123 documents found, page 1 of 13

A False Step in a Ballerina: A Rare Case of Osteonecrosis of Subhallucal Sesamo...

Subhallucal interphalangeal osteonecrosis is an uncommon cause of forefoot pain, and a rarely reported clinical entity, being often overlooked. Imaging, particularly computed tomography (CT) scan and magnetic resonance imaging (MRI) have an essential role in early and differential diagnosis and guiding for appropriate therapy. The first approach should be conservative, and surgical treatment should be considere...

Cirurgia Aberta de Aneurisma da Aorta Abdominal por Internos de Cirurgia Vascul...

INTRODUÇÃO: Nas últimas duas décadas, a abordagem de tratamento de aneurisma da aorta abdominal (AAA) mudou drasticamente de cirurgia aberta para cirurgia endovascular. A diminuição de cirurgia de AAA convencional , open aneurysm repair (OAR), levanta preocupações relativamente à competência dos futuros cirurgiões vasculares para executar este procedimento complexo e de alto risco. O principal objetivo deste es...

Venous Thrombectomy after Failure of Catheter-Directed Thrombolysis for the Tre...

INTRODUCTION: Phlegmasia cerulea (PC) is a severe form of deep vein thrombosis. In the setting of massive venous thrombosis and severe ischemia, catheter-directed thrombolysis (CDT) or trombectomy is mandatory. We report three cases of women with PC managed with venous thrombectomy after failure of CDT. CASE REPORTS: 1: 20 years-old, with recent intake of oral contraceptive, referred with acute onset of limb sw...

Teleconsultation in respiratory medicine – A position paper of the Portuguese P...

The COVID-19 pandemic crisis, among so many social, economic and health problems, also brought new opportunities. The potential of telemedicine to improve health outcomes had already been recognised in the last decades, but the pandemic crisis has accelerated the digital revolution. In 2020, a rapid increase in the use of remote consultations occurred due to the need to reduce attendance and overcrowding in out...

Combined Lung-Kidney Transplantation: First Case in Portugal

A significant dysfunction of another organ is usually considered an absolute contraindication for lung transplantation, unless multiorgan transplantation is indicated and practical, as is the case of combined lung-kidney transplantation. Few cases of combined lung-kidney transplantation have been described in the literature; however, it is known that, in certain cases, it is the only way to offer an opportunity...

A Disfunção do Ventrículo Esquerdo e a Doença Valvular Cardíaca Não Influenciam...

Introdução: A doença cardíaca pode causar diminuição da perfusão sistémica e comprometer o inflow para procedimentos de revascularização de membro inferior, diminuindo a sua permeabilidade a curto e médio prazo. É possível que os doentes com doença valvular cardíaca ou redução da fração de ejeção do ventrículo esquerdo (FEVE) tenham piores resultados após revascularização dos membros inferiores. Métodos: Este e...

Treatable Traits in COPD - A Proposed Approach

The well-recognized individual heterogeneity within COPD patients has led to a growing interest in greater personalization in the approach of these patients. Thus, the treatable traits strategy has been proposed as a further step towards precision medicine in the management of chronic airway disease, both in stable phase and acute exacerbations. The aim of this paper is to perform a critical review on the treat...

Fenestração da Lâmina de Disseção com Agulha TIPS, uma Técnica Adjuvante no Tra...

Introdução: Na dissecção crónica complicada de degeneração aneurismática, é frequente existirem fendas espontâneas entre o verdadeiro e o falso lúmen ao nível das artérias viscerais. No entanto, na sua ausência ou difícil identificação, o tratamento com recurso a f/bEVAR está limitado. Nesses casos, pode ser necessária a criação de fenestrações para permitir o acesso aos vasos viscerais. Métodos / Resultados: A...

Validation of App and Phone Versions of the Control of Allergic Rhinitis and As...

Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence:...

Background: Poor medication adherence is a major challenge in asthma, and objective assessment of inhaler adherence is needed. The InspirerMundi app aims to monitor adherence while providing a positive experience through gamification and social support. Objective: This study aimed to evaluate the feasibility and acceptability of the InspirerMundi app to monitor medication adherence in adolescents and adults wit...