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Search Results: 1 - 10 of 54419 matches for " Rolando Rodríguez Fernández "
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Neuropatía femoral y hematoma bilateral de músculos psoas-iliaco asociados a tratamiento con warfarina Femoral neuropathy and bilateral hematoma: psoas-iliac muscles associated with a warfarin treatment
Rolando Rodríguez Fernández,Lays Rodríguez Amador,Emilio Buchaca Faxas,Francisco Fernández Valdez
Revista Cubana de Medicina , 2012,
Abstract: Se presentó un hombre de 70 a os que sufrió un hematoma bilateral de los músculos psoas-iliacos como consecuencia del tratamiento con warfarina. Después de 6 d de tratamiento analgésico, valores de índice internacional normalizado inferiores a 1,5 y control del sangrado, se indicó la warfarina para continuar la profilaxis por la prótesis valvular mecánica. Fue egresado con secuelas motoras por la neuropatía femoral y se ha mantenido con tratamiento fisioterapéutico. Se diagnosticó neuropatía por compresión del nervio femoral, por hematoma de los músculos psoas-ilíacos. Los casos de hematomas retroperitoneales son escasos en la literatura médica, en Cuba no encontramos casos publicados. This is the case of a man suffered of a bilateral hematoma of psoas-iliac muscles as a consequence of warfarin treatment. After 6 days od analgesic treatment, values of INR lower than 1,5 and bleeding control warfarin was prescribed to continue the prophylaxis by mechanical valvular prosthesis. He was discharged with motor sequelae due to femoral neuropathy maintained with a physiotherapy treatment. A neuropathy by compression of femoral nerve due to hematoma of psoas-iliac muscles was diagnosed. The cases of retroperitoneal hematomas are scarce in medical literature and in Cuba there were not published cases.
Colangitis esclerosante primaria en paciente con panhipopituitarismo autoinmune: Presentación de 1 caso Primary sclerosing cholangitis in a patient with autoimmune panhypopituitarism: A case report
Rolando Rodríguez Fernández,Emilio Buchaca Faxas,Nelson Roselló Silva,Lays Rodríguez Amador
Revista Cubana de Medicina , 2008,
Abstract: Se presentó un paciente con diagnóstico de un panhipopituitarismo autoinmune (diabetes insípida vasopresinsensible, hiperprolactinemia, hipotiroidismo, hipogonadismo secundario e insuficiencia corticosuprarrenal) establecido hace 3 a os, que a finales del a o 2005 comenzó a presentar dolor intenso en epigastrio e hipocondrio derecho, acompa ado de vómitos con restos de alimentos, fiebre elevada con escalofríos, seguido de coluria, acolia e íctero verdínico, hepatomegalia, elevación importante de la bilirrubina, la fosfatasa alcalina leucocitaria y la gamma glutamil transpectidasa, leucocitosis, que requirió tratamiento con antibióticos por vía endovenosa y simuló, al inicio, los diagnósticos de litiasis coledociana, tumor de cabeza de páncreas y hepatitis colangiolítica por fármacos. Estos episodios se fueron repitiendo cada vez con más frecuencia, hasta llegarse al diagnóstico de colangitis esclerosante primaria por colangiopancreatografía retrógrada endoscópica y biopsia hepática. Se revisó la literatura, pero no se encontraron reportes de la asociación de colangitis esclerosante primaria con panhipopituitarismo autoinmune A case of a patient with diagnosis of autoimmune panhypopituitarism (vasopressinsensitivity diabetes insipidus, hyperprolactinemia, hypothyroidism, secondary hypogonadism and corticosuprarenal insufficiency) established 3 years ago, was reported. At the end of 2005, he began to present an acute pain in the epigastrium and right hypochondrium, accompanied with vomiting with food residual, high fever with chills, followed of choluria, acholia and greenish icterus, hepatomegaly, marked elevation of bilirubin, leukocyte alkaline phosphatase and gamma glutamil transpeptidase, leukocytosis, that required treatment with antibiotics by endovenous route and mimmicked, at the beginning, the diagnoses of choledocian lithiasis, pancreatic head tumor, and cholangiolitic hepatitis caused by drugs. These episodes were frequently repeated until the diagnosis of primary sclerosing cholangitis was made by retrograde endoscopic cholangiopancreatography and liver biopsy. Literature was reviewed, but no reports of association of primary sclerosing cholangitis with autoimmune panhypopituitarism were found.
