Browsing by Author "Gomes, C"
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- Comparação da eficácia da piperacilina versus cefazolina na profilaxia da infecção pós-histerectomiaPublication . Moreira, C; Gomes, C; Nobre, C; Frutuoso, C; Guerra, C; Marques, C; Marta, J; Oliveira, CF
- A evolução do refluxo vesico-ureteral com diagnóstico perinatalPublication . Leitão, H; Correia, AJ; Gomes, C; Simões, O; Rolo, V; Mimoso, G; Ramos, C
- Fetopatia pelo uso de inibidores da enzima de conversão da angiotensinaPublication . Neves, S; Santos, R; Gomes, C; Correia, AJAngiotensin Converting Enzyme Inhibitors (ACEI) are commonly used antihypertensive drugs, although contraindicated during pregnancy by fetopathy association such as renal dysgenesis, oligohydramnios, hipocalvaria, pulmonary hypoplasia, intrauterine growth restriction, and neonatal anuric renal failure. The authors present a clinical report of a child that developed neonatal anuric renal failure with peritoneal dialysis support by an in uterus exposure to ACEI with very good recovery. This case and literature review states the need to avoid ACEI prescription to Young women and it's suspension as soon as possible during pregnancy.
- Fracturas da extremidade superior do fémur: morbilidade e mortalidadePublication . Salvador, MJ; Ferreira, A; Gomes, C; Moniz, T; Judas, FAs fracturas da extremidade superior do fémur são um importante factor de morbilidade e mortalidade após os 60 anos. Várias causas contribuem para a sua incidência. As consequências que delas advêm são extremamente graves e incapacitantes, bem como originam elevados custos na economia nacional. Neste trabalho avalia-se a morbilidade e mortalidade causada por fracturas da extremidade superior do fémur numa população hospitalar, bem como os vários factores que possam ter influência no processo. Pretende-se valorizar a importância da prevenção, do tratamento precoce e da recuperação eficaz desta patologia. Abstract Hip fractures are associated with high morbidity and mortality over the age of 60. Several causes are contributive to their incidence. The consequences of these fractures are extremely severe, carrying high economic costs. We have studied the morbidity and mortality caused by hip fractures in a hospital population and the several factors that may have influence on the process. We intend to underline the value of prevention, early treatment and adequate rehabilitation in this pathology.
- MÓDULO 7 - Desenvolvimento e NeurologiaPublication . Bento, C; Rodrigues, F; Oliveira, G; Lopes, MF; Brito, MJ; Diogo, L; Loureiro, C; Santos, I; Cordinhã, C; Canha, J; Mirante, A; Baptista, N; Jorge, A; Estanqueiro, P; Gomes, C
- Renal abscesses in childhood: report of two uncommon casesPublication . Cancelinha, C; Santos, L; Ferreira, C; Gomes, C
- Renovascular hypertension: a case with atypical neurological signsPublication . Jerónimo, M; Dionísio, T; Gomes, C; Neves, JFSecondary hypertension is the most frequent form of hypertension in children. Renovascular disease accounts for 5-10% of all childhood hypertension and should be suspected in the presence of severe hypertension found difficult to manage with medical therapy. Uncontrolled hypertension can lead to severe target organ damage. We describe the case of a 13-month-old baby boy with failure to thrive, recent muscular weakness of the lower extremities and irritability. Hypertension was detected and he was admitted to the paediatric intensive care unit with a refractory hypertensive emergency, despite multiple antihypertensive therapies. Bilateral renal artery stenosis was diagnosed through renal angiography and balloon dilation was performed, leading to lower blood pressure. He is currently withdrawing from antihypertensive medication, and slowly gaining weight and recovering from target organ damage. However, weakness of the lower extremities persists and he has been diagnosed with a neurogenic bladder
- Schimke immuno-osseous dysplasia: case report and review of 25 patientsPublication . Saraiva, JM; Dinis, A; Resende, C; Faria, E; Gomes, C; Correia, AJ; Gil, J; Fonseca, NImmuno-osseous dysplasia is characterised by spondyloepiphyseal dysplasia, lymphopenia with defective cellular immunity, and progressive renal disease. We describe a patient with a severe form of the disease, review the features of another 24 patients, and discuss the previous classification. The differences between the two groups are not striking, and although similarities are greater between affected sibs, the same diagnosis of Schimke immuno-osseous dysplasia should apply to them all. The aetiology and physiopathology of this rare osteochondrodysplasia of presumed autosomal recessive inheritance remain unknown.
- Sclerosis of gross cysts of the breast: a three-year studyPublication . Gomes, C; Amaral, N; Marques, C; Borralho, R; Oliveira, CFBreast cysts can be separated into two types: Type I cyst with a lining epithelium which shows apocrine metaplasia, and Type II cyst with an epithelium which is markedly attenuated or absent. The risk of subsequent breast cancer among patients with Type I cysts can be up to 4. The standard treatment is fine needle aspiration, but 20% of the cysts recur. Pharmacological treatment has been tried, which reduces size and volume, but has side-effects and a high recurrence rate post-treatment occurs. The objectives of this prospective study were to sclerose the cyst, induce its regression and prevent or reduce recurrence rate, with the administration of a sclerosing solution (Sclerovein) within the cyst post-aspiration. Fifty-seven patients were followed in the study, 37 with Type I cysts and 20 with Type II cysts. At the end of six months all patients with Type II cysts had no detectable cyst. On the other hand, two patients still had a residual Type I cyst. At the end of three years our recurrence rate appears to be less than 2%, with one patient with a possible recurrence. No significant side-effects were observed. The use of Sclerovein is a simple and safe alternative in the treatment of recurring cysts.
- Serologic profile of some sexually transmitted diseases in women with squamous intraepithelial lesionsPublication . Gomes, C; Dias, MF; Falcão, F; Oliveira, CFThe purpose of this study consisted of the evaluation of some sexually transmitted diseases in patients with cervical pathology, namely squamous intraepithelial lesions. METHODS: a prospective study was performed. Patients with an abnormal cervical smear were submitted to colposcopy, directed biopsy and an immunologic assay for Chlamydia, Herpes Simplex Virus (HSV) types 1 and 2, Cytomegalovirus, Treponema pallidum, Hepatitis B and Human Immunodeficiency Virus I and II. The same parameters were evaluated in women with normal cervical cytology in a matched control group. A comparative study was performed evaluating some epidemiological parameters and the referred immunologic assays. RESULTS: 118 patients were separated into four groups. Statistically significant differences were observed in the personal history of fungi infections, as well as Chlamydia and HSV 2 IgM. CONCLUSION: immunologic assays may prove useful in identifying sexually-transmitted diseases, especially Chlamydia and HSV 2 infections, in Human Papillomavirus infected women.