journal
MENU ▼
Read by QxMD icon Read
search

Boletín de la Asociación Médica de Puerto Rico

journal
https://www.readbyqxmd.com/read/29193953/clinical-profile-bacterial-isolates-and-antibiotic-resistance-of-corneal-ulcers-in-puerto-rico
#1
Pedro J Dávila, Maria Pilar-Fernandez, Jan P Ulloa-Padilla, Victor M Villegas, Vanessa Lopez, Lilia Rivera, Carmen A Santos, Luis A Santiago-Cabán
No abstract text is available yet for this article.
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193928/secondary-resistance-to-dopamine-agonist-after-thirteen-months-of-successful-treatment-in-a-42-years-old-man
#2
Iván E Allison, Sharon Velez-Maymí, Aisling E Hernán Martínez, Rafael Trinidad, Michelle Mangual, Alfredo Sanchez, Madeline Gutierrez, Paola Mansilla, Carmen Rivera, Coromoto Palermo, María Lourdes Miranda, Ricardo Brau
Prolactinomas are the most common hormone-secreting pituitary tumors and represents approximately 40% of all pituitary adenomas. Pharmacology therapy with dopamine agonists is the mainstay treatment for prolactinomas. Usually, patients respond to these drugs with decreased level of the serum prolactin and with time, by tumor shrinkage. Less than 10% of patients with prolactinomas exhibit resistance to the action of dopamine agonists, as defined by the lack of normalization of the serum prolactin levels despite long- term treatment at high doses of these drugs...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193927/pheochromocytoma-in-pregnancy-a-case-report
#3
Milliette Alvarado, Margarita Ramirez-Vick, Myriam Allende-Vigo, William Mendez-Latalladi, Marielba Agosto, Rafael Gonzalez, Meliza Martinez, Monica Vega, Mara Fernandez, Roman Velez, Keimari Méndez
This is the case of a 38 year-old female patient with an intrauterine pregnancy, in which a previous incidentally identified adrenal mass proved to be a pheochromocytoma during the antenatal period. The patient was started on α-and β-adrenergic blockade to maintain hemodynamic stability, and surgical removal of the lesion was performed during the second trimester without major complications. In view of the rarity of this disorder in pregnancy, it is imperative to have a high index of suspicion for a prompt and dedicated management, since this tumor, if unrecognized, is associated with high fetal and maternal mortality...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193926/acute-shortening-and-re-lengthening-in-the-management-of-open-tibia-fractures-with-severe-bone-of-14-cms-or-more-and-extensive-soft-tissue-loss
#4
Charles Zierenberg García, David Beaton Comulada, José Carlos Pérez López, Alfredo Lamela Domenech, Gabriella Rivera Ortiz, Héctor M González Montalvo, Pedro J Reyes-Martínez
INTRODUCTION: A traumatic event to the tibia with more than 14 cm of bone and soft tissue loss represents a challenge to most orthopedic surgeons and is considered a limb-threatening condition. Few solutions are available in such clinical situations and among them is the acute shortening and re-lengthening of bone and soft tissue. MATERIALS AND METHODS: Our study presents the management of 7 patients with grade III B open fractures (according to the Gustillo-Anderson classification) of the tibia who underwent resection of all the devitalized tissues, acute limb shortening to close the defect, application of an external fixator, and metaphyseal osteotomy for re-lengthening...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193925/klinefelter-syndrome-49-xxxxy-48-xxxy-associated-with-narrow-angle-glaucoma-a-case-report
#5
Ejan P Ulloa-Padilla, Pedro J Dávila, Natalio J Izquierdo
INTRODUCTION: Previous studies have described Klinefelter syndrome as a genetic disorder characterized by at least one extra X chromosome and at least 47 chromosomes. It is the most common sex chromosome aneuploidy among men. Patients may present with large height, gynecomastia, low testosterone levels, infertility, hypogonadism and diseases usually more common in females such as osteoporosis, breast cancer and auto-immune disorders. Other rare ophthalmic associations have been described, such as diffuse choroidal atrophy, microphtalmia, cataracts, juvenile glaucoma, choroid colobomas and goniodysgenesis...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193924/isolated-rectus-femoris-muscle-tear-in-a-non-athletic-patient-a-case-report
#6
Emanuel Rivera Rosado, Antonio Soler Salas
Quadriceps muscle injuries are common in athletes and middle age patients. Strains and tears of the distal portion of the muscle is the most common presentation of these injuries. Isolated rectus femoris tears are rare and few reports are published that evaluate outcomes in of nonsurgical treatment of these injuries. This article will described an unusual case of isolated distal rectus femoris tear in a patient with no associated risk factors, who initially presented with extensor mechanism weakness and limping, treated conservatively with range of motion therapy and strengthening...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193923/intradialytic-hypertension-hypotension-and-mortality-in-san-juan-puerto-rico
