O point-of-care ultrasound (POCUS) é uma avaliação sumária por ecografia que faz parte da abordagem de doentes agudos. O seu uso crescente deve-se à sua acessibilidade, rapidez e maior precisão diagnóstica, fornecendo informações prognósticas e auxiliando na avaliação clínica de doentes instáveis. O POCUS permite um diagnóstico em tempo real, dependendo de uma elevada suspeição clínica, sem depender de exames l...
Background: Viral respiratory infections may precipitate type 1 diabetes (T1D). A possible association between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, and the incidence of T1D is being determined. This study was carried out using Portuguese registries, aiming at examining temporal trends between COVID-19 and T1D.MethodsHospital data, comparing the in...
Background: Viral respiratory infections may precipitate type 1 diabetes (T1D). A possible association between the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19, and the incidence of T1D is being determined. This study was carried out using Portuguese registries, aiming at examining temporal trends between COVID-19 and T1D. Methods: Hospital data, comparing the...
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Bladder perforation, a significant urological emergency, presents a diagnostic challenge due to its diverse etiologies and varying clinical manifestations. This paper discusses a rare case of bladder perforation in an 87-year-old woman with a history of hypertension and previous stomach and uterine cancer. The patient was admitted with a urinary tract infection and subsequently experienced mild abdominal discom...
The authors present a study case of Whipple´s disease affecting primarily the CNS in a 69 years old woman, who was admitted because of movement changes (ataxia and lower limbs paresis) and cognitive changes (depression, behaviour and personality changes).The presence of at least one of the criteria proposed by Louis et al. in 1996 revealed the presence of Whipple´s disease, which was the positive result in the ...
The authors present a case of Kikuchi-Fujimoto disease associated with the occurrence of bilateral peripheral facial palsy, diagnosed in 22 years-old man who was admitted for fever, enlarged laterocervical lymph nodes and myalgia.The histologic examination of the cervical lymph node biopsy confirmed the diagnosis of Kikuchi-Fujimoto disease. The patient was treated with anti-inflammatory drugs and corticosteroi...
Introduction: Anaemia is frequently diagnosed in patients with Myelodysplastic Syndrome (MDS) and generally becomes blood transfusion dependent. The efficacy of treatment with erythropoietic proteins (EPO) in MDS is controversial and the cost/benefit relationship is being questionedObjective: To evaluate retrospectively the response to EPO in patients diagnosed with MDS, followed in our Haemato-oncology outpati...
The Appropriateness Evaluation Protocol (AEP) is an instrument to study the appropriate use of hospital beds based in objective criteria that classify a hospital admission as appropriate or inappropriate.Evaluate the appropriateness of hospital admissions and stays of the patients of our Internal Medicine Department using the concurrent version of AEP.Transversal study where was evaluated the clinical record of...