viernes, marzo 16, 2007

Caso clínico IV, lesiones maculosas

Este es un poco para nota...

Paciente de 53 años, con cirrosis hepática en espera de transplante estadío B-8 de Child. Acude a Urgencias por dolor abdominal de 3 días de evolución. En la exploración dermatológica destacan las siguientes lesiones en región abdominal suprapúbica:


Lo de siempre, diagnóstico y tratamiento... ¿se anima alguien?

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18 Comments:

At 10:08 p. m., Anonymous Sofi said...

Uff... a mí me sacas de coser cabezas y me pierdo, jejeje... Parece una trombosis de las venas superficiales del abdomen, que están petadísimas por la circulación colateral, no?? El tto... iba a hacer la coña típica de que los dermas le dais a todo corticoides, pero como voy a meter la pata... jajajajaaj...

Ya nos contarás!!

 
At 1:07 a. m., Blogger José Luis Contreras Muñoz said...

Para mi es un aumento de la circulación colateral.El tratamiento de base de su cirrosis,mal pronóstico para el paciente.

 
At 10:51 p. m., Anonymous Sofi said...

Hola... Una preguntita Juan, tengo un amigo que acaba de hacer el MIR y tiene en su lista Cirugía General en Santiago, me podrías contar algo?? Es que no puede ir allí a preguntar... Gracias!!

 
At 9:09 p. m., Blogger Juan said...

Pues acabo de colgar una foto para ayudar un poco. Acertáis con lo de la circulación colateral, pero yo me refiero a las lesiones más maculosas que se ven, de aspecto hiperpigmentado. Quizá la foto no aclare mucho.

Sofi. Si que te cuento lo que quieras. Mi mail: juangavin@gmail.com. Escríbeme con el mail de tu amigo y le facilito el Mir de compañeros de cirugía. Santiago para hacer la espe está muy muy bien

 
At 10:11 a. m., Anonymous Anónimo said...

Espera el trasplante al lado de la estufa... Eritema ab igne

 
At 11:52 p. m., Blogger Juan said...

Bingo!

 
At 5:43 a. m., Blogger Nadia said...

circulacion colateral
singo de cullen?

 
At 8:18 p. m., Blogger Natalia said...

Eritema necrolítico migratorio

 
At 12:59 a. m., Anonymous Anónimo said...

Eritema ab igne???

 
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