#7
Hector J Diaz, James Bryan, Juan C Arraut, Jose Betancourt, Carlos M Morales, Jose L Cangiano
End Stage Renal Disease patients undergo profound hemodynamic changes during hemodialysis treatments which are now recognized as a marker for increased risk of morbidity and mortality. Development of intradialytic hypotension or hypertension are a common clinical problem in this population with an incidence of up to 20%. We performed a retrospective review of 49 Hispanic patients receiving ambulatory hemodialysis during a period of 6 months to ascertain the development of aforementioned intradialytic events...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193922/implementation-of-a-pre-operative-decolonization-protocol-of-methicillin-resistance-staphylococcus-aureus-in-elective-orthopedic-surgery-at-manat%C3%A3-medical-center-pilot-study
#8
Jessica C Marrero Rolón, Greisha Adorno Robles, Nicolás D Duchemin, Jaime Fumero, Aracelis Nieves Rodriguez, Vielka M Cintrón Rivera, Martha L Villarreal Morales, Marielys Otero
Methicillin-resistant Staphylococcus aureus (MRSA) is a strain of S. aureus that shows resistance to multiple antibiotics. Up to 30% of S. aureus strains isolated from nosocomial infections are MRSA, and it has become a growing problem for public health. The cost of MRSA infection is also having a huge impact financially and results in considerable resource utilization. Puerto Rico’s Legislature passed Law # 298 on October 19, 2012 for the control and prevention of MRSA infections in medical installations in Puerto Rico...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193921/an-isolated-gluteus-minimus-tendon-tear-with-stress-fracture-of-the-iliac-wing-in-a-marathon-runner-a-case-report
#9
Emanuel Rivera Rosado, Borja Santaella Sante, Priscila M Corderob, Juan J Rivera, Francisco Otero Lopez
Stress fractures and muscle strains are common in marathon runners. Most stress fractures occur in lower extremities and tibia stress fractures comprise almost half. Iliac wing stress fractures are not commonly found in runners and are usually related to osteoporosis. There have been 4 previous reports of iliac stress fractures in marathon runners none reported an associated isolated gluteus minimus tendon tears. We will report a case of a female marathon runner with iliac wing stress fracture with associated isolated gluteus minimus tendon tear...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193920/high-output-cardiac-failure-in-a-patient-presenting-with-acute-myeloid-leukemia-and-leukostasis
#10
Jeffrey Maldonado, Angel Lopez Candales
In this case report a patient presents with high-output cardiac failure in the clinical setting of acute leukemia and leukostasis. Case particulars are presented, literature is reviewed and a potential mechanistic explanation is proposed to describe presentation and clinical findings.
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193919/diabetes-treatment-satisfaction-questionnaire-dtsq-of-in-non-ambulatory-type-2-diabetic-patients
#11
Fernando Baccaro, Paola Novelli Poisson, Julieta Arduin, Veronica Hilliar
OBJECTIVES: The aim of this work is to determine the diabetes treatment satisfaction in a group of hospitalized patients with type 2 diabetes. METHODS: observational cross research. Patients over the age of 18 with diagnosed type 2 diabetes of at least one year until the present study were included. Those presenting pathologies attributed to diabetes were excluded. Patients should have responded to the DTSQ questionnaire upon admission. r Pearson regression, multivariate linear regression and U Mann-Whitney tests were analyzed...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193918/compliance-with-management-guidelines-in-patients-with-suspected-dengue
#12
Tamara López-Díaz, Felipe Lugo, Jorge M Rodríguez, Elbio Sabao, Karen Sierra, Yoan Valdés, Jorge Vera
Dengue is an endemic disease in Puerto Rico, with three to nine thousand suspected dengue cases reported yearly. In PR, physicians are required to maintain medical education courses about dengue in order to recertify their medical licenses. The purpose of this study was to describe characteristics of patients admitted to Bella Vista Hospital with suspected dengue and estimate the compliance with guidelines established by the CDC documented in medical records. A total of 197 medical records of patients admitted with diagnosis of suspected dengue during January 1, 2013 through December 31, 2013 were reviewed...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193917/clinical-profile-bacterial-isolates-and-antibiotic-resistance-of-corneal-ulcers-in-puerto-rico
#13
Pedro J Dávila, Maria Pilar-Fernandez, Jan P Ulloa-Padilla, Victor M Villegas, Vanessa Lopez, Lilia Rivera, Carmen A Santos, Luis A Santiago-Cabán
No abstract text is available yet for this article.
