HISTORIA CLINICA Medicina Interna

December 28, 2017 | Author: tocoliticos19 | Category: Gallbladder, Bile, Transaminase, Cholesterol, Medical Specialties
Share Embed Donate


Short Description

Download HISTORIA CLINICA Medicina Interna...

Description

c

Historia clínica

c c c c c  c

  c

c

c   c c cccc  c c  c  cc cccc  c c  c  c ccccc cc c   cc  c c  c  c ½c — cc  cc c c ½c   c cc ½c  c   c ½c @c  c ½c î c c  !" c! c ½c R!#cc $c c— c%!&ccc ½c Ñ c' c ½c Ñ  c c (! c $c (! c c c c c  c  c Ñc )c î  c * +c c ^ c  c c ½c

àc   c c !  c ! c  $c c  " c c  #" c !c  c c c c c c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

c c c Ú c   cc  c  c

cc

c

c!"#$c

c

c"#c%&#'(c

Ñ c  "c (! c  ,c  c c  # -c  #"c ! c c $ c !

 c  c c c #-c   c  c c  !c c c $c   c

c c"c c!  c! c  $-c c c!-c!c# c - c   c    -c (! c  c  c c c  #" c !c  -c     c   c " c c .c  !   c  c 

c

 c   c  -c c    c (! c c  c  c c   c c

/ c c  $c c ,c c  # c  c c (! c   #,c   c  c   ,c ! c c c  c c  # c c 0 c c c '$ c 

c  c  c !c $ " cc  ! cc    cc c "$'#c!')*&'$#c [c %'c'#'"'c [c c c(+ c"c [c ",c-c. c'#'"'c [c 'cc^c(+c#'c)$'#c [c %#'$'#c c(+c#'c)$'#c [c #c$( cc c / c  c c  c 6 c    Îc    Ñ c    c c ! c / c c   c c c c 1c c c  -c c$&2c! c$&c" c ccc c  cc! c$&c!& c

c3cc c  -c c(! c  c! c  c     Îc M    Rc 

c 

c $ c c -c c ! c -c c  c  c Ñ c c  c &  c c $c #  -c ! c  c  c $  c! cc cc -c  c  c*  c cc Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

c  4+-c ! c  c  c 4c c !-c #!c c #5 c Rc !c c   c c c 4 c c c  # c &

c ! c ,c cc   c',c  cc! c cc! c# c c Îc       c! c c$#c  4cc#c c!cc cc -c  c ! c!  c c1

c c !cc

c Îc      Rc c c  c  Îc @        c! ccc  " c cc c#! cc  " cc c Îc     ) cc à ! cc c c c cc c c  -c   c )! c c  c c -c ! c " c c   c c ! c " c c -cÑ  c"c c ' cc c c $ cc ccc(! c c! cc ! c Rc  c !  c  c c  c c c $ c $ c c 3c c c  cc )  c— #c !c c6-c$-c -c  c  Îc Ñ    Rc c c #!c  ! 

cc c! c   c  Îc ’      c! cc$!c cc c   c c # c  Îc à      Ñ c c   ccc3c cc -c c cc c c ! 2c

! 

c   c  # c c !c  c c  c&! c c !c $&2ccc cc)! -cc c  c

c%7c$ cc .

c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c )c c 8

Historia clínica

c  c  &!  c  c !c $&c c   c

 c   c à     Ñ c "c c c 1c c &!c c c c %!&c 7"c  c !c   c c !c 9c $  c @   c ! c  c  (!-c  c  ! c c c  !

c   c  ! c!   c cc:—%c c 0 c      c 1cc — #c   c(!/#c — #c$4 c c — #c #c @   c  c ! c c c   c  #/ c 

c c ! " c c ! c cc0Ñ)% % c;c c d c      c  c 4c  c c0%)-càc$'$c 6 -c c  c ccc" cc : c #c—c  c  c%c#%'' c #%$$'*c  c   c  ! c    -c  ! c c 8c    -c, c c!c cc/!c c—c  c & c   c )%$'*c  " c c c "c c  ! c 6 -c 6 c c c c c cc!  c $"#'*[email protected]   c   c cccc!  cc "#$")$'*c!!c !c c ccc!  c c

