Álvaro Peña Irún , Eva Bengochea Botín , Pamela Bengochea Botín , Rosa Grande Grande
{"title":"Síndrome de Stauffer: un dato de mal pronóstico","authors":"Álvaro Peña Irún , Eva Bengochea Botín , Pamela Bengochea Botín , Rosa Grande Grande","doi":"10.1016/j.appr.2022.100147","DOIUrl":"10.1016/j.appr.2022.100147","url":null,"abstract":"<div><p>Some renal cell carcinomas (RCCs) may present with a paraneoplastic syndrome, which is a manifestation of a tumour that does not derive directly from the tumour or its metastases.</p><p>Occasionally it is the initial finding or occurs simultaneously, and can confuse us if we do not know how to interpret it. Stauffer's syndrome is a non-metastatic liver dysfunction mainly associated with this neoplasm, and is considered a poor prognosis factor<span><sup>1</sup></span>.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 3","pages":"Article 100147"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000244/pdfft?md5=7149ce2710d65362f3c7a9167b8cac78&pid=1-s2.0-S2605073022000244-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42099935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"La igualdad de género en la medicina: una lucha constante","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero , Ana Anaya Bernardo","doi":"10.1016/j.appr.2022.100145","DOIUrl":"10.1016/j.appr.2022.100145","url":null,"abstract":"","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 3","pages":"Article 100145"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000220/pdfft?md5=d0dbeb865557a41b6512c96f4708fe6b&pid=1-s2.0-S2605073022000220-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43240459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Sebastian Theran León , Alberto Javier Vasquez Cadena , Carlos Eduardo Rodriguez Bohorquez , Miguel Fernando Garcia Brilla
{"title":"Enfermedad de Darier-White en una paciente adulta joven","authors":"Juan Sebastian Theran León , Alberto Javier Vasquez Cadena , Carlos Eduardo Rodriguez Bohorquez , Miguel Fernando Garcia Brilla","doi":"10.1016/j.appr.2022.100126","DOIUrl":"10.1016/j.appr.2022.100126","url":null,"abstract":"","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000037/pdfft?md5=9a9b05a66c51c8b8f149a6f2b6526d70&pid=1-s2.0-S2605073022000037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mónica Regalado Chamorro , Aldo Medina Gamero , Miguel Chumpitaz Caycho , Barbara Ponce Ponce
{"title":"Profesionales de la primera línea: desafíos en su formación universitaria","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero , Miguel Chumpitaz Caycho , Barbara Ponce Ponce","doi":"10.1016/j.appr.2022.100132","DOIUrl":"10.1016/j.appr.2022.100132","url":null,"abstract":"","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000098/pdfft?md5=678f90b573a76e1efc2fdc045c234a02&pid=1-s2.0-S2605073022000098-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47414993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María de Lourdes Rojas Armadillo , Nadiosly de la Caridad de la Yncera Hernández , Beatriz Martínez Ramírez , Carlos Alonso Rivero López , Edgar Fernando Peña Torres , Nissa Yaing Torres Soto
{"title":"Prevención cuaternaria. Intervenciones médicas innecesarias en atención primaria: un estudio cualitativo con médicos familiares","authors":"María de Lourdes Rojas Armadillo , Nadiosly de la Caridad de la Yncera Hernández , Beatriz Martínez Ramírez , Carlos Alonso Rivero López , Edgar Fernando Peña Torres , Nissa Yaing Torres Soto","doi":"10.1016/j.appr.2022.100137","DOIUrl":"10.1016/j.appr.2022.100137","url":null,"abstract":"<div><h3>Objective</h3><p>Aims to understand the meaning of family doctors regarding unnecessary medical interventions in a Social Security Health Institution.</p></div><div><h3>Design</h3><p>Qualitative study.</p></div><div><h3>Location</h3><p>Primary health-care.</p></div><div><h3>Participants</h3><p>Twenty-seven family doctors (66.60% women and 33.3% men) assigned to a Social Security Health Institution of Quintana Roo, México.</p></div><div><h3>Metodology</h3><p>This study starts from the qualitative approach, under the interpretive paradigm of symbolic interactionism with the grounded theory method and through the in-depth interview technique. The interviews were recorded and transcribed and the data analysis was carried out with the Atlas ti program, using open and axial coding.</p></div><div><h3>Results</h3><p>The findings reveal that family doctors are aware of and have been in situations that are linked to an unnecessary practice, even without classifying it from the perspective of quaternary prevention.</p></div><div><h3>Conclusions</h3><p>A new need of greater dissemination and training on the elements that make it up to develop a professional practice oriented towards the premise “first do not harm” is reinforced.