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Prescription Pattern of Proton Pump Inhibitors at Hospital Admission and Discharge

Gamelas, V; Salvado, V; Dias, L

Background: Proton pump inhibitors (PPI) have reportedly been used in inappropriate clinical settings, often leading to an increased risk of adverse effects, drug interactions, and costs. Aim: The aim of this study was to evaluate the adequacy of PPI prescription in an internal medicine ward. Methods: The discharged home inpatients of a segment in the medicine department of a central hospital in the first trime...


CT-Proven Ischaemic Stroke as the First Manifestation of Occult Lung Cancer

Azeredo Costa, J; Rodrigues, M; Monteiro, M; Salvado, V; Dias, L

Cancer is associated with a higher risk of stroke, and in rare cases stroke can be the first manifestation of occult neoplasia. We present the case of a 74-year-old woman hospitalized for ischaemic stroke with multiple cerebral infarctions in several vascular territories. The exclusion of other aetiologies and the simultaneous presence of thromboembolic events in other organs raised the suspicion of a hypercoag...



Intramural Hematoma of the Esophagus After Thrombolysis for Ischemic Stroke

Silva, MJ; Saiote, J; Salvado, V; Paiva Nunes, A; Duarte, P

Intramural dissecting hematoma is an unusual esophageal condition with a threatening presentation but excellent prognosis when managed conservatively.We report the case of an 88-year-old woman who developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, in...


Recalcitrant Leg Ulcers as the Only Manifestation of Essential Type 2 Cryoglobu...

Brasileiro, A; Barreto, P; Salvado, V; Diamantino, F; Pinheiro, S

Chronic leg ulcers are persistent conditions that might be a diagnostic and therapeutic challenge, with great impact in health care costs and patients’ quality of life. We report a case of a 60-year-old woman, with long-lasting recalcitrant leg ulcers, which led to left leg amputation 10 years ago. Several attempts to heal the right leg were made, including skin grafting in three different occasions and several...


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