Read e-book online ABC en emergencias PDF


By Alberto J. Machado

ABC en emergencias fue pensado como una herramienta de trabajo. Un ayuda memoria, o una guía rápida acerca de cómo enfrentamos, y que puntos relevantes no dejar de considerar, en distintas situaciones frecuentes en Emergencias.

Emergencias es l. a. especialidad médica que estudia los hechos y situaciones patológicas de aparición súbita que ponen en riesgo o comprometen los angeles salud.

En Emergencias el tiempo nos corre, y el momento en que tomamos diferentes conductas, durante l. a. evolución del paciente, inftuye directamente en el pronóstico.

En ninguna otra especialidad, se pone en juego los angeles capacidad de decisión tiempo dependiente.

La acción organizada y sistematizada frente a una emergencia, es los angeles que redundará en mayores beneficios, permitiéndonos valorar que "es" y que "no es" de riesgo very important. Un manejo desorganizado, transforma l. a. situación, que de por sí ya es crítica, en un caos con el perjuicio directo sobre el paciente.

ABC en emergencias es un instructional de consulta rápida, cuando tenemos poco tiempo para consultar.

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Sample text

Sometimes these investigations may themselves lead directly to diagnosis: for example the muscle biopsy in polymyositis is often characteristically abnormal. However, in other patients investigation may clarify the problem without providing a definite answer. Further, in some instances physiological (EMG) and pathological (biopsy) investigations may provide apparently contradictory results (Black et al. 1974). Biochemical Tests An overall assessment of the patient's general status is often useful, including haematological and biochemical evaluation, and relevant radiological examinations.

Pain and Cramps It is useful to differentiate between muscular pain at rest and on exercise. Muscular pain at rest is usually a dull discomfort or ache, which may be accompanied by tenderness on palpation. It occurs in polymyositis and in viral infections but may also occur in neurogenic disorders such as GuillainBarre syndrome and, in the arms, as a presenting feature of neuralgic amyotrophy. In polymyalgia rheumatica pain, tenderness and stiffness, usually principally affecting the shoulder, are major features, Muscle pain may be focal or diffuse.

1984). mation. The immunological abnormalities characteristic of myasthenia gravis, and of mixed connective tissue and other autoimmune disorders, form characteristic features of the clinical abnormality. Red blood cells show morphological abnormalities in blood films in some patients with Imaging spinocerebellar degeneration, McLeod's syndrome and Duchenne muscular dystrophy, but this is rarely of practical use in patient management. Nuclear Magnetic Resonance Spectroscopy Fibroblast cultures can be used for characterisation of specific biochemical enzymatic abnormalities.

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