Ciencias de la Salud
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Item “Determinación de bhcg cuantitativa en varones mayores de 40 años y su importancia como marcador tumoral de cáncer de testículo en pacientes que acuden a la clínica Tungurahua”.(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Laboratorio Clínico, 2017-04-01) Romero Chalán, Freddy Paúl.; Tamayo Maldonado, María Augusta Dra. Mg.This research focused on the determination of quantitative HCG in men older than 40 and its importance as a tumor marker of testicular cancer in patients attending the Tungurahua clinic of the city of Ambato. The purpose of care for the health that is the joy full of wellness physical and mental, is so important in them humans because allows carry a life full. The research applied a survey to know them casework of them patients in addition to the determination of the BHCG. You could see that 21 patients have a history of testicular cancer which corresponds to 42%, 29 patients have no history of testicular cancer which corresponds to 58%. Also can identify that only 3 is performed the test of BHCG as marker tumor or what corresponds to the 6%, 47 patients not is performed the test of HCG what corresponds to the 94%. According to them analysis made is determined that 43 patients presented levels within them ranges normal until 5 mUl / ml what represents the 86%, and 7 patients that have them levels of BHCG out of them ranges normal i.e. greater to 5 mUl / ml, what means the 14% in them patients that them levels of HCG are high is presumed the presence of cancer of testicleItem Abdomen Agudo Obstructivo Secundario A Tumor de la cola del Páncreas(2016-09-01) Valle Proaño, Christian Andrés; Yépez Yerovi, Fabián Eduardo Dr. Esp.The following case is a male patient 67 years old, mestizo, catholic religion, born and living in Ambato (Pishilata), painter occupation, incomplete higher education; Family history Pathological father died with pancreatic cancer; Personal history Pathological Parkinson's disease 11 years ago; Pathological history Surgical Prostatectomy 5 years. Go to present about 72 hours ago epigastric pain, cramping of mild to moderate intensity that radiates to the right flank and left shaped belt accompanied with widespread decay, so go to Mobile Hospital where he administered antibiotic therapy not specified, probable diagnosis of acute diarrheal disease without showing clinical improvement, 24 hours before admission, the patient persists with abdominal pain of great intensity accompanied postprandial vomiting on three occasions in moderate amount of food and bilious content as well alteration of intestinal habit prone to constipation, so go back to Mobile Hospital who you refer to Provincial Teaching Hospital Ambato (HPDA). In the emergency service received HPDA patient with TA 100/60 mmHg FC: 108 lpm FR: 35 rpm, 96% O2 Sat, aware, no fever, dry oral mucosa, preserved cardiopulmonary, tense abdomen distended and painful epigastric mesogastrio, with increased bowel sounds, no signs of peritonitis, no limbs edema, tremor in the upper extremities, distal pulses present at the entrance to the surgery department with presumptive diagnosis of obstructive acute abdomen is decided. Having assessed the patient decides to perform a Laparotomy Exploratory meeting free fluid inflammatory abdominal cavity, erythematous bowel loops and dilated from the first jejunal loops to the angle of Treitz and duodenum, is also a tumor in the tail of the pancreas was found irregular edges, well vascularized, enlarged spleen, performing pancreatectomy Distal and splenectomy hard consistency, remaining hospitalized in the Department of Surgery at later presented a pancreatic fistula low spending the same which was controlled and had an evolution favorably so within 30 days of hospitalization is decided hospital in good general conditions for outpatient control. The histopathologic result was a lymphangioma tail of the pancreas.