Biomedical-TeMU/CodiEsp_corpus · Datasets at Hugging Face

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We observed a marked decrease in the ST segment in V4 and somewhat lower in V5, without pathological Q waves or signs of ventricular hypertrophy.
Patient's clinical features and electrophysiological findings are established. The pediatrician diagnoses acute pericarditis and refers the patient to the hospital with very good judgment.
A 13-year-old female patient, with no personal history of interest, complaining of bilateral pleural edema of three days duration.
The patient reported accompanying headache with mild odynophagia without associated fever.
Physical examination revealed bilateral vestibular edema without other abnormalities. No edema was observed in other locations, and hypertrophy was observed in 2/4 without exudates.
In the following days, the patient returned to the hospital due to persistent fever and increased fever, without other symptoms.
Urine dipstick was performed on several occasions without detecting proteinuria and culture of pharyngeal exudate which was negative.
ALT increased and negativity of tests performed so far, blood count, blood chemistry, liver profile and urine sediment were requested with normal results except leukocytosis (18 460/μL) with lymphocytic predominance ( 184 UIPT/μL).
Ten days after the onset of the clinical picture, edema and fever, adenopathies and hepatomegaly resolved.
Analytical control was performed at three weeks of CBC without alterations and decreased transaminase levels to normal (GOT 22 IU/l, GPT 16 IU/l).
The suspicion of mononucleic syndrome requires serology of EBV and cytomegalovirus (CMV), obtaining IgM against EBV which allows diagnostic confirmation.
We report the case of an 11-year-old original male from Gambia who presented with macroscopic hematuria predominantly at the end of micturition and dysuria of one year of evolution, with no history of fever.
When performing the anamnesis they refer a recent trip to their country of origin and during the course of the same several baths in lakes in the region.
Physical examination is anodyne.
suspicion of gallstone disease, contact the Microbiology Department of the referral hospital where they indicate urine collection for three consecutive days, preferably at noon and at the end of the
The microbiological study showed Schistosoma haematobium eggs.
1.
The bladder ultrasound performed showed a parietal thickening that reached a maximum thickness of 9 mm in a radius of 20 mm, suggesting schistosomiasis, so treatment was prescribed.
A four-year-old male with no relevant past medical history was successfully vaccinated, with fever of 38.5oC for 12 hours (h) of evolution, painful submandibular lymphadenopathy, erythematous pharynx with exudate.
In addition, the patient presented a micropapular fold raised in a "cow skin" that affected the trunk and the inguinal and axillary folds, slightly pruritic and slightly painful exanthema.
Due to the clinical suspicion of scarlet fever, a rapid test for the detection of Streptococcus pyogenes was performed, which was negative. Expectant management and clinical review were performed within 24-48 h.
At 24 h, the general condition had worsened with fever up to 39 oC and persistence of rash, so, given the high suspicion of scarlatin, it was decided to collect pharyngeal smears and administer amoxicillin once daily.
After 72 h the result of the pharyngeal smear was positive for Staphylococcus aureus (abundant growth) and sensitive to amoxicillin/clavulanic acid.
At that time, the patient is clinically well, afflicted and the rash has been diagnosed, so it was decided to complete the treatment with amoxicillin/clavulanic acid for eight days.
Two weeks after the onset of fever, the patient developed desquamation of "gloving finger" plants and palms.
A common case of dizziness, unusually diagnosed
An 11-year-old girl with no family or personal history of interest came to the health center complaining of a sensation of moving objects around her from the previous night, suffering from anxiety.
Physical examination was normal and otoscopy showed no abnormalities.
Arterial hypertension and normal glycemia.
Attention is paid to the absence of a vegetative component, instability, or other symptoms such as tinnitus.
There is no neurological focus, balance or gait disturbances, ataxia or other cerebellar signs.
The patient had a history of taking Romilar® (dextromethorphan) the night before and a positive family history.
With these data and a normal physical examination, she was sent home by observation, citing her next morning in the consultation.
A 13-year-old boy with no relevant personal history.
A brother who died of Wilms tumor stood out as a relevant family history.
She presented with voiding symptoms (dysuria, pollakiuria) without other symptoms.
Urine dipstick was negative.
Treatment was initiated with trimethoprim-methotoxazole until the urocultive result was obtained, which was reported as sterile.
The absence of improvement after one week, came to the emergency department.
In the anamnesis associated voiding symptoms and anuria of 18 hours of evolution, together with abdominal pain located in the hypogastrium and the right iliac fossa.
She had no history of surgery or fever since the onset of symptoms.
On physical examination, the patient was in good general condition, with no signs of withdrawal symptoms, and remained within normal limits.
Cardiopulmonary auscultation was normal.
Abdominal examination revealed tenderness of the hypogastrium and right iliac fossa with local signs of peritoneal irritation.
There was no bladder balloon.
The rest of the examination showed no relevant findings.
Analytical tests showed no relevant findings: leukocytes 5400 μl, neutrophils 2370 μl (44%), hemoglobin 13.9 mg/dl, C-reactive protein <2.9 mg/l.
An abdominal X-ray showed no abnormalities, and an abdominal ultrasound showed no urinary tract findings, with virtually empty bladder.
However, an 8 mm thickened appendix with periarticular loose fluid and fat thickening was visualized; findings consistent with acute colitis.
