CASOS CLINICOS by Luzgarda Luisa Teniente Guzmán https://padlet.com/29423026/1vwij9tlnn1y7qvw en-us 2024-06-22 23:16:56 UTC 2024-06-22 23:32:18 UTC hello@padlet.com https://padlet.net/icons/8.0/png/1f9d0.png Paciente de 65 años de edad 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035193996 Hipotiroidismo tratado con levotiroxina.

Presenta cuadro de astenia marcada de 4 meses de evolución y palidez

PA: 140/90 mmHg, P:100 lpm ,FR: 24 rpm

Palidez generalizada

Ligero edema en miembros inferiores

]]> 2024-06-22 23:22:00 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035193996 Exámenes de laboratorio 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194173 leu:3,500; Neutro:35%(1225);linf: 64%(2240) LEUCOPENIA  +NEUTROPENIA LEVE

Plaquetas: 110,000

Hb:7.0 , VCM: 115(Macrocítica) ;        Anchodedistribucióneritrocitaria: 14 Reticulocitos:1.6%(arregenerativa)

ANEMIA SEVERA MACROCITICA ARREGENERATIVA

T3:1.2(0.8-2)

T4:6.4(5.4-11.5)              VitB12: 178 (150-250)

TSH:1.3(0.3-3)                  A. Fólico: 3.5 (3-6)

]]> 2024-06-22 23:22:50 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194173 Diagnostico 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194277 Síndrome de  mielodisplasia a través  de un estudio de la medula ósea s encuentra células grandes , cambios megaloblásticos

]]> 2024-06-22 23:23:42 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194277 Frotis de sangre 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194408 2024-06-22 23:24:18 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194408 Cuadro clinico 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194441 2024-06-22 23:24:36 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194441 Paciente de 6 años de edad, sin antecedentes 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194489 Una semana de evolución de astenia, fiebre, dolor óseo

PA:90/60 mmHg, P: 120lpm , FR: 24x´

Palidez generalizada

Esplenomegalia

Equimosis en miembros inferiores.

]]> 2024-06-22 23:25:02 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194489 Exámenes de laboratorio 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194600 Leuc:10,000, N: 20% (2000), L:76% (7600)

LINFOCITOSIS

Plaquetas: 90,000

TROMBOCITOPENIA LEVE

Hb: 6.5 VCM:85 ancho eritrocitario : normal de 14

ANEMIA SEVERA NORMOCITICA ,ARREGENERATIVA

Reticulocitos: 2.6  

SE CORRIGE Retisx Hto/ Hto    

IDEAL:2.6X21.3/45=1.23

]]> 2024-06-22 23:25:57 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194600 Diagnostico 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194668 En la sangre encontramos células grandes que tiene un núcleo que ocupa todo el citoplasma, característico espejo de mano ,BLASTOS DE ESTIRPE LINFOIDE : Leucemia Linfoide Aguda

]]> 2024-06-22 23:26:21 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194668 Frotis de sangre 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194751 2024-06-22 23:27:04 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194751 Cuadro clinico 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194870 2024-06-22 23:28:04 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194870 55 años de edad 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194947 Artritis reumatoide tratado con leflunomida

Presenta cuadro de astenia, palpitaciones de 4 meses de evolución.

PA:110/70 mmHg , P:88 x,FR:20 x¨,

Palidez generalizada

Dolor en articulaciones metacarpofalángicas

]]> 2024-06-22 23:28:40 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035194947 Exámenes de laboratorio: 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195021 leu:7,500, N:65%, L:25%

Plaquetas :550

TROMBOCITOSIS

Hb: 6.7, VCM: 75, Reticulocitos: 1.4; ancho eritrocitario de 19: ANEMIA SEVERA, MICROCITICA CON ANISOCITOSIS ARREGENERATIVA

]]> 2024-06-22 23:29:22 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195021 Perfil de Hierro 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195443 Fe serico: 12(20-50)

CF: Capacidad de fijación 640(250-400)

IS :Indice de saturación:13(15-20)

Ferritina: 112 (20-50)

]]> 2024-06-22 23:29:47 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195443 Diagnóstico 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195497 ARTRITIS

]]> 2024-06-22 23:30:09 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195497 29423026 https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195969 2024-06-22 23:32:18 UTC https://padlet.com/29423026/1vwij9tlnn1y7qvw/wish/3035195969