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100137"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000141/pdfft?md5=3dec34a758439dc13546a0bcfee805b7&pid=1-s2.0-S2605073022000141-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46795414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psicólogos y nutricionistas no asistenciales: una innovación basada en la ilusión","authors":"Joan Gené Badia","doi":"10.1016/j.appr.2022.100140","DOIUrl":"https://doi.org/10.1016/j.appr.2022.100140","url":null,"abstract":"","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100140"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000177/pdfft?md5=25fb87a684feeaacaf83d9a40692ba89&pid=1-s2.0-S2605073022000177-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137282006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Sebastian Theran León , Laura Yibeth Esteban Badillo , Luis Andres Dulcey
{"title":"Síndrome Laugier-Hunziker, en el adulto mayor","authors":"Juan Sebastian Theran León , Laura Yibeth Esteban Badillo , Luis Andres Dulcey","doi":"10.1016/j.appr.2022.100130","DOIUrl":"10.1016/j.appr.2022.100130","url":null,"abstract":"<div><p>Laugier-Hunziker syndrome (LHS) is a rare benign disorder, often acquired in adulthood, characterized by lentiginous hyperpigmentation of the oral mucosa and lips, associated with longitudinal melanonychia. Its importance is based on the early recognition and differential diagnosis of various oral and cutaneous hyperpigmentation pathologies. The case of a 74-year-old man with probable SLH is presented below and important differential diagnoses are discussed.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100130"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000074/pdfft?md5=48504f21262f50cb4b0c9f5c32550c90&pid=1-s2.0-S2605073022000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45017416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio García Arias, Sagrario María Santos Seoane, Julián Cabria Fernández, Jose Antonio Lavandeira Ares
{"title":"Osteomielitis crónica del hallux","authors":"Antonio García Arias, Sagrario María Santos Seoane, Julián Cabria Fernández, Jose Antonio Lavandeira Ares","doi":"10.1016/j.appr.2022.100131","DOIUrl":"10.1016/j.appr.2022.100131","url":null,"abstract":"","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000086/pdfft?md5=de08c8b1aaa1926b5810b036be275afe&pid=1-s2.0-S2605073022000086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46599675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Sebastian Theran León , Laura Yibeth Esteban Badillo , Mayra Alenadra Villalobos , Luis Andres Dulcey
{"title":"Coinfección de tuberculosis y COVID-19 asociado a tromboembolismo pulmonar: presentación de un caso","authors":"Juan Sebastian Theran León , Laura Yibeth Esteban Badillo , Mayra Alenadra Villalobos , Luis Andres Dulcey","doi":"10.1016/j.appr.2022.100129","DOIUrl":"10.1016/j.appr.2022.100129","url":null,"abstract":"<div><h3>Context</h3><p>Currently, infection by the SARS-CoV-2 virus predominantly generates a respiratory infection, which can lead to acute and late complications, as well as mild or severe sequelae. A complication that has been evidenced is the state of hypercoagulability, such as pulmonary thromboembolism (PE) or deep vein thrombosis (DVT).</p></div><div><h3>Clinical case</h3><p>We present the case of a patient with a recent history of COVID-19 infection who consulted for dyspnea and pain in the left hemithorax, complementary images were taken showing a large cavern at the right pulmonary base and an electrocardiogram suggestive of pulmonary thromboembolism, a CT scan was taken with protocol for PET that confirms it and smear microscopies that report positive for pulmonary tuberculosis coinfection.</p></div><div><h3>Discussion and conclusions</h3><p>The formation of prothrombotic phenomena by COVID-19 has become a frequent complication, however, the coinfection of tuberculosis and COVID-19 is rare, this is due to a process of amplification of the deregulated immune response called «cytokine storm», which activates latent and hidden infections, in addition the use of immunosuppressive drugs in COVID-19 can lead to an expression of tuberculosis.</p><p>Tuberculosis infection should be suspected in an endemic environment together with persistence of symptoms after the resolution of the viral infection, symptomatic cases before the acute viral process or in cases of atypical radiographic findings; in these cases, HIV infection or infection should be ruled out. another bacterial coinfection.</p></div>","PeriodicalId":52231,"journal":{"name":"Atencion Primaria Practica","volume":"4 2","pages":"Article 100129"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2605073022000062/pdfft?md5=c8dad080194938457313254b8bd58898&pid=1-s2.0-S2605073022000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43525300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}