1.
Intravenous fluid infusion was performed under expansion regime, achieving adequate diuresis in a short time.
Given the diagnosis of acute colitis, the patient was operated under general anesthesia with phlegmonous colitis and a phlegmonous cystectomy was performed.
The subsequent evolution was favorable without postoperative complications.
A ten-year-old male, with no relevant personal history, who came to the emergency department of the primary care center for a four-hour history of abdominal pain, fever of 40 °C, vomiting and diarrhea with remnants.
Abdominal examination revealed diffuse abdominal pain, slightly more in the right iliac fossa, with signs of peritoneal irritation.
Laboratory tests showed 12 200 leukocytes/μl (91% neutrophils) and mild elevation of C-reactive protein (CRP).
The patient was referred to the nearest hospital with suspected acute abdomen to complete the study.
Abdominal ultrasound showed a tubular, aperistaltic and incomprehensible image with transducer compatible with acute colitis.
It was decided to perform a surgical intervention, after receiving informed consent from the parents, and performing a cystectomy during which a cecal appendix with mild inflammatory signs is observed.
The postoperative course was torpid, with persistent fever (38.8 °C), generalized abdominal pain without peritonitis, vomiting and diarrhea.
An abdominal ultrasound was performed, which showed dilation of the loops of the small intestine, suggesting an incomplete obstructive picture.
Blood tests continued to show leukocytosis with left shift and elevated C-reactive protein.
Given the lack of awareness, the patients symptoms and operative findings, it was decided to opt for conservative treatment, coprocultive and empirical antibiotic therapy was initiated waiting for the results of the coprojunctivobacter Campi.
Antibiotic treatment with gentamicin was started, with which the evolution of the patient is satisfactory, since the clinical picture is resolved and the patient is discharged ten days after surgery.
The anatomopathological study of the cecal appendix was informed as a cecal appendix with inflammatory signs.
We report the case of a six-year-old girl who consulted the health center for right knee pain without inflammatory signs or history of trauma.
He was treated with ibuprofen and three months later he returned to the consultation with progressive pain and inflammation of the fifth metatarsal of the right foot that limited his walking.
Later there was pain and inflammation on the back of the right hand.
Associated with previous influenza-like illness, gastrointestinal infection or urinary symptoms, the patient was afflicted at all times.
One week later, the patient came to the clinic due to persistent symptoms and functional impotence to maintain standing.
Her personal and family history and pregnancy were not clinically relevant.
His psychomotor development was normal.
The patient had a weight of 23.5 kg, height of 122 cm, heart rate of 74 bpm and acceptable general status.
On examination, pain, inflammation, and limited flexion due to pain at 90° were observed, as well as tenderness of the right foot, with no pain in the fifth hand and mild metaphalangeal inflammation of the right knee.
No vascular-nerve deficit.
Physical examination revealed no rash, adenopathies, or visceromegaly.
The radiographs were normal at all times.
Analytical: mild thrombocytosis (425 000/μl), without leukocytosis or neutrophilia, C-reactive protein 13 mg/ml, erythrocyte sedimentation rate 52, antinuclear antibodies (ANA) negative to 1/160.
Arthrocentesis was performed (biochemistry and culture) obtaining inflammatory fluid with 5360 cells/ml, glucose 69 mg/dl, protein 5.4 g/dl and negative culture.
Treatment with ibuprofen was initiated at a dose of 200 mg every eight hours, waiting to be evaluated by the specialist, with a slight improvement.
A pediatric rheumatology evaluation was requested, which extended the analytical approach, performed the diagnostic test, and initiated treatment with dementia.
The extended blood test yielded negative results for anti-cyclic citrullinated peptide antibodies, ANSD, HLA B27 and serology hepatitis B and C. The results were also normal in the thyroid tests, the uroanalysis
One month later, she was reviewed by Pediatric Rheumatology and was diagnosed with right knee arthritis ANA(+) and probable JIA, due to persistent inflammation and pain in the right knee and tarsal.
The study was completed with foot ultrasound and corticosteroid withdrawal.
The ultrasound was normal and showed a good evolution after implantation.
A four-year-old male who suddenly ten days ago presented speech disorders consisting of repetition of syllables and prolongation of sounds.
She has no other neurological symptoms.
The parents relate it to a traumatic brain injury suffered the day before the onset of symptoms.
His language was previously paused and considered normal for his age.
He had an adequate acquisition of language skills and other neurodevelopmental milestones to date.
In the exploration, the patient presents a language consistent with repetition of utterances in sentences and prolonged pauses between them.
Acceptance is correct, but the patient has to make an effort to control it.
Organizes sentences of three or four words without syntactic problems.
It shows adequate oral comprehension.
The rest of the neurological examination was normal.
These data are diagnosed as developmental stuttering and assessment by a speech therapist is recommended.
A nine-month-old male presented with intense perianal erythema.
A first rectal smear was performed and the result of the rapid antigen detection test negative for Streptococcus at 24 hours was negative. Treatment with clotrimazole was initiated.
Since the patient did not evolve well, it was decided to repeat the rectal swab and pharyngeal mask, finding a positive result for rapid detection of streptococcus antigen in the rectal swab and negative in the pharynx.
The rectal swab culture was negative for GAABHS growth.