C c %c'(#$")c '#c Ñ!c  c  c ! c  ! c c 3.c !  -c  c    -c  ,-c   c c #!c  ! c c c  c   2c  c !-c 4 -ccc   c ?*c  " cc" c!cc c  c c c )!! " cÑ  c! c ! c c c33c  -c c! c c =c c 1=c , c c  #! c c  #!c    c —c ! c   c —c  c !!  cc—c$c $-c c c 4 c c

c: c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

#%$$'*c )  c #!c  c #!c & c  !c !! 4 -c 6 -c  c  ,c c $   c   c c  c   c c  " c  c c  " c A#c  -c 6 -c c c , c  -c    c —c  c   c$   c c ! c "#$")$'*[email protected]! c $ 6 c c  #!c    c  c ! c  ! c c 9c c ! c—c c!!  c  c" c )%$'*! cc!

-c;

cc   c ccc" cc # c c!$c c c

 c cc —c ! c c cc c —c ! c c

Ú c c cDc E 1cc )"c c -c c  2c   c    -c c c c  cc )"c$('$)c! !c" cc )"c#)c$"(c$(5 c c$)"c)"!c!c" c 5'#c —"-c  6c  c !c  c   c "##c Ñ !c c    c  c   -c c  -c c  " c F#$")#c à c c  !c  c  c c  -c c ! -c c  c !  -c c  -c c ! -c c  ,2c ! c !!c c  -c   c   c '$")$'#c —c  " -c c   -c  #c c  c    -c c   c c

/ c c 3c #c)c '()cc$$'$'cc  c Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

'$'*cc  c c  -c cc  c &"=ccc! cc$  c  c c$c   c c c c cc#cc '#cc  c ! c c   c  c !!-c  c !!c    c  [email protected] #c c  c c c -c# -c!& c

c  c  c

 ! c

   c

@  &c

 c

   c

  c# c c; Bc # c "$'*c##''(c !  c   c    c    c % c c c ! -c # c! -c;# c   c ! " c   c , c c   c    c *   # -c

 " c c c! -c#  +c '&#c &#c c

—c# c c !c—c  c c# c c;!  BccC   #c #c$)#cc ('c)'c46c'  cc   #!cc c*$+c   c cc ('c *%'$c 46c'c !c c   " c c  c    c —c  ccc !"c

c c&c ('c c$")c$Fc46Gc%H'$c436Gcc$")c5c436c '   c Ñ!c 6 -c c   c c c c 4 c -c ! c c  c  c   c @  &c   -c   !c c c  " c    c —c   c  " c c c  c c c #c! cc ('c '&H'c 436c    c )c !c c ! " c  c  c  c c !!c 6 -c  c  c !! -c c " c  c c c 

,!-c c ! c )c !c c ! " c   c c c  c ! c  " c 6 c c c c  c  ,!c #! -c c c ! cÑ  c [email protected]  &c c ('c $')c 436c    c )c !c c ! " c  c  c  c  ,c c c  " c c c -c  ,c c c 4 c    -c c $c   " c ccc$c! c -c c  c c #! c -c c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

, c c 4 c   c —c $c   c c -c c !  c c  ! cc  c c ('c$F#'$c436c)! " c   c ('c&)# &c46cî! c c ! c ('c 3&c 46c '   c )c !c c ! " c   c  c  "c   &c c  -c /!c c c , c  c )c !c c ! " c  c  c  "c ,c c c