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193916/choledochal-cyst-hepaticoduodenostomy-or-hepaticojejunostomy
#14
COMPARATIVE STUDY
Nicole M Diaz Ramos, Humberto Lugo-Vicente
Choledochal cysts are cystic dilatation of the common bile duct managed by excision and hepatico-intestinal reconstruction. The gold standard after choledochal cyst excision is reconstruction using the jejunum. With the advent of laparoscopy the pendulum has changed toward hepaticoduodenostomy reconstruction. We review the classification, diagnosis and recent management of choledochal cyst.
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193915/cervical-cancer-screening-in-brazil-according-to-economic-income
#15
Rodrigo Kraft Rovere, Adma Silva de Lima, Sara Fernanda Hilgert, Danielle Louise Cidral
No abstract text is available yet for this article.
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193914/secondary-resistance-to-dopamine-agonist-after-thirteen-months-of-successful-treatment-in-a-42-years-old-man
#16
Iván E Laboy-Ortiz, Sharon Velez-Maymí, José Hernán Martínez, Rafael Trinidad, Michelle Mangual, Alfredo Sanchez, Madeline Gutierrez, Paola Mansilla, Carmen Rivera, Coromoto Palermo, María Lourdes Miranda, Ricardo Brau
Prolactinomas are the most common hormone-secreting pituitary tumors and represents approximately 40% of all pituitary adenomas. Pharmacology therapy with dopamine agonists is the mainstay treatment for prolactinomas Usually, patients respond to these drugs with decreased level of the serum prolactin and with time, by tumor shrinkage. Less than 10% of patients with prolactinomas exhibit resistance to the action of dopamine agonists, as defined by the lack of normalization of the serum prolactin levels despite long- term treatment at high doses of these drugs...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193913/a-broken-heart-takotsubo-cardiomyopathy
#17
Sonia Vicenty, Francés Aulet, Julio Valentín, Carla P Rodríguez, Viviana M Ortiz, Yvonne M Figueroa, María del M Ortega
This case illustrates the unusual presentation of Takotsubo cardiomyopathy in an elderly male patient with characteristic chest pain and dyspnea associated with electrocardiographic changes of biphasic T wave inversions and QT-interval prolongation on anterior segment, mimicking acute coronary syndrome. Takotsubo cardiomyopathy is a transient systolic dysfunction of the apical and/or mid and anterior segments of left ventricle most frequently seen in post- menopausal women, up to 80 to 100% of cases. Often there is a history of a recent (within the previous two months) episode of severe emotional or physical stress associated with the event...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193912/bilateral-tibia-fibrous-dysplasia-in-a-pediatric-patient-treated-with-intramedullary-nailing-a-case-report
#18
Emanuel Rivera Rosado, Eric Hernandez Ortiz, Christian Lopez Aponte, Pablo V Marrero Ortiz
Fibrous dysplasia is benign developmental disorders of bone where normal lamellar cancellous bone is replaced with immature fibro-osseus tissue resulting in poorly formed trabeculae of immature woven bone. It may affect one (monostotic) or multiple bones (polyostotic). Polyostotic disease is less common, 20-25% of patients, mostly in children below 10 years old and tends to enlarge beyond bone maturation ration which can cause pain, progressive damage and higher tendency of pathological fractures.(1) We report a case of polyostotic fibrous dysplasia present on bilateral tibia diaphysis...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29193911/bacterial-species-susceptibility-to-antibiotics-and-characteristics-of-patients-with-surgical-site-infections
#19
Inés Serrano, Jorge Vera
Surgical site infections (SSI) are the most common healthcare-associated infections. Approximately 2-5% of all surgeries develop SSI as a complication. These infections are responsible for significant fatality, morbidity, and length of hospital stay. The purpose of this study was to describe characteristics of SSI in a community hospital in Puerto Rico. This was cross-sectional study. Between July 2013 and August 2015, 5468 major operative procedures were performed and 31 SSI were reported for an overall SSI incidence rate of 0...
2016: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/29192750/association-between-fine-needle-aspiration-cytology-and-final-pathology-in-the-diagnosis-of-thyroid-nodules-with-surgical-indications
#20
RANDOMIZED CONTROLLED TRIAL
Marla Servilla, César Trabanco, Walter Feliciano, Rafael E Bredy, Shirley Lojo
Fine needle aspiration of thyroid (FNA) is broadly used as the preferred preoperatory test to evaluate thyroid nodules. The clinical importance of this procedure is primarily related the need to exclude Thyroid Cancer. There are few studies investigating the association between FNA and final pathology in patients with thyroid nodules with surgical indications. There is no evidence from studies in the southern area of Puerto Rico that investigate this association. This was a randomized cross-sectional study, 82 medical records were evaluated...
2016: Boletín de la Asociación Médica de Puerto Rico
journal
journal
25939
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"