diapos resolucion essalud 2006

EXÁMEN PREINTERNADO

ESSALUD 2006

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Tests ResultsInterpretati

onHBsAg negative

Susceptibleanti-HBc negative

anti-HBs negative

HBsAg negative Immune due to natural

infectionanti-HBc positive

anti-HBs positive

HBsAg negative Immune due to hepatitis B

vaccination*anti-HBc negative

anti-HBs positive

HBsAg positive

Acutely infectedanti-HBc positive

IgM anti-HBc positive

anti-HBs negative

HBsAg positive

Chronically infected

anti-HBc positive

IgM anti-HBc negative

anti-HBs negative

HBsAg negative Four interpretations

possible•anti-HBc positive

anti-HBs negative

* Antibody response (anti-HBs) can be measured

quantitatively or qualitatively. A protective antibodyresponse is reported quantitatively as 10 or more milliinternational units (>=10 mIU/mL) or qualitatively

as positive. Post-vaccination testing should be completed 1-2 months after the third vaccine dose

for results to be meaningful.• Four Interpretations:1. Might be recoveringfrom acute HBV infection.

2. Might be distantly immune and test notsensitive enough to detect very low level of anti-

HBs in serum.3. Might be susceptible with a false positive anti-HBc.

4. Might be undetectable level of HBsAg presentin the serum and the personis actually

chronically infected

OBSTETRICIA qxmedic.edu@gmail.comwww.qxmedic.com

Agudo – crónico. Masivo -submasivo. FR EXCLUSIVOS: inmovilización, cirugia <3m, ECV, paresia, paralisis, TVP, cáncer, CVC <3m, ICC. Obesas, fumadoras pesadas e hipertensas.

•No es útil. Asintomáticos 32%. •Disnea subita, dolor pleural, tos, ortopnea, dolor pierna, edema pierna, sibilantes. Tq, Tf, rales, bajo MV, 2RC, IY.

• Clínica de edema agudo pulmón.

• Signos y síntomas de TEP.• Clínica de embolismo graso.

EDEMA AGUDO

PULMONAR DE ALTURA Y TEP

• Reanimacion:• Soporte hemodinámico: norepinefrina, dopamina,

dobutamina?.• Anticoagulacion:

• INICIACION • ELECCION DE FARMACO (HBPM, HNF, fondaparinux,

warfarina, dabigatran) • COMPLICACIONES • DURACION DE TERAPIA (primer episodio: FR

identificable y reversible)(TEP recurrente)• Trombolisis. - Filtros de la VC inferior. - Embolectomia. • Tto ambulatorio.• Tto expectante.

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VULVOVAGINITIS

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CANDIDA TRICOMONA GARDENELLA

Frecuencia La + sintomatica La menos frec La más frec

F Riesgo Estrogenos, DM,

VIH, ATB, CC

ETS siempre NO ETS:

gestación, DIU

Sintoma ppal Prurito!!! Leucorea Asintomática

Leucorrea Blanquecino y grumoso Espumoso y con

burbujas

Gris y maloliente

Exploración Eritema Colpitis en fresa Normal

pH vagina <4,5 >4,5 >4,5

Microscopia salino Esporas Tricomonas Clue cels>20%

Diagnóstico Cultivo Saboureaud Examen en fresco Prueba de aminas +

Tratamiento Clotrimazol topico Metronidazol vo + tto

pareja

Metronidazol o

clindamicina vo/topico

http://www.midis.gob.pe/dgsye/data1/files/enic/eje2/estudio-investigacion/NT_CRED_MINSA2011.pdf

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TOCOLÍTICOS

Histology Number of patients Incidence

Squamous cell 627 83.4

Adenocarcinoma 70 9.3

Sarcoma 20 2.6

Melanoma 2 2.6

Undifferentiated 8 1.0

Small cell 5 0.7

Lymphoma 2 0.3

Carcinoid 1 0.1

Total 753 100.0

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CÁNCER DE VAGINA

INTRODUCTION — Syphilis is a systemic infection caused by the spirochete Treponemapallidum, which is of particular concern during pregnancy because of the risk of transplacental infection of the fetus. Congenital infection is associated with several adverse outcomes [1-5], including:•Perinatal death•Premature delivery•Low birth weight•Congenital anomalies•Active congenital syphilisin the neonate•Long-term sequelae,such as deafness and neurologic impairment

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SIFILIS GESTANTE

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