Ciencias de la Salud
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Item Retinoblastoma más Desnutrición en Paciente Pediátrico(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Panimboza Guamán, Inés Paulina; Nájera Rodríguez, Cecilia Isabel Dra.This paper aims to document and analyze the vital and chronic risk to suffer from retinoblastoma, common in less industrialized countries economically poor and in rural areas, the etiology is not known but the possible influence of genetic, nutritional factors is postulated and environmental. There are two forms of the disease: hereditary and sporadic. The first is rarer, with an autosomal dominant inheritance pattern, commonly seen in young children and may be bilateral. The sporadic form is unilateral and the mutation found only in the neoplastic cells. 2 forms affect weight and height, interfering with the growth of children in early stages of development. Then the case of a 7 months old, born and resident in the Canton Arajuno located in a rural area of the province of Pastaza, born at home, the product of the second pregnancy without prenatal checkups, family history is as follows: 3 year old sibling diagnosed with retinoblastoma treatment, the patient is taken by her mother to Sub health center thermal rise unquantified where prescribe antipyretic (Paracetamol) without finding improvement also redness of right eye output yellowish discharge, edema palpebral, hyporexia and general decay so goes the Hospital General Puyo where we value: Ophthalmologist and pediatrician, decide to enter the area of Pediatrics with diagnosis of pre-septal cellulitis versus orbital cellulitis right eye more Malnutrition Grade II, perform laboratory tests and suspicion of ocular neoplastic disease: Computed tomography (CT) is paranasal sinuses and orbit ultrasound eye finding echogenic mass with irregular contours, measures 19 mm in length that moves the eyeball medially, these findings justify performing CT multidetector simple orbits and contrasted it suggests describing and right diagnosis of retinoblastoma. The patient remained hospitalized for nine days in treatment with antibiotics (Tobramycin, Ampicillin + Sulbactam, Metronidazole) for 7 days and its nutritional treatment for malnourished and at recommended doses required for age. The clinical course of acute infectious process was favorable but limited response capacity of retinoblastoma transfer to more complex Hospital decided, getting outpatient appointment for Ophthalmology at Children's Hospital Baca Ortiz.