponatraemia is notoriously wide. However, only a minority is acute, ie develops in less than 48 hours. We describe an unusual cause of water intoxication due to toothache. A 30-year-old man with no medical history of note presented in an […]

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The Monro-Kellie Doctrine: A Review and Call for Revision

The Monro-Kellie Doctrine: A Review and Call for Revision Abstract SUMMARY: The Monro-Kellie doctrine is a well-accepted principle of intracranial hemodynamics. It has undergone few consequential revisions since it was established. Its principle is straightforward: The combined volume of neuronal tissue, blood, and CSF is constant. To maintain homeostatic intracranial pressure, any increase or decrease in […]

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Obstetric management of the most common autoimmune diseases: A narrative review

Obstetric management of the most common autoimmune diseases: A narrative review Abstract Historically, women with an autoimmune disease (AD) could not get pregnant due to infertility frequently linked to the medical condition or because the pregnancy was contraindicated, as it could harm the mother and the future child. Sometimes, pregnancy was contraindicated because the medication […]

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Standards of Care in Diabetes (ADA) – 2023

Standards of Care in Diabetes 2023 Las nuevas pautas incluyen actualizaciones de las recomendaciones sobre la obesidad, la hipertensión, los medicamentos para la insuficiencia cardíaca, los determinantes sociales de la salud y el control de los lípidos. Hoy, la American Diabetes Association® (ADA) publicó Standards of Care in Diabetes—2023 (Estándares de atención), pautas integrales basadas […]

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POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence

POCUS in dyspnea, nontraumatic hypotension, and shock; a systematic review of existing evidence Highlights Diagnostic accuracy of point-of-care ultrasound (POCUS) in patients with dyspnea, non-traumatic hypotension, and shock is higher when compared to not using POCUS in the initial workup.POCUS narrows the differential diagnoses and speeds up in time to diagnosis, where chest X-ray needs […]

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