We observed a marked decrease in the ST segment in V4 and somewhat lower in V5, without pathological Q waves or signs of ventricular hypertrophy.

Patient's clinical features and electrophysiological findings are established. The pediatrician diagnoses acute pericarditis and refers the patient to the hospital with very good judgment.

A 13-year-old female patient, with no personal history of interest, complaining of bilateral pleural edema of three days duration.

The patient reported accompanying headache with mild odynophagia without associated fever.

Physical examination revealed bilateral vestibular edema without other abnormalities. No edema was observed in other locations, and hypertrophy was observed in 2/4 without exudates.

In the following days, the patient returned to the hospital due to persistent fever and increased fever, without other symptoms.

Urine dipstick was performed on several occasions without detecting proteinuria and culture of pharyngeal exudate which was negative.

ALT increased and negativity of tests performed so far, blood count, blood chemistry, liver profile and urine sediment were requested with normal results except leukocytosis (18 460/μL) with lymphocytic predominance ( 184 UIPT/μL).

Ten days after the onset of the clinical picture, edema and fever, adenopathies and hepatomegaly resolved.

Analytical control was performed at three weeks of CBC without alterations and decreased transaminase levels to normal (GOT 22 IU/l, GPT 16 IU/l).

The suspicion of mononucleic syndrome requires serology of EBV and cytomegalovirus (CMV), obtaining IgM against EBV which allows diagnostic confirmation.

We report the case of an 11-year-old original male from Gambia who presented with macroscopic hematuria predominantly at the end of micturition and dysuria of one year of evolution, with no history of fever.

When performing the anamnesis they refer a recent trip to their country of origin and during the course of the same several baths in lakes in the region.

Physical examination is anodyne.

suspicion of gallstone disease, contact the Microbiology Department of the referral hospital where they indicate urine collection for three consecutive days, preferably at noon and at the end of the

The microbiological study showed Schistosoma haematobium eggs.

1.

The bladder ultrasound performed showed a parietal thickening that reached a maximum thickness of 9 mm in a radius of 20 mm, suggesting schistosomiasis, so treatment was prescribed.

A four-year-old male with no relevant past medical history was successfully vaccinated, with fever of 38.5oC for 12 hours (h) of evolution, painful submandibular lymphadenopathy, erythematous pharynx with exudate.

In addition, the patient presented a micropapular fold raised in a "cow skin" that affected the trunk and the inguinal and axillary folds, slightly pruritic and slightly painful exanthema.

Due to the clinical suspicion of scarlet fever, a rapid test for the detection of Streptococcus pyogenes was performed, which was negative. Expectant management and clinical review were performed within 24-48 h.

At 24 h, the general condition had worsened with fever up to 39 oC and persistence of rash, so, given the high suspicion of scarlatin, it was decided to collect pharyngeal smears and administer amoxicillin once daily.

After 72 h the result of the pharyngeal smear was positive for Staphylococcus aureus (abundant growth) and sensitive to amoxicillin/clavulanic acid.