Adenocarcinoma primario del apéndice cecal
Galano Urgellés,Rolando; Casaus Prieto,Arbelio; Rodríguez Fernández,Zenén;
Revista Cubana de Cirug?-a , 1998,
Abstract: a lengthwise and prospective study of 5 patients operated from appendix ceci cancer, who were attended in the follow-up consultation room for patients operated from colo-rectal cancer was performed. the analysis underlined that the most frequent age was over 50 years-old and males were predominant. during the follow-up period, one of the patients was operated again and treated with 5-fluoroacyl; adenocarcinoma prevailed as hystological variant and its diagnosis was always confirmed by the pathological anatomy department. the sample of 5 patients represented 1.2 % of the cases attending our consultation room and 0.4 % of appendectomy-operated patients in our hospital during the studied period. the massive continuos screening of risk groups at the primary care level is recommended so as to early detect adenocarcinoma and thus improve the surgical and posoperative follow-up results and apply the sieracki's therapy to this disease
Cáncer de colon: Seguimiento posoperatorio
Galano Urgellés,Rolando; Rodríguez Fernández,Zenén; Casáus Prieto,Arbelio;
Revista Cubana de Cirug?-a , 1997,
Abstract: a longitudinal and prospective study of 69 patients operated on for colon cancer was carried out during 6 years. patients were followed-up for the purpose of the study. the analysis evidenced that the most frequent age group ranged between 65 and 74 years and that there was a predominance of females, as well as of stages ii and iiib and groups bi and bii according to dukes' classification. certain relapses resulting in reoperations were detected. 5-fluoracil was used as a therapeutic agent, while the highest survival rate was attained in patients presenting with tumors in 0, i, ii, and iiia stages from groups a, bi, and ci of dukes, or in those who complied with the cytostatic treatment. survival outcomes were higher than the ones reported. recommendations include to encourage mass screening in those risk groups at primary care level in order to detect early the entity, and thus improve the surgical outcomes and the results of postoperative follow-up
Cáncer de recto: Seguimiento posoperatorio
Galano Urgellés,Rolando; Rodríguez Fernández,Zenén; Casáus Prieto,Arbelio;
Revista Cubana de Cirug?-a , 1997,
Abstract: a study of 31 patients operated on for rectal neoplasms between september, 1989 and september, 1995 in santiago de cuba was performed. patients were followed-up during this period for the purpose of the study. there was a frank predominance of males and ages between 45 and 64, of the stage ii and the groups bi and bii according to dukes' classifiction. most patients received 5-fluoracil, without tumor relapses. the current survival rate of the series was 76 % at the end of the investigation. it is recommended that all patients operated on for this segment be followed-up after the operation; to continue with cytostatic treatment using 5-fluoracil, and to emphasize the importance of the use of tumor markers during the follow-up, in addition to transrectal ultrasound, as well as to make an early diagnosis through mass screeening methods
Adenocarcinoma primario del apéndice cecal
Rolando Galano Urgellés,Arbelio Casaus Prieto,Zenén Rodríguez Fernández
Revista Cubana de Cirugía , 1998,
Abstract: Se realizó un estudio longitudinal y prospectivo de 5 pacientes operados de cáncer del apéndice cecal, atendidos en una consulta de seguimiento habilitada para pacientes intervenidos de cáncer colorrectal. El análisis destacó que la edad más frecuente se halló por encima de la 5ta. década de la vida, y que hubo predominio del sexo masculino. Se practicó una reintervención durante el seguimiento; como terapéutica se utilizó el 5-fluoracilo; hubo un predominio absoluto del adenocarcinoma como variedad histológica; el diagnóstico de la entidad siempre se confirmó por Anatomía Patológica. La muestra representa el 1,2 % del total de casos de nuestra consulta y el 0,4 % de los pacientes