5 documents found, page 1 of 1
Withdrawal of Renal Replacement Therapy: The Role of Palliative Care
Gomes da Cunha, Joana; Rema, Joana; Gonçalves, EdnaIntroduction: With aging populations and wider access to renal replacement therapy (RRT), more patients undergo dialysis, often with declining quality of life, leading to consideration of RRT withdrawal. Early integration of palliative care (PC) is essential to ensure a patient-centered approach. This study evaluates the clinical course of patients admitted to a university hospital PC unit who had RRT withdrawn...
From Postpartum Hemorrhage to Acquired Hypopituitarism: Clinical Case
Gomes da Cunha, Joana; Anjo, Carolina; Atanásio, Gabriel; Romão, Vera; Gonçalves Ferreira, MartaA síndrome de Sheehan é uma situação rara, que se associa a hipopituitarismo por necrose hipofisária que decorre, na maioria dos casos, por hemorragia maciça durante ou logo após o parto. Apresenta-se o caso de uma mulher de 34 anos, com quadro de fadiga, perda ponderal, queda de cabelo, agalactia, amenorreia e dispareunia, instalado semanas após parto complicado com hemorragia uterina. Analiticamente, identifi...
COVID-19, the Reality of an Internal Medicine Ward
Gomes da Cunha, Joana; dos Santos Almeida , Rita; dos Santos Pereira, Sofia; Veiga, Ricardo; Costa, Marta; Romão, VeraIntroduction: The reorganization of health care imposedby the COVID-19 pandemic revealed the work capacity of all health professionals, mirroring the fundamental role of Internal Medicine. This work intended to highlight the complexity of managing the COVID-19 patient, often guided by the absence of theoretical/scientific support in the face of the unknown. Methods: A retrospective and descriptive evaluation of...
Dermatomyositis: The Importance of the Clinical Eye: Dermatomiosite: A Importân...
Gomes da Cunha, Joana; Santos Pereira, Sofia; Guimarães Rento, Inês; Romão, Vera
Pneumomediastinum as a Complication of SARS-CoV-2 Infection: Case Series
Gomes da Cunha, Joana; Lopes, Andreia; Santos Almeida, Rita; Santos Pereira, Sofia; Veiga, Ricardo; Quental, Bárbara; Romão, VeraIntroduction: Even though pneumomediastinum cases are not frequent, it has been described as a non-negligible complication in patients with SARS-CoV-2 infection. According to the available literature at this moment, development of pneumomediastinum in patients with SARS-CoV-2 infection does not seem to be related to the classic mechanism of pulmonary barotrauma. This work aims to raise awareness of this nosolog...