La Utopía

Ella está en el horizonte. Me acerco dos pasos, ella se aleja dos pasos.
Camino diez pasos y el horizonte se corre diez pasos más allá. Por mucho que yo camine, nunca la alcanzaré.

¿Para qué sirve la utopía?
Para eso sirve: para caminar
(Ventana sobre la Utopia. Eduardo Galeano.


jueves, 14 de mayo de 2009

Caso Clínico 6

Paciente de 80 años asintomático con antecedentes de HTA controlada con combinación IECA +diurético, en el que se pide placa de tórax para preoperatorio de cataratas. Se muestran la placas ¿Cual es el dg? ¿tratamiento?

La respuesta ,el domingo dia 17

14 comentarios:

Anónimo dijo...

me imagino aterosclerosis por hiperlipidemia entonces alguna estatina, soy ortopedista asi que no es mi fuerte, saludos desde mexico, ingreso para enlazarme al otro blog de la influenza h1n1

Dr. Bonis dijo...

Joer, pues yo en esa placa no veo nada que me llame la atención... ¿es grave?

saname dijo...

Hay ensanchamiento mediastínico en la postero-anterior y en la lateral se observa un crecimiento supracardiaco y antero-aórtico.

Podría tratarse de un aneurisma de aorta ascendente o de aurícula dcha.

Creo que se podría operar de las cataratas y no hacer nada con el aneurisma.

javierpadillab dijo...

Suscribo lo dicho por saname.
Alguien...esperemos que el que vea la radiografía no vea el aneurisma y no lo de por intervenir en él...

Antonio R. dijo...

Efectivamente, saname y javithink, es un aneurisma de aorta ascendente, que además ha crecido en los últimos 8 meses casi un cm.
Sigue traamiento con carvedilol y un ARA 2 por intolerancia a IECAS.
En la placa se aprecia la dilatación ded la aorta ascendente perfectamente en la placa lateral.Enhorabuena a los sagaces clínicos y gracias a todos por participar.
P.D. Velaré porque nadie intente operarle ó si lo intentan que no acepte.

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