Caso

Clínico
-Gonzalez Olmedo, Sara Johana
-Grance Gamarra, Gabriel Beltrán
-Guanes Escobar, Luz Romina Noemí
-Hermosa Miranda, Fiama Noemí Lorena
-Kiuncer Vera, Gabriela María Belén
-Limousin Trinidad, María Cristina
 Datos de Filiación
❏ Nombre : Yanina María Cáceres
❏ Edad: 26 años Fecha de ingreso
❏ Sexo: femenino 14/03/2022

❏ Residencia: Capiatá
❏ Procedencia: San Ignacio Misiones
❏ Profesión: Docente (Nivel inicial)
Datos de base

Ninguno
 Motivos de consulta

Dolor abdominal y cansancio excesivo

 Antecedentes de la enfermedad actual
Datos son aportados por el paciente y merecen relativa fe

El 20 de setiembre de 2019 el cuadro inicia con dolor abdominal, de

intensidad moderada, opresivo, que no irradia y que se atenúa con la
aplicación de compresas
Presenta fatiga al realizar esfuerzos mínimos, consulta por dichos
síntomas y le dan el diagnóstico de un cuadro urinario y se
administran antibióticos.
El dolor persiste y se agrega pérdida de peso por lo que vuelve a
consultar en varias ocasiones y en los análisis laboratoriales se
evidencia aumento y disminución del número de plaquetas.
 Antecedentes de la enfermedad actual
El 30 de septiembre se agrega petequias en la zona superior de la
espalda.
El 14 de octubre en horas de la noche presentó dolor en las piernas,
intenso, que produce despertares, de carácter quemante que
progresa a parálisis y sudoración fría.
En la madrugada del 15 de octubre asiste a urgencias donde se
agregan al cuadro náuseas y vómito blanquecino.
Niega fiebre, edema y otros síntomas acompañantes
Antecedentes remotos de la enfermedad actual

Niega cuadro remoto anterior

 Antecedentes patológicos personales

● La paciente refiere no conocer su modo de parto

● Niega haber padecido la enfermedades propias de la infancia
y dice haber recibido el esquema completo de vacunación
básico
● Niega traumas y cirugías de importancia
● No se conoce portadora de patología sistémica alguna como
HTA, diabetes mellitus tipo 2, asma, cardiopatías, dislipidemia.
● Niega ser alérgica a fármacos y tosedor crónico
Antecedentes patológicos familiares
Padre: no se conocen datos
Madre: viva, sin afecciones conocidas
Hermanos: no posee hermanos
Hijos: no tiene hijos
 Hábitos
Alimentación: Catarsis:
● Dieta buena en cantidad ● Conservada
● Mala en calidad ● 2 veces por día
● Niega alteraciones del apetito y digestión ● Consistencia y características: Normales

Diuresis: Sueño:
● Orina de coloración normal (amarillo claro) ● 8-9 horas/dia,
● Sueño reparador
● Refiere poliuria
● Niega alteraciones para conciliar el
● Niega disuria
sueño y despertares
 Hábitos
Ginecológicos: Tóxicos:
● Menarca: 13 años ● Tabaco: No (niega ser fumadora activa o
● Partos: 0 pasiva)
● Abortos: 0 ● Alcohol: Ocasional
● Gestación: 0 ● Mate: No
● FUM: 25/02/22 ● Tereré: No
● Ciclo regular de 29 días ● Niega utilizar fármacos adictivos
● Niega empleo de ACO, inyectables,
intradérmicos o intrauterinos
 Condiciones ambientales y Socioeconómicas
Macroambiente Escolaridad
Urbano Universitaria

Microambiente Nivel socioeconómico

N° de personas que viven en la casa: Medio
4
Habitaciones: 2 Conoce la vinchuca? sí
Materiales: Piso Mosaico Te picó alguna vez? no
Techo teja
Paredes revocadas Contacto con tosedor crónico: no
Agua: ESSAP Animales domésticos: no
Baño: Moderno
 Ectoscopía
Paciente de sexo femenino que aparenta la edad que
tiene, lúcido, colaboradorador con el interrogatorio, de
fascie compuesta, normosómico, de biotipo normolineo,
eutrófico, adopta en el lecho la posición decúbito dorsal
activo indiferente, marcha conservada.
Llama la atención vía central.
Impresiona portador patología crónica
 Signos vitales

PA: 103/75
Pulso: 90 lpm
Frecuencia respiratoria: 16 rpm
Temperatura axilar: 37° C
Saturación de O2: 99%
 Examen físico
Inspección:
Vías aéreas libres y permeables, no se observa secreción ni aleteo
nasal. Tórax de conformación normal, simétrico, que excursiona bien
con los movimientos respiratorios, con una frecuencia de 16
respiraciones por minuto, con respiración de tipo torácico, relieves
óseos y masas musculares conservadas, piel ligeramente pálida,
distribución pilosa acorde a edad y sexo, en cual no se observan
cicatrices, fístulas, estrías atróficas, circulación venosa colateral ni tiraje
intercostal.
 Examen físico
Palpación:
Temperatura y sensibilidad conservada, tono y trofismo conservados,
excursión respiratoria conservada de vértices a bases en forma
bilateral, vibraciones vocales conservadas de vértices a bases en forma
bilateral.
Percusión:
Sonoridad conservada de vértices a bases en forma bilateral.
Auscultación:
Murmullo vesicular conservado de vértices a base en forma bilateral,
no se auscultan rales sobreagregados.
 Construcción
sindrómica
Sx anémico
Sx doloroso en abdomen y
piernas
Sx purpúrico
Sx constitucional
Sx emético
MUCHAS GRACIAS
 Table of Contents

