5 documents found, page 1 of 1
Eosinophilic fasciitis (Shulman's disease): review and comparative evaluation o...
Urzal, J; Cimbron, M; Mendonça, T; Farinha, FOBJECTIVES: Eosinophilic fasciitis (EF) was described in 1974 by Shulman as a rare fibrosing connective tissue disease of unknown etiology. An undetermined trigger is thought to lead to the degranulation of eosinophils that interact with fibroblasts and express fibrogenic cytokines including the transforming factor of tumor growth a and b and interleukins 1 and 6. The purpose of this study was to summarize seve...
Inappropriate Prescribing to Elderly Patients in an Internal Medicine Ward.
Urzal, J; Pedro, AB; Oliveira, I; Romero, I; Achega, M; Correia, I; Aldomiro, F; Augusto, JINTRODUCTION: Polypharmacy is often observed in elderly patients and is associated with an increased risk of adverse drug reactions, side effects and interactions. Clinicians should be alert to inappropriate drug prescribing and reduce polypharmacy. MATERIAL AND METHODS: Observational, longitudinal, retrospective and descriptive study in an internal medicine ward in a Portuguese hospital. Polypharmacy was defin...
Mild troponin elevation in patients admitted to the emergency department with a...
Augusto, J; Santos, M; Roque, D; Faria, D; Urzal, J; Morais, J; Gil, V; Morais, CPatients with atrial fibrillation (AF) often undergo troponin (Tn) testing in the emergency department (ED), but the clinical significance of mildly elevated values remains unclear. We evaluated short-term 30-day post-discharge outcomes in AF patients according to troponin levels. Out of 2181 AF patients evaluated in the ED (June 2014 to June 2015), we included consecutive admitted patients. Patients were group...
Hipoglicemia em doentes diabéticos idosos: experiência de uma unidade de diabetes
Romero, I; Sousa, R; Oliveira, I; Pedro, AB; Urzal, JIntrodução: Assiste-se atualmente a uma evolução paralela do envelhecimento da população e da prevalência crescente de Diabetes Mellitus. Os indivíduos idosos estão particularmente susceptíveis à ocorrência de episódios de hipoglicemia, responsáveis por uma morbimortalidade significativa nesta população. Os objetivos do estudo foram a avaliação da incidência de doentes diabéticos com episódios de hipoglicemia n...
Encefalopatia de hashimoto: uma causa de demência reversível
Oliveira, I; Urzal, J; Correia, I; Aldomiro, FA Encefalopatia de Hashimoto (EH) é caracterizada pelo desenvolvimento de sintomas neuropsiquiátricos, tipicamente com alteração cognitiva de instalação rápida sendo por isso diagnóstico diferencial de demências rapidamente progressivas (DRP). Reportamos o caso de uma mulher de 72 anos que recorre por confusão mental, desorientação temporo-espacial e tremor simétrico dos membros superiores, associado a hiperton...