apendicectomizados en nuestro Centro durante el período de estudio. Se recomienda insistir en el pesquisaje masivo de aquellos grupos de riesgo por parte del nivel primario de atención, para detectar precozmente la entidad y, por ende, mejorar los resultados quirúrgicos y de seguimiento posoperatorio, así como aplicar terapéutica de Sieracki en esta entidad A lengthwise and prospective study of 5 patients operated from appendix ceci cancer, who were attended in the follow-up consultation room for patients operated from colo-rectal cancer was performed. The analysis underlined that the most frequent age was over 50 years-old and males were predominant. During the follow-up period, one of the patients was operated again and treated with 5-fluoroacyl; adenocarcinoma prevailed as hystological variant and its diagnosis was always confirmed by the Pathological Anatomy Department. The sample of 5 patients represented 1.2 % of the cases attending our consultation room and 0.4 % of appendectomy-operated patients in our hospital during the studied period. The massive continuos screening of risk groups at the primary care level is recommended so as to early detect adenocarcinoma and thus improve the surgical and posoperative follow-up results and apply the Sieracki's therapy to this disease
Cáncer de colon: Seguimiento posoperatorio
Rolando Galano Urgellés,Zenén Rodríguez Fernández,Arbelio Casáus Prieto
Revista Cubana de Cirugía , 1997,
Abstract: Se realizó un estudio longitudinal y prospectivo de 69 pacientes operados de cáncer de colon durante 6 a os, atendidos en una consulta de seguimiento habilitada para tales fines. El análisis destacó que la edad más frecuente fluctuó entre los 65 y 74 a os y que hubo predominio del sexo femenino, de los estadios II y IIIb, así como de los grupos BI y BII, según clasificación de Dukes. Se detectaron algunas recidivas que motivaron reintervenciones; como terapéutica se utilizó 5-fluoracilo, en tanto que la mayor supervivencia se observó en los enfermos en estadios 0, I, II y IIIa, de los grupos A, BI y CI de Dukes, y en aquéllos que se acercaron o cumplieron el tratamiento citostático. Los resultados de supervivencia lograron superar los notificados. Se recomienda insistir en el pesquisaje masivo de aquellos grupos de riesgo por parte del nivel primario de atención, para detectar precozmente la entidad y, por ende, mejorar los resultados quirúrgicos y de seguimiento posoperatorio A longitudinal and prospective study of 69 patients operated on for colon cancer was carried out during 6 years. Patients were followed-up for the purpose of the study. The analysis evidenced that the most frequent age group ranged between 65 and 74 years and that there was a predominance of females, as well as of stages II and IIIb and groups BI and BII according to Dukes' classification. Certain relapses resulting in reoperations were detected. 5-fluoracil was used as a therapeutic agent, while the highest survival rate was attained in patients presenting with tumors in 0, I, II, and IIIa stages from groups A, BI, and CI of Dukes, or in those who complied with the cytostatic treatment. Survival outcomes were higher than the ones reported. Recommendations include to encourage mass screening in those risk groups at primary care level in order to detect early the entity, and thus improve the surgical outcomes and the results of postoperative follow-up
Cáncer de recto: Seguimiento posoperatorio
Rolando Galano Urgellés,Zenén Rodríguez Fernández,Arbelio Casáus Prieto
Revista Cubana de Cirugía , 1997,
