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1دورية أكاديمية
المؤلفون: Edeny Fando Couso, Yuri Valle Lara, Janny Aparicio Cáceres, Alexander Reyes de la Paz, Yorelis Acosta Hernández, Liuba Luisa Arteche Hidalgo
المصدر: Revista Cubana de Medicina Militar, Vol 52, Iss 2, Pp e02302445-e02302445 (2023)
مصطلحات موضوعية: impactación fecal, bezoares, semillas., Medicine, Medicine (General), R5-920
الوصف: Introduction: Fecal impaction is characterized by the presence of compact feces in the rectum or colon, which cannot be evacuated. Eating the fruit of the Spiny Monkey-orange tree (Strychnos spinosa Lam), which contains numerous seeds, is a dietary habit in some African countries. Objective: To describe the particularities of the diagnosis and treatment of fecal impaction due to the ingestion of Spiny Monkey-orange seeds. Clinical case: 12-year-old male, who ingested a large quantity of Spiny Monkey-orange seeds; he couldn't defecate or pass gas; She had abdominal and anal pain. Physical examination revealed tachycardia, abdominal distension, and increased air-fluid noises. A rectal examination revealed impaction with a stony consistency. When the extraction was not possible, in the emergency room, the fecal mass was fragmented and extracted, through the anus, with anesthetic sedation. Conclusions: The ingestion of Spiny Monkey-orange seeds is a dietary habit in Africa and the bezoars or fecal impaction that this habit can produce are not considered a health problem. For the diagnosis it is necessary the antecedent of the ingestion of the fruit, to carry out an exhaustive physical examination of the abdominal and anorectal regions and finally, the extraction of the fecal mass.
وصف الملف: electronic resource
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2دورية أكاديمية
المصدر: Revista Cubana de Medicina Militar, Vol 52, Iss 1, Pp e02302056-e02302056 (2023)
مصطلحات موضوعية: axila, traumatismos, herida punzante, cuerpo extraño retenido, traumatismo torácico., Medicine, Medicine (General), R5-920
الوصف: Introduction: The finding of a retained foreign body, specifically a knife blade, is a rare event. Sometimes these foreign bodies go unnoticed and are diagnosed deferred or delayed. Objective: To describe the diagnosis and treatment of a patient with a knife blade retained on axillary hole. Clinical case: 25-year-old male, attacked with a knife, who suffered a wound in the posterior region of the shoulder and was sutured without performing any complementary examination. Two weeks later, he came due to discomfort from the injured shoulder. An X-ray of the shoulder was indicated, where a radiopaque image appeared that corresponds to the knife blade, in subscapular projection. He refers shoulder discomfort and functional impotence. It is operated under general anesthesia, axillary incision, the object is identified in intimate contact with the axillary vein, the tip towards the axillary vertex, crossing under the axillary vein at its entrance to the thorax, the foreign body is removed under direct vision and without complications. Evolved favorably. Conclusions: Retained foreign bodies that go unnoticed are rare. However, there are regions such as the armpit where, due to the anatomical characteristics of the space, their diagnosis is difficult. In this case, an unusual combination of phenomena coincided, the defensive attitude of the injured person and the direction of the lunge, which led to the blade remaining in the axillary hole.
وصف الملف: electronic resource
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3دورية أكاديمية
المؤلفون: Edeny Fando Couso, Alexander Reyes de la Paz, Liuba Luisa Arteche Hidalgo, Yinett Hernández León
المصدر: Revista Cubana de Medicina Militar, Vol 51, Iss 3, Pp e02202049-e02202049 (2022)
مصطلحات موضوعية: enfermedad oncológica, comunicación de la verdad, conspiración del silencio, ética, bioética., Medicine, Medicine (General), R5-920
الوصف: Introduction: The doctor-patient relationship in oncology is based on respect for life, constantly linked to the acceptance of vulnerability and the recognition of the inevitability of death. The communication of the truth, particularly when it comes to reporting bad news, is a stressful and difficult situation that requires the proper preparation of health personnel. Objective: To comment the fundamentals of the communication of the truth in oncological diseases and the relevant points in the doctor-patient relationship. Development: Communicating the truth involves several ethical dilemmas in oncology and sometimes the medical team handles the information incorrectly. The consensus is not to lie, without rigid rules, "hide the truth" and the "conspiracy of silence"; are not entirely wrong, the health professional must respect the patient's right to be informed and their autonomy, which will facilitate decision-making. The doctor-patient relationship is already giving way to more personal forms of relationship and respect for individual freedom. 0 Conclusions: The fundamentals of the communication of the truth in oncological disease are based on the principles of medical ethics and bioethics, the truth guarantees a transparent and enriching communication. The relevant points of the doctor patient relationship consist of achieving the adequate therapeutic alliance between the doctor and the patient, in order to improve their quality of life.
وصف الملف: electronic resource
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4دورية أكاديمية
المؤلفون: Edeny Fando Couso, Alexander Reyes de la Paz, Liuba Luisa Arteche Hidalgo, Yinett Hernández León
المصدر: Revista Cubana de Medicina Militar, Vol 51, Iss 3, Pp e02202049-e02202049 (2022)
مصطلحات موضوعية: enfermedad oncológica, comunicación de la verdad, conspiración del silencio, ética, bioética., Medicine, Medicine (General), R5-920
الوصف: Introducción: La relación médico paciente en oncología se basa en el respeto por la vida, unido de forma constante en la aceptación de la vulnerabilidad y al reconocimiento de la inevitabilidad de la muerte. La comunicación de la verdad, particularmente cuando se trata de informar malas noticias, es una situación estresante, difícil y que demanda la adecuada preparación del personal de la salud. Objetivo: Comentar sobre los fundamentos de la comunicación de la verdad en las enfermedades oncológicas y los puntos relevantes en la relación médico paciente. Desarrollo: Comunicar la verdad entraña varios dilemas éticos en oncología y a veces la información se maneja incorrectamente por el equipo médico. El consenso es no mentir, sin normas rígidas, "ocultar la verdad" y la "conspiración del silencio"; no son del todo errados, el profesional de la salud debe respetar el derecho del paciente de estar informado y a su autonomía, lo que facilitará la toma de decisiones. La relación médico paciente ya cede el terreno a formas más personalistas de relación y el respeto a la libertad individual. Conclusiones: Los fundamentos de la comunicación de la verdad en la enfermedad oncológica, se basan en los principios de la ética y bioética médica, la verdad garantiza una comunicación transparente y enriquecedora. Los puntos relevantes de la RMP consisten en lograr la adecuada alianza terapéutica entre el médico y paciente, en la mejora de su calidad de vida.
وصف الملف: electronic resource
