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Neumonía adquirida en la comunidad en paciente masculino de 40 años de edad con diabetes mellitus tipo 2.
| dc.contributor.advisor | Hidalgo Coello, Carlos Julio | |
| dc.contributor.author | Coronel Vicuña, Dania Lilibeth | |
| dc.date.accessioned | 2020-10-12T16:19:21Z | |
| dc.date.available | 2020-10-12T16:19:21Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8693 | |
| dc.description | The following clinical case is a patient with a history of type 2 diabetes mellitus, high blood pressure and a former smoker 10 years ago. She came to the consultation due to a cough of 2 days of productive evolution with purulent expectoration of a yellowish color of medium quantity plus fever of 38.6 ºC. In the physical examination, the patient is asthenic, adynamic and vital signs are observed in which they have tachycardia, desaturation, data with which a chest X-ray is performed which confirms the diagnosis of pneumonia. After analyzing the risk factors, an outpatient treatment is determined according to the evaluation of the CURB-65 scale. The following data collected in the clinical case previously guides us to the presence of community-acquired pneumonia. It is one of the most frequent infections in the world, its incidence is variable and is related to age, the presence of concomitant diseases and some specific risk factors such as heart failure, kidney failure, diabetes mellitus, liver diseases and neurological diseases. It may be accompanied by other systemic symptoms more in relation to the generalized inflammatory immune response than due to the same pathology, however, it is important to establish during the history the characteristics of the cough and sputum (especially if hemoptysis), the presence of dyspnea , fever, presence of chest pain and altered state of consciousness. | es_ES |
| dc.description | The following clinical case is a patient with a history of type 2 diabetes mellitus, high blood pressure and a former smoker 10 years ago. She came to the consultation due to a cough of 2 days of productive evolution with purulent expectoration of a yellowish color of medium quantity plus fever of 38.6 ºC. In the physical examination, the patient is asthenic, adynamic and vital signs are observed in which they have tachycardia, desaturation, data with which a chest X-ray is performed which confirms the diagnosis of pneumonia. After analyzing the risk factors, an outpatient treatment is determined according to the evaluation of the CURB-65 scale. The following data collected in the clinical case previously guides us to the presence of community-acquired pneumonia. It is one of the most frequent infections in the world, its incidence is variable and is related to age, the presence of concomitant diseases and some specific risk factors such as heart failure, kidney failure, diabetes mellitus, liver diseases and neurological diseases. It may be accompanied by other systemic symptoms more in relation to the generalized inflammatory immune response than due to the same pathology, however, it is important to establish during the history the characteristics of the cough and sputum (especially if hemoptysis), the presence of dyspnea , fever, presence of chest pain and altered state of consciousness. | es_ES |
| dc.description.abstract | El siguiente caso clínico se trata de un paciente con antecedentes de diabetes mellitus tipo 2, hipertensión arterial y ex fumador hace 10 años. Acude a la consulta por presentar tos de 2 días de evolución productiva con expectoración purulenta de color amarillento de mediana cantidad más fiebre de 38.6 ºC. En el examen físico el paciente se encuentra asténico, adinámico y se observan signos vitales en los cuales destacan tener taquicardia, desaturación, datos con los cuales se procede a realizar una radiografía de tórax la cual confirma el diagnóstico de neumonía. Luego de analizar los factores de riesgo se determina un tratamiento ambulatorio según la evaluación de la escala CURB-65. Los siguientes datos recopilados en el caso clínico descrito previamente nos orienta a la presencia de una neumonía adquirida en la comunidad. Es una de las infecciones más frecuentes en al ámbito mundial, su incidencia es variable y está relacionada con la edad, presencia de enfermedades concomitantes y algunos factores de riesgos específicos como la Insuficiencia cardiaca, Insuficiencia renal, Diabetes Mellitus, enfermedades hepáticas y enfermedades neurológicas. Puede acompañarse de otros síntomas sistémicos más en relación con la respuesta inflamatoria inmune generalizada que por la misma patología, sin embargo, es importante establecer dentro del interrogatorio las características de la tos y del esputo (en especial si presenta hemoptisis), la presencia de disnea, fiebre, presencia de dolor torácico y alteraciones del estado de conciencia. | es_ES |
| dc.format.extent | 37 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Neumonía | es_ES |
| dc.subject | Hemoptisis | es_ES |
| dc.subject | Disnea | es_ES |
| dc.subject | Diabetes mellitus | es_ES |
| dc.subject | Hipertensión Arterial | es_ES |
| dc.title | Neumonía adquirida en la comunidad en paciente masculino de 40 años de edad con diabetes mellitus tipo 2. | es_ES |
| dc.type | bachelorThesis | es_ES |
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