Abstract: Se realizó un estudio de 31 pacientes operados de cáncer de recto entre septiembre de 1989 e igual mes de 1995, en la provincia Santiago de Cuba, atendidos en la consulta de seguimiento posoperatorio para dicha entidad durante este período. Hubo predominio del sexo masculino, de las edades entre 45 y 64 a os, del estadio II de la enfermedad y de los grupos BI y BII según la clasificación de Dukes. La mayoría de los enfermos recibieron tratamiento con 5-fluoracilo, sin que se presentaran recidivas tumorales en dicha casuística. La supervivencia actual de la serie fue del 76 % al cierre de la investigación. Se recomienda que todos los operados de este segmento sean atendidos en consulta exclusiva de seguimiento posoperatorio; continuar aplicando el tratamiento citostático con 5-fluoracilo; insistir en la importancia del uso de los marcadores tumorales durante el seguimiento y del ultrasonido transrectal, así como lograr un diagnóstico precoz mediante un mejor trabajo de pesquisaje masivo A study of 31 patients operated on for rectal neoplasms between September, 1989 and September, 1995 in Santiago de Cuba was performed. Patients were followed-up during this period for the purpose of the study. There was a frank predominance of males and ages between 45 and 64, of the stage II and the groups BI and BII according to Dukes' classifiction. Most patients received 5-fluoracil, without tumor relapses. The current survival rate of the series was 76 % at the end of the investigation. It is recommended that all patients operated on for this segment be followed-up after the operation; to continue with cytostatic treatment using 5-fluoracil, and to emphasize the importance of the use of tumor markers during the follow-up, in addition to transrectal ultrasound, as well as to make an early diagnosis through mass screeening methods
Tratamiento de la enfermedad pulmonar obstructiva crónica: Conceptos actuales
Pino Alfonso,Pedro Pablo; Rodríguez Vázquez,Juan Carlos; Gassiot Nu?o,Carlos; Rodríguez Fernández,Rolando;
Revista Cubana de Medicina , 1997,
Abstract: the current concepts in the treatment of chronic obstructive pulmonary disease, including chronic bronchitis and pulmonary emphysema are revised. emphasis is made on the fact of giving up smoking as the most important step concerning treatment. recommendations are included for the use of preventive therapy, as well as the best way for instituting bronchodilator therapy by steps with the use of ipratropium bromide in regular dose and beta 2 agonists according to the demand, as well as the use of steroids in advanced stages. also a commentary is made on the poor benefits offered by xantines and finally the improvement of symptoms with the use of oxigen as a therapeutic modality and the important role of education and rehabilitation programs are pointed out.
Tratamiento de la enfermedad pulmonar obstructiva crónica: Conceptos actuales
Pedro Pablo Pino Alfonso,Juan Carlos Rodríguez Vázquez,Carlos Gassiot Nu?o,Rolando Rodríguez Fernández
Revista Cubana de Medicina , 1997,
Abstract: Se revisan los conceptos actuales en el tratamiento de la enfermedad pulmonar obstructiva crónica, incluidos la bronquitis crónica y el enfisema pulmonar. Se hace hincapié en el abandono del hábito de firmar como paso más importante en el tratamiento. Se dan recomendaciones para el uso de la terapia preventiva, así como la mejor manera de establecer el tratamiento broncodilatador, por pasos, a base de bromuro de ipratropiun, en dosis regulares y beta 2 agonistas, a demanda, así como el uso de esteroides en estadios más avanzados. Se comenta sobre los pobres beneficios que ofrecen las xantinas y, por último, la mejoría de los síntomas con la oxigenoterapia y el importante papel de los programas educativos y de rehabilitación. The current concepts in the treatment of chronic obstructive pulmonary disease, including chronic bronchitis and pulmonary emphysema are revised. Emphasis is made on the fact of giving up smoking as the most important step concerning treatment. Recommendations are included for the use of preventive therapy, as well as the best way for instituting bronchodilator therapy by steps with the use of ipratropium bromide in regular dose and beta 2 agonists according to the demand, as well as the use of steroids in advanced stages. Also a commentary is made on the poor benefits offered by xantines and finally the improvement of symptoms with the use of oxigen as a therapeutic modality and the important role of education and rehabilitation programs are pointed out.
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