Caso clínico 22-7-11

Caso clínico: Dolor torácico Enrique Fernández Pérez R4 C.S.Cartuja

10:00 horas: Mujer de 33 años que acude a consulta de Centro de Salud Cartuja por presentar dolor torácico de 1 hora de evolución y disnea.

Antecedentes Personales: ,[object Object],[object Object],[object Object],[object Object],Tratamiento: ,[object Object],[object Object],[object Object],[object Object]

Antecedentes familiares: ,[object Object],[object Object],[object Object]

Clínica (I) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clínica (II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exploración física: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Actitud a tomar: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnóstico diferencial: - Cardiopatía isquémica. - Pericarditis. - Disección aorta. - Neumotórax. - Taponamiento cardiaco. - Rotura esofágica - TEP - Neumonía/Sepsis respiratoria. - Edema agudo de pulmón. - Ansiedad

¡SORPRESA! ,[object Object],[object Object]

Aspectos a tener en cuenta… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

… Un minuto después recupera la consciencia ,[object Object],[object Object],[object Object]

¿Se decide traslado al hospital? ,[object Object],[object Object],[object Object]

Hemograma: ,[object Object],[object Object],[object Object],Bioquímica: Glucemia 99 Creatinina 0.64, Urea 46 BT 0.68, Transaminasas y amilasa normales. LDH 547 PCR 2

Coagulación: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gasometría Arterial: ,[object Object],[object Object],[object Object],[object Object],[object Object]

…se hace Angio-TAC ,[object Object],[object Object],[object Object]

Resumen caso clínico: TEP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caso clínico 22-7-11

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Caso clínico 22-7-11