-c! " c cc #!" c   -ccc

cc c ! c ('c#%')c$$#'c46c! c cc /!c       c c  c   c ('c.'%&)#c46c   c c cc #!c   -c c  c   c ! -c  -c c " c c c , c  -c ! c

c /!c  #!c    -c c $c  c c  ! c c   c  #! c c c c c c c c c c c c c c c c c c c c c Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

c c c c c

ABP

c c

c  3c ½c ½c ½c ½c ½c ½c ½c ½c

c c  c c

— cc  c c   c c c c  c c c c A!" c c c R!#c c— cc R!#c cÑ cc  $c c) " c c  $c c) & c c

c c c c c c c c

[email protected] c; c  c)c c    cc c à c %!&c c c ' c  cc c c   cc

c c

 c: ;c Ñ c  "c (! c  ,c  c c  # -c  #"c ! c c $ c !

 c  c c c #-c   c  c c  !c c c $c   c

c c"c c!  c! c  $-c c c!-c!c# c - c   c    -c (! c  c  c c c  #" c !c  -c     c   c " c c .c  !   c  c 

c

 c   c  -c c    c (! c c  c  c c   c c

/ c c  $c c ,c c  # c  c c (! c   #,c   c  c   ,c ! c c c  c c  # c c 0 c c c '$ c 

c  c  c !c $ " cc  ! cc    cc c à    c c  -c c  c c c       c ½c %'c c ½c c

c

c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

cc

àcc î!c c c89c# c '    c c c1# c c &c R ! cc c1 c )   c c 1>c c ?'#c )c c c18.c:Rc c ’    c c  c &c c cc1c c c #   cc c !c   -c ccccc

" !c c(! c 3# $")c !')'c c 8 c c 1 c c  

c /  c  c  c  cc c/ c )H$c c.cc 3c%c c cc #%$'cc'#c c4 c c c  c #&c c#4 c c   c >$#c c cc cc cc c #   c   c :?c c1 cc. cc c #   c   c ',#c c4 c   c  c c4!cc c$  c  $)"#'*c# c c'AR' % % % cR % ? ')c@R% ÑRc c c c c c c c c c c c c Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c c  3  c9 Ec cc cc c4!c c  c c c #,-c c  cc   c  "#-c, cc c" c Los cálculos pigmentarios negrosc!  c c (! c cc #!cc c  c cc c c c cc ,!cc  4 c!  cc!  c4-c , c c! -c  c4cc c4c Los cálculos pigmentarios ocres (pardos+c  c c    c c !  c 4c c  c 4c c 4 c #c Ñ! c  c c c  ,!c c c 

! c c Rc   !" c c c c c ! c  c   c ! c  c  c c c " c c 4!c # c c  c c $,# c  c c c c c ! c ! c  &!# -c  c 6 c ! c  (! c " c c ! c -c ! c c#!-c(! c  c!  c cc c c  c  c  c  c(! c  c c  c c# c ! c ccc c )! c cc  " c$ 4 c c! c c 1c à  c c  c!  c c! c c c à  &!#" c c! c ccc c >)$")#cc$)#)c ' c c  >c c 4!c  c  4 c  c c   c   -c c  c ! c   c! 4 c c 0   " cc c  -c c  !" c ccc 1c 0   c cc ,!cc c 0   " c c! ccc ,!cc .c ' " c   c c  cc Rc $   " c c c   c c c  c  c c ! c c c " c c 4!c c  cc c  cc  c!c  c c c

  c c0î ')cc

  c c c    c c     c $ 4 c c c  , c *  cRàRccE! +-cc!c  c(! c #  c4c  c c c$   cc! c!c  " c2c  c! ccÔ ÔÔÔ Ô  Ô  Ô Ô Ô Ô ÔÔ  Ô Ô  c @ !" c c c   " c c   c c 4 c  c c c c 8 ±c $ -cc!c  c c c   c! c c! c c !" c c   cc à !" c c c  " c c   c  c $ 4 c c $! " c c c    )        -c  c c ! c ? Ô  Ô ÔÔ  Ô  Ô ??  ? Ô Ô ?Ô Ô Ô  Ô Ô Ô Ô Ô?Ô  ?c Rc0   c !-c  cc! c! c c  c-c

