Auspicia: Línea Gastroenterológica Roemmers
Concurso exclusivo para Argentina
Caso Clínico 2:
Se presenta una adolescente de 16 años de edad con los siguientes síntomas:
- Dolor abdominal continuo con exacerbaciones cólicas en abdomen inferior de 8 hs de evolución
- Última catarsis hace 24 horas y no elimina gases desde hace 6 horas
- Sin antecedentes previos
- Hábito catártico: 1 deposición diaria
• Exámen físico:
- Contextura física delgada
- Hemodinamicamente estable y afebril
- Abdomen levemente distendido con RHA aumentados y timpanismo difuso
- Blando, depresible y doloroso en hemiabdomen inferior a predominio de fosas ilíacas, sin defensa
• Laboratorio:
| Ingreso | |
| Hematocrito | 38,5 |
| GB | 10.200 |
| Plaquetas | 235.000 |
| Glucemia | 82 |
| Uremia | 25 |
| Ionograma | 138/3,8 |
| TGO | 23 |
| Amilasa | 22 |
| Calcio | 9 |
| TP/KPTT | 10/30 |
• Rx Abdomen
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• TAC Abdomen sin contraste
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• Colonoscopía
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• Rx Abdomen (post VCC)
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1. Presentación del Seminario en formato audiovisual
* IntraMed agradece a la Cátedra de Gastroeneterología del Htal del Centenario, (UNR) por compartir su seminario con nuestros lectores.
Seminarios de la Carrera de Gastroenterología y Hepatología de la UNR
Hospital Provincial del Centenario
Universidad Nacional de Rosario
Cátedra de Gastroenterología
Jefe Profesor Hugo Tanno
Hospital de Emergencias Dr. Clemente Alvarez
Cátedra de Gastroenterología y Hepatología
Jefe Profesor Adolfo Wulfson
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