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Paciente de sexo masculino de 45 años de edad con esofagitis y con antecedentes familiares de isquemia miocárdica.
| dc.contributor.advisor | Olalla Mera, Misael | |
| dc.contributor.author | Siguencia Méndez, Liliana Elizabeth | |
| dc.date.accessioned | 2020-10-20T21:22:03Z | |
| dc.date.available | 2020-10-20T21:22:03Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8934 | |
| dc.description | The present clinical case is about a 45-year-old male patient who attended a medical consultation when he referred a clinical picture that began approximately 2 months ago marked by burning retro-sternal pain that rises to the throat, bitter sensation in the mouth and Occasional vomiting, which in the last weeks presents pain when swallowing, presents symptoms that diminish with the administration of oral antacids but that in the last one does not find relief, refers the patient who has been abusing alcohol intake every weekend for 6 months , with increased caloric intake and irritating foods, but in recent days he has eaten little food, it is said that he eats 3 times a day due to the symptoms he presents, he refers to retro sternal pain of moderate intensity, so he decides to investigate possible heart problems, where the doctor through an upper digestive endoscopy reflects lesions of the mucosa in number of 2 less or equal to 3 and 5 mm d e length that does not extend between the upper part of the mucosa folds of the esophagus, stomach and normal duodenum and diagnoses the patient with esophagitis. Nutritional status was assessed with anthropometric, biochemical, clinical and dietary methods where alterations are observed when being overweight due to the body mass index of 27.15kg / m2 and an intake, although decreased, but with high fat content according to the reminder calculation. of 24 hours, a soft diet of 1800 calories is prescribed distributed in 5 meal times and the proper recommendations are given. In conclusion, favorable results are observed in the treatment and nutritional intervention according to the follow-up where weight loss and absence of esophagitis symptoms are demonstrated. | es_ES |
| dc.description | The present clinical case is about a 45-year-old male patient who attended a medical consultation when he referred a clinical picture that began approximately 2 months ago marked by burning retro-sternal pain that rises to the throat, bitter sensation in the mouth and Occasional vomiting, which in the last weeks presents pain when swallowing, presents symptoms that diminish with the administration of oral antacids but that in the last one does not find relief, refers the patient who has been abusing alcohol intake every weekend for 6 months , with increased caloric intake and irritating foods, but in recent days he has eaten little food, it is said that he eats 3 times a day due to the symptoms he presents, he refers to retro sternal pain of moderate intensity, so he decides to investigate possible heart problems, where the doctor through an upper digestive endoscopy reflects lesions of the mucosa in number of 2 less or equal to 3 and 5 mm d e length that does not extend between the upper part of the mucosa folds of the esophagus, stomach and normal duodenum and diagnoses the patient with esophagitis. Nutritional status was assessed with anthropometric, biochemical, clinical and dietary methods where alterations are observed when being overweight due to the body mass index of 27.15kg / m2 and an intake, although decreased, but with high fat content according to the reminder calculation. of 24 hours, a soft diet of 1800 calories is prescribed distributed in 5 meal times and the proper recommendations are given. In conclusion, favorable results are observed in the treatment and nutritional intervention according to the follow-up where weight loss and absence of esophagitis symptoms are demonstrated. | es_ES |
| dc.description.abstract | El presente caso clínico se trata de un paciente de sexo masculino de 45 años de edad que acude a consulta médica al referir cuadro clínico que inicia hace aproximadamente 2 meses atrás caracterizado por dolor retro esternal quemante que sube hasta la garganta, sensación amarga en boca y vómitos ocasionales, refiere que en las últimas semanas presenta dolor al deglutir, presenta síntomas que disminuyen con la administración de antiácidos orales pero que en los últimos días no encuentra alivio, refiere el paciente que lleva 6 meses abusando con la ingesta de alcohol todos los fines de semanas, con ingesta calórica aumentada y alimentos irritantes, pero los últimos días ha consumido pocos alimentos, refiere que come 3 veces al día por los síntomas que presenta, refiere dolor retro esternal de moderada intensidad por lo que decide investigar sobre posibles problemas cardiacos, donde el médico a través de una endoscopía digestiva alta refleja lesiones de la mucosa en número de 2 menor o igual a 3 y 5 mm de longitud que no se extienden entre la parte superior de los pliegues de la mucosa del esófago, estómago y duodeno normal y diagnostica al paciente con esofagitis. Se valoró el estado nutricional con métodos antropométricos, bioquímicos, clínicos y dietéticos donde se observa alteraciones al presentar sobrepeso por el índice de masa corporal de 27.15kg/m2 y una ingesta, aunque disminuida, pero con contenido de grasa elevado según el cálculo del recordatorio de 24 horas, se prescribe dieta blanda de 1800 calorías distribuida en 5 tiempos de comida y se da las debidas recomendaciones. Como conclusión se observa resultados favorables en el tratamiento e intervención nutricional según el seguimiento donde se demuestra pérdida de peso y ausencia de síntomas de la esofagitis. | 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 | Esofagitis | es_ES |
| dc.subject | Reflujo Gastroesofágico | es_ES |
| dc.subject | Dolor Retro Esternal | es_ES |
| dc.subject | Isquemia Miocárdica | es_ES |
| dc.subject | Blanda gástrica | es_ES |
| dc.title | Paciente de sexo masculino de 45 años de edad con esofagitis y con antecedentes familiares de isquemia miocárdica. | es_ES |
| dc.type | bachelorThesis | es_ES |
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