! cc c  cc " c # c ccc cc ,!-c 

cc  " c

c  cRc  c cc ! " c cc ,!cc cc #6 c c $ c c$ c c c ! c, c c(! cc c c " c cc ,!c 

! c c c " c c c -c ! c   c  c c   c c c  c    c Rc  c c #c cccc  c !cc  c   c c ! c # -c ! c 4cc " c c # -cÔÔ ??  ?    Ô ?  ?  Ô ?  ? ? ? ? ??    Ô Ô c

Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

Rc $  !" c c ! c c c !c  !-c  c   ! c c c c  #6 -cc  ,c  !cc ! c c c  cc !&c c , c c c  c(! c c c c " ccc  " c c  c cc c c c c cc c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c c cÑc  cc !  c  c !c c(! c  ccc  c(! c   cc cc   ccc" c c4!c c c  c c c Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

- c  c c c c " c  c cc4!c *F9>+c7" c!  c

cc !-c$,# -c

! c cc4  c c c c c4!c c c$ c1cc c 4 -c ccc c! c  c c&c   c # c(! c  cc , cc" c c! c c cc cc  c cc !c  cc c!  c ccc  ! c c c# cc/ c  c c , c   c cc c cc4!c c c  c c: c! c  c4!c c c   c c! ccc c * cc9>c c4!c c  cc  cc  c9 >c c4!c# +cc! c c/ cc c #  c c   c   -c !c c  -c cc c 5>#c#)*&'$#c ½c :')'"!'c'$cc''$c ' c c  c c  c c  c c 

c c c c *c  $ 4 -c $ 4 -c $ 4 +c c ½c #'##c Rc)%c c ! c c   c c c c/!c ,-cc 6!c$ 4 ccc6!c c/!c (! 6 c c#! -c c c # -c c c & c)! (! c! c  c   c c)%c c c! c c c  ,c cc    c$ 4 -c c!c  cc #  cc  c c!c c  c    cc c #c c c c cc.c: Rcc c Rc)R%c c! c c c# c  " c c c$,# cc c c  c cc -c" cc/!c '!

c$c! c " c c  c"# cc)R%c c  ccc # cc  c   c cc 4c c ½c c##c)$)'46c cc! c c$ c   c c  c#!c c c cc c c6!cc ! "  -c , cc  cc c ½c '%#cH'$c )! c 6 c cc    c#! c c  c4c  , c . c c ½c ')#cH'$c  c  c  c cc    c#! c*1 1$+cc  ccc   c . 81$c c ½c &c 0 ! c c$c ! c c!c c! c# c cc " c c c ½c $'[email protected]&)!'c c Dr. Jorge Sánchez Julca. Ramiro Ledesma N.

c

Historia clínica

cc c c c B c c

)    cFc c   ccc c c* c$   !+c  c cFc c   c)    c* c  +c   c    à c! c ' " c c! c,c c 6c ' c c!  c  c cc$c c  c " c ! cc" c   c  6 cc   c c#$cc  $   c9 #3$cc c " c$   4c Rc " c c(! c c c c! " c cc !" c$   4c c  c c c$c " c$   4*Ñ)Fc c0#cc ! c cGc c R  +c c   c 1.$c c! c#! cc9>c c$c  c$   4c c    c#c c c c! c "#c        Hc  c# 6c1#$c 7c Hc % c #3$c 7c Hc     cc c#c3c$c 7cc c '!'*'$c%'c c

c " c 7cc$c #c c#  -c  c c  " cc cc

!6c c1cc1.c$c c  c c &c$ c   c c c ccc 6cc’. Coli, Klepsiella y Streptococcus. c  c  c!    c   c ) c
View more...

Comments

Copyright ©2017 KUPDF Inc.
SUPPORT KUPDF