CASO CLINICO DE LA SEMANA 8 - Tos y Hemoptisis

 

DNTG DLÅ@ODG HK LN TKTOÔ@. 6 — XGT _ FKEGZXOTOT Zndok`tk hk 2: nþgs, nen hk dnsn, rksohk`tk k` Xrumollg, quk dg`vovoô k` dnsn hk su pnrkmn dg` u` ineolonr nldgfôlodg k`ikreg hk tubkrdulgsos puleg`nr, kl dunl nbn`hg`ô kl trntneok`tg y inllkdoô k` ikbrkrg hkl 2:22. N `nlks hk enrzg hkl 2:22, klln dgeok`zn dg` så`tgens rksporntgrogs hnhg pgr tgs dg` kxpkdtgrndoô` nenrollg-vkrhgsn ak`krnlek`tk pgr ln tnrhk y `gdfk, kbrks quk `g sgbrkpnsnbn` hk 46,; ºD y npnrkdån` nl dnkr ln tnrhk. Ndgepnþnbn n kstk dunhrg pïrhohn hkl npktg y hkdnoeok`tg. Dg`sultn nl eïhodg hk su îrkn hk snluh y lk oepg`k trntneok`tg dg` Negxodolo`n. Dg``unbn oaunl lgs proekrgs håns hk nbrol hkl 2:22 y nduhk `ukvnek`tk `ukvnek`tk.. Lk rknlozn` rknlozn` kxîek`ks hk lnbgrntgro lnbgrntgrog g hg`hk lk hona`gsdn hona`gsdn` ` n`keon. n`keon. Lk o`hodn` kxnek` hk ksputg. N`tk ln hkegrn hk lgs håns so` rksultnhgs y en`tk`kr kl dunhrg rksporntgrog y ikbrol kepokzn n pkrdntnrsk hk pïrhohn hk pksg y ksputg dg` sn`ark, pgr lg quk hkdohk horoaorsk nl fgspotnl hg`hk sk o`arksn nl rknloznrlk rnhoglgaån hkl tôrnx y vkr ln tgen hkl kstnhg ak`krnl. KVNEK@ IÅTODG

Ikbrol= Xkepkrnturn hk 41,6 g D. Eudgsns fopgdglgrknhns y fýekhns. Nhklanzneok`tg enrdnhg= Zksg 81 ca y Xnlln >9: de. Rkspor Rks porntg ntgrog rog== Eureul Eureullg lg vksodu vksodulnr lnr hoseo` hoseo`uoh uohg g `gtnbl `gtnblkek kek`tk `tk fndon fndon ln eotnh eotnh supkro supkrogr gr hkl fkegtô fke gtôrnx rnx ozquok ozquokrhg rhg,, drkpot drkpotn`t n`tks ks nlag nlag aruksg aruksgss k` u` îrkn îrkn loeotn loeotnhn, hn, dg` dokrtn dokrtn enhkz enhkz pkrdutgron, ylnr= irkduk`don rksporntgron hk 2: x`g eo`. Dnrho Dnrhogvnsdu gvnsdulnr= Ruohgs dnrhondgs dnrho ndgs råteodgs, sgplgs sgplgs `o rgdks, irkduk`don irkduk`don dnrhondn >:: x eo`. Zrksoô` nrtkronl >::/1:. Rkstg so` nltkrndog`ks hk o`tkrïs. Lnbgrntgrog=

Fb= ?, 6 a/l, YTA. >>2 ee x f., Lkudgarnen= 1.6 x >: ?/l, XAZ >> [O, XAG >9 [O, Alodkeon ?; ea/hl, Fokrrg sïrodg 1 eegl/l. Dg`stn`tks dgrpusdulnrks= n`keon eodrgdådn-fopgdrôeodn. Tkrglgaån pnrn ln Tålos `g rkndvn. YOF vån rîpohn `kanvg. Ksputg BNNR >= ++ Ksputg BNNR 2= ++ Ksputg bndtkroglôaodg= endrgboôdn `grenl. Fkegdulvg= `kanvg. Rnhoglgaån soeplk hkl Xôrnx ZN= Rnhogpndohnh `g fgegaï`kn k` lôbulg supkrogr hkl puleô` ozquokrhg dg` îrkns hk dnvotndoô`. Dg`dlusog`ks hona`ôsdns= Xubkrdulgsos puleg`nr ndvn. N`keon pgr hïdot hk fokrrg. Ndvohnhks hkl nlue`g=

n. Lå`kn hk kepg b. Xïreo`gs `ukvgs d. Hntgs rklkvn`tks h. Zrgblkens hk snluh k. Fopôtksos hona`ôsdn. Zln` hk hona`ôsdg y hk trntneok`tg. Dukstg`nrog=

>. ·^uï kstrudturns n`ntôeodns kstî` dgeprgekhns k` kl dnsg dlå`odg‟ 2. Kxploquk ekhon`tk u` ksquken ln soglgaån hkl sostken rksporntgrog 4. Kxploquk ln hk`odoô`, kglgaån y dgeg vnlgrnrån ln arnvkhnh hkl dunhrg dlå`odg 8. Kxploquk ln sogpntglgaån hk ln fopôtksos hona`ôsdn pln`tknhn k` kl dnsg dlå`odg ;. Ek`dog`k y kxploquk brkvkek`tk ; pntglgaåns quk prghuzdn` tgs g fkegpsos.