01 02 03
About the Patient Discussion Diagnosis
Here you could describe Here you could describe Here you could describe
the topic of the section the topic of the section the topic of the section

04 05
Treatment Patient Monitoring
Here you could describe Here you could describe
the topic of the section the topic of the section
Introduction
Mercury is the closest planet to the Sun and
the smallest one in the Solar System—it’s
only a bit larger than our Moon. The planet’s
name has nothing to do with the liquid
metal, since it was named after the Roman
messenger god, Mercury
01
About the Patient
You could enter a subtitle here if you need it
 Identifying Information

Neptune Saturn Mercury

Neptune is the fourth-largest Saturn is the ringed one. It’s a gas Mercury is the closest planet to
planet by diameter in our Solar giant, composed mostly of the Sun and the smallest one in
System hydrogen and helium our Solar System
 Identifying Information

Venus
Venus has a beautiful name and is the
second planet from the Sun. It’s terribly
hot—even hotter than Mercury—and its
atmosphere is extremely poisonous. It’s
the second-brightest natural object in
the night sky after the Moon
Mercury
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing
to do with the liquid metal, since it was
named after the Roman messenger god
 Review of Systems

Neptune Saturn
Neptune is the Saturn is composed

01 farthest planet from

the Sun 02 mostly of hydrogen
and helium

Mercury Jupiter Mars

Mercury is the This gas giant is the Despite being red,

03 smallest planet in
our Solar System 04 biggest planet in
our Solar System 05 Mars is actually a
cold place
 Physical Examination

Neptune Saturn Mars Venus Mercury

45% 12% 78% 36% 62%

To change the size of Yes, Saturn is the Mars is a cold place Venus has a beautiful Mercury is the
the graph, click the ringed one. It’s a gas full of iron oxide name and is the closest planet to the
arc of the circle and giant, composed dust, which gives the second planet from Sun and the smallest
drag one of the mostly of hydrogen planet its reddish the Sun. It’s terribly one our the Solar
orange handles and helium cast hot System
Results
Mercury is the closest planet to the Sun
and the smallest one in the Solar
System—it’s only a bit larger than our
Moon. The planet’s name has nothing to
do with the liquid metal, since it was
named after the Roman messenger god
 4,497,374
Big numbers catch your audience’s attention
 Findings
Evolution Prevalence

32% 24%
Pluto Venus

12% 32%
Saturn Mars

If you want to modify this graph, click on it,

follow the link, change the data and replace it 200,000,000
Big number
 02
Discussion
You could enter a subtitle here if you need it
 Discussions

“Neptune is the farthest planet from the Sun

and the fourth-largest in our Solar System’’ Dr. John Doe

“Venus has a beautiful name and is the

second planet from the Sun. It’s terribly hot’’ Dr. Jenna James

“Mercury is the closest planet to the Sun and

the smallest one in our Solar System’’ Dr. Daniel Patterson
Discussions Summary

01
Venus has a beautiful name and is the second
planet from the Sun. It’s terribly hot and its
atmosphere is extremely poisonous

02
Jupiter is a gas giant and the biggest planet in
our Solar System. It’s also the fourth-brightest
object in the sky

03
Mercury is the closest planet to the Sun and
also the smallest one in our Solar System. It’s
only a bit larger than our Moon
 Comparison

01 02 03 04
Saturn

Venus

Jupiter

Pluto
 04
Treatment
You could enter a subtitle here if you need it
 Treatment
Mars is full of iron oxide
Week 1 dust, which gives the
planet its reddish cast

Saturn is the ringed one.

It’s a gas giant, composed Week 2
of hydrogen and helium

Venus has a beautiful

Week 3 name and is the second
planet from the Sun

Jupiter is a gas giant and

the biggest planet in our Week 4
Solar System
A Picture Always
Reinforces the
Concept
A Picture Is
Worth a
Thousand
Words
05
Patient Monitoring
You could enter a subtitle here if you need it
 Patient Monitoring
Week 1 Week 2
To change the size of the graph, click the circle and drag the colored handle
Venus has a beautiful name and is
the second planet from the Sun
Venus Mars Saturn Pluto
Venus

Mars

Saturn Week 3
Mercury is the
Venus Saturn
closest planet to
Pluto the Sun
Mars Pluto
 Contraindications - Indications
Saturn is the ringed one. It’s Despite being red, Mars is
a gas giant, composed of actually a cold place. It’s full
hydrogen and helium of iron oxide dust

Jupiter is a gas giant and the Neptune is the

fourth-brightest object in fourth-largest planet in our
the sky Solar System

Venus has a beautiful name Pluto is in the Kuiper belt

and is the second planet and is considered a dwarf
from the Sun planet since 2006

Mercury is the closest Ceres is a dwarf planet and

planet to the Sun and the the biggest object in the
smallest in our Solar System asteroid belt
 Post-prevention

Jupiter is a gas giant

and the biggest planet
Jupiter Mercury Mercury is the smallest
planet in our Solar
in our Solar System System

Venus is terribly hot

and its atmosphere is
Venus Mars Despite being red,
Mars is actually a cold
extremely poisonous place

Neptune is the
fourth-largest planet in
Neptune Saturn It’s a gas giant,
composed mostly of
our Solar System hydrogen and helium
 Case Timeline

Phase 1 Phase 2 Phase 3 Phase 4

Neptune is the Saturn is the ringed one. Venus has a beautiful Mars is full of iron oxide
fourth-largest planet in It’s a gas giant, composed name and is the second dust, which gives the
our Solar System of hydrogen and helium planet from the Sun planet its reddish cast
 References

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

 Our Team

Helena James John Doe Jenna Patterson

Here you can talk a bit Here you can talk a bit Here you can talk a bit
about this person about this person about this person
 Thanks
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