Trabajos de Titulación - Sede Azogues - Medicina
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Examinando Trabajos de Titulación - Sede Azogues - Medicina por Asesores "Ávila Narváez, Eduardo"
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- ÍtemAcceso AbiertoParadigmas actuales de las fracturas de húmero. Revisión Sistemática(Universidad Católica de Cuenca., 2023) Rodríguez Vintimilla, David Rafael; Ávila Narváez, Eduardo; 0302069372; ., .Introduction: The most common injury to the humerus is fracture, which constitutes approximately 5% of all body fractures. They occur in all age groups; however, there is a higher prevalence in people over 65 and in young adults. Objective: To determine the current paradigms of humerus fractures based on the available scientific evidence. Method and technique: A systematic search and review of scientific articles was conducted by using the available network services, databases, or virtual libraries such as SciELO, Cochrane, Redalyc, Scribd, Medigraphic, Elsevier, as well as Google Scholar and Medical Societies of Traumatology, Orthopedics, and Radiology, which met the inclusion criteria, bibliography published in Spanish - English since 2018, and which was about the topic of current paradigms of humeral fractures. Subsequently, a database was created where the articles selected for the study were classified according to relevance, establishing relevant similarities and differences. Results: This type of fracture is classified according to the location of the lesion as proximal, diaphisarian, and distal, with proximal ones being the most frequent, with percentages ranging from 45 to 75%. Clinical manifestations are frequent including pain, edema, swelling, crackles, deformity, impossibility, and decreased mobility. The diagnostic test of choice is plain radiography. Treatment can be conservative or surgical, depending on the patient’s characteristics, functional demand, and the skill of the traumatologist.
- ÍtemAcceso AbiertoTromboflebitis de la vena porta en pacientes con apendicitis complicada. Revisión sistemática(Universidad Católica de Cuenca., 2023) Mendoza Macias, Dayana Audrey; Ávila Narváez, Eduardo; 1313904003; ., .Background: Pylephlebitis is a rare pathology associated with intra-abdominal infections being the most frequent: diverticulitis and appendicitis, due to its non-specific clinical manifestations. It can lead to early mortality, prolonged treatment with antibiotics and anticoagulation, and a high probability of portal system reperfusion. Objective: To investigate the most prevalent symptoms and the most effective treatment in patients presenting with portal vein thrombophlebitis with complicated appendicitis. Methodology: The study is a narrative literature review. The databases PubMed, SciELO, and ScienceDirect were searched. Results: The most prevalent symptoms of pylephlebitis are: fever (75.5%), abdominal pain (66.4%), vomiting (25.5%), and diarrhea (17.3%). In rare cases, jaundice is present in 12.7% of patients. Regarding the treatment, it was found that the combination of broad-spectrum antibiotics and anticoagulant therapy was the most effective. Conclusions: The most prevalent clinical manifestations of pylephlebitis were: abdominal pain and fever. As for the effectiveness of treatment, it was found that the combination of antibiotics and anticoagulant therapy showed a satisfactory result.