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Galicia Clínica
ISSN 0304-4866 · Sociedade Galega de Medicina Interna · 820 artikel di indeks
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Artikel Jurnal
Effectiveness of rhythmic auditory stimulation enhanced gait training and frenkel exercises in improving mobility among geriatric population
SUMMARY One of the difficult faced by older patients are decreased walking speed and increased risk of falling. Age-related changes in mobility demand interventions. rhythmic auditory stimulation enhanced gait training may be a successful intervention technique ,on the other hand frenkel exercise…
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Artikel Jurnal
Lupus Anticoagulant, Von Willerbrand Factor and Interleukin-6 as a reliable predictor of the need for mechanical ventilation in Covid-19
Background: Coronavirus disease 2019 is characterized by causing thromboembolic events due to a procoagulant state. The possible relationship between lupus anticoagulant and patient's procoagulant state is controversial and no study has specifically evaluated the impact of lupus anticoagulant on…
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Acute Respiratory Failure and Bleomycin: A Case of Bleomycin-Induced Pneumonitis
Bleomycin-induced pneumonitis (BIP) is a potentially life-threatening complication of bleomycin chemotherapy, particularly in older patients. We report a case of a 70-year-old female admitted to the hospital with acute respiratory failure, later diagnosed with bleomycin-induced pneumonitis. This…
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Toxicidad aguda por nitrofurantoina – descripción de caso
Mujer de 82 años, acude al servicio de urgencia con tos seca, fiebre y disnea con 2 días de evolución, a tratamiento profiláctico con nitrofurantoína desde hace 6 meses por infecciones urinarias recurrentes. Llama la atención insuficiencia respiratoria grave y tomografía computarizada torácica (TC)…
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Artikel Jurnal
Darier's disease with esophageal involvement, a case report.
Darier's disease (DD) is an autosomal dominant dermatosis caused by mutation of ATP2A2 gene at 12q23-24, characterized histologically by acantholysis and dyskeratosis1. It's a rare disease, distinguish by the presence of red-brown keratotic papules of follicular, palm-plantar, nail and less often…
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Artikel Jurnal
Familial Amyloid Polyneuropathy: Diagnostic Challenges in a 78-Year-Old Male with Polyneuropathy and Heart Failure
Transthyretin amyloidosis (ATTR) is a rare, progressive disorder caused by the accumulation of misfolded transthyretin (TTR) proteins in various tissues and organs, leading to the formation of amyloid deposits. In ATTR, genetic mutations (hereditary form) or age-related changes (wild-type form)…
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Desde la tuberculosis pulmonar a la meningitis: un caso clínico revelador
El caso presenta a un varón de 58 años, originario de Pakistán, quien acudió a urgencias con síntomas neurológicos significativos. A través de diversas técnicas de imagen y el análisis del líquido cefalorraquídeo (LCR), se llegó al diagnóstico de meningitis tuberculosa acompañada de tuberculomas…
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Artikel Jurnal
Polyserositis: a diagnostic challenge
Polyserositis is the inflammation of multiple serous membranes, such as the pleura, pericardium, and/or peritoneum, with at least one presenting as an exudate. This condition poses a diagnostic challenge, with causes ranging from neoplasia and autoimmune diseases to infections. However, many cases…
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Artikel Jurnal
Bandas oligoclonales positivas en LCR en neuralgia del trigémino
Varón de 57 años con los siguientes antecedentes personales de interés: Dislipemia, HTA, no DM, alopecia areata. Tratamiento: Atorvastatina 40 mg/día, Enalapril 10 mg/día y Omeprazol 20 mg/día. Desde hace 6 meses, presenta neuralgia de trigémino (NT) V2 derecho que no ha mejorado con pregabalina…
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Artikel Jurnal
Artritis gotosa erosiva: no todo lo que brilla es urato
La gota es una forma común de artritis debida al depósito de cristales de urato monosódico. Sin tratamiento, la enfermedad puede progresar con los años a gota tofácea crónica, situación más frecuente en pacientes con insuficiencia renal y particularmente en terapia renal sustitutiva. Los tofos…
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Acute Pericarditis Associated with Graves' Disease: A Case Report
Acute pericarditis is an uncommon but significant complication of Graves' disease. This case report describes a 53-year-old female presenting with acute pericarditis in the context of newly diagnosed Graves' disease. The patient’s clinical presentation, diagnostic evaluation, treatment course, and…
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Escleredema Adultorum de Buschke resistente a la terapia: informe de un caso
El escleredema de Buschke es una enfermedad del tejido conjuntivo con una etiopatogenia desconocida, un diagnóstico clínico que precisa confirmación histopatológica y con un tratamiento individualizado, no claramente protocolizado. Esto traduce un importante reto diagnóstico para el clínico, siendo…
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Artikel Jurnal
Bisalbuminemia in a patient with nephrotic syndrome
Bisalbuminemia is a hereditary or acquired dysproteinemia characterized by bifid albumin peak on serum protein electrophoresis. Although the clinicopathological significance is yet to be established, it occurs in association with various pathologic states. Here we present a case of a 65-year old…
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Artikel Jurnal
From the Hair Follicle to the Spinal Cord: Scurvy as a Clue to Nutritional Myelopathy
The authors present the case of a 25-year-old man with psychomotor agitation and profound malnutrition, including perifollicular hemorrhage and “corkscrew” hairs - hallmarks of scurvy. Neurologically, he exhibited cerebellar and sensory ataxia, generalized myoclonus, hypotonia, muscle weakness, and…
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Medicina Gráfica: qué es y qué puede aportar a la Medicina Interna
Resumen La Medicina Interna es una especialidad esencialmente generalista y con un enfoque integrativo que permite valorar al paciente como la suma de sus circunstancias físicas, psicológicas y sociales. Este planteamiento más allá de lo orgánico enlaza con la visión humanista de la medicina…
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Artikel Jurnal
Unexpected cause of low back pain in pregnant woman
Wunderlich Syndrome is a rare disease defined as spontaneous bleeding confined to the subcapsular and perirenal spaces in the absence of trauma. There are some potential causes to this spontaneous bleeding such as renal neoplasms and renal vascular diseases. Usually patients present with abdominal…
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Artikel Jurnal
Hipopituitarismo por apoplejía hipofisaria
La apoplejía hipofisaria es un cuadro clínico causado por la hemorragia o isquemia de la glándula hipófisis (normalmente debida a la presencia de un adenoma hipofisario no conocido) que puede causar, por afectación de la adenohipófisis, una situación de hipopituitarismo. Se caracteriza por la…
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Artikel Jurnal
Sneddon Syndrome: the difficult diagnosis and the failure in treatment with oral direct anticoagulants
Sneddon Syndrome (SS) is an uncommon disease characterized by cerebrovascular events and the presence of Livedo Racemosa, sometimes overlapping with other auto-immune diseases, such as antiphospholipid syndrome. It can present with positive or negative antiphospholipid antibodies. These case…
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Artikel Jurnal
Multifactorial black hairy tongue
A 51-year-old man reports black tongue and gingival bleeding with a 4-week evolution. His relevant medical history includes seronegative rheumatoid arthritis, arterial hypertension, smoking, alcoholism, metabolic dysfunction and alcohol-related liver disease, arterial peripheral disease, sensitive…
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Artikel Jurnal
Skin manifestation of a systemic disease
Skin manifestations can be the first indication of an underlying systemic disease, such as neoplasia, autoimmune disorders, or infections. It is crucial to remain vigilant in identifying and considering less common diagnostic hypotheses, enabling the prompt exclusion of uncommon and potentially…