At that time, the patient is clinically well, afflicted and the rash has been diagnosed, so it was decided to complete the treatment with amoxicillin/clavulanic acid for eight days.

Two weeks after the onset of fever, the patient developed desquamation of "gloving finger" plants and palms.

A common case of dizziness, unusually diagnosed

An 11-year-old girl with no family or personal history of interest came to the health center complaining of a sensation of moving objects around her from the previous night, suffering from anxiety.

Physical examination was normal and otoscopy showed no abnormalities.

Arterial hypertension and normal glycemia.

Attention is paid to the absence of a vegetative component, instability, or other symptoms such as tinnitus.

There is no neurological focus, balance or gait disturbances, ataxia or other cerebellar signs.

The patient had a history of taking Romilar® (dextromethorphan) the night before and a positive family history.

With these data and a normal physical examination, she was sent home by observation, citing her next morning in the consultation.

A 13-year-old boy with no relevant personal history.

A brother who died of Wilms tumor stood out as a relevant family history.

She presented with voiding symptoms (dysuria, pollakiuria) without other symptoms.

Urine dipstick was negative.

Treatment was initiated with trimethoprim-methotoxazole until the urocultive result was obtained, which was reported as sterile.

The absence of improvement after one week, came to the emergency department.

In the anamnesis associated voiding symptoms and anuria of 18 hours of evolution, together with abdominal pain located in the hypogastrium and the right iliac fossa.

She had no history of surgery or fever since the onset of symptoms.

On physical examination, the patient was in good general condition, with no signs of withdrawal symptoms, and remained within normal limits.

Cardiopulmonary auscultation was normal.

Abdominal examination revealed tenderness of the hypogastrium and right iliac fossa with local signs of peritoneal irritation.

There was no bladder balloon.

The rest of the examination showed no relevant findings.

Analytical tests showed no relevant findings: leukocytes 5400 μl, neutrophils 2370 μl (44%), hemoglobin 13.9 mg/dl, C-reactive protein <2.9 mg/l.

An abdominal X-ray showed no abnormalities, and an abdominal ultrasound showed no urinary tract findings, with virtually empty bladder.

However, an 8 mm thickened appendix with periarticular loose fluid and fat thickening was visualized; findings consistent with acute colitis.

1.

Intravenous fluid infusion was performed under expansion regime, achieving adequate diuresis in a short time.

Given the diagnosis of acute colitis, the patient was operated under general anesthesia with phlegmonous colitis and a phlegmonous cystectomy was performed.

The subsequent evolution was favorable without postoperative complications.

A ten-year-old male, with no relevant personal history, who came to the emergency department of the primary care center for a four-hour history of abdominal pain, fever of 40 °C, vomiting and diarrhea with remnants.

Abdominal examination revealed diffuse abdominal pain, slightly more in the right iliac fossa, with signs of peritoneal irritation.

Laboratory tests showed 12 200 leukocytes/μl (91% neutrophils) and mild elevation of C-reactive protein (CRP).

The patient was referred to the nearest hospital with suspected acute abdomen to complete the study.

Abdominal ultrasound showed a tubular, aperistaltic and incomprehensible image with transducer compatible with acute colitis.

It was decided to perform a surgical intervention, after receiving informed consent from the parents, and performing a cystectomy during which a cecal appendix with mild inflammatory signs is observed.

The postoperative course was torpid, with persistent fever (38.8 °C), generalized abdominal pain without peritonitis, vomiting and diarrhea.

An abdominal ultrasound was performed, which showed dilation of the loops of the small intestine, suggesting an incomplete obstructive picture.

Blood tests continued to show leukocytosis with left shift and elevated C-reactive protein.

Given the lack of awareness, the patients symptoms and operative findings, it was decided to opt for conservative treatment, coprocultive and empirical antibiotic therapy was initiated waiting for the results of the coprojunctivobacter Campi.

Antibiotic treatment with gentamicin was started, with which the evolution of the patient is satisfactory, since the clinical picture is resolved and the patient is discharged ten days after surgery.

The anatomopathological study of the cecal appendix was informed as a cecal appendix with inflammatory signs.

We report the case of a six-year-old girl who consulted the health center for right knee pain without inflammatory signs or history of trauma.

He was treated with ibuprofen and three months later he returned to the consultation with progressive pain and inflammation of the fifth metatarsal of the right foot that limited his walking.

Later there was pain and inflammation on the back of the right hand.

Associated with previous influenza-like illness, gastrointestinal infection or urinary symptoms, the patient was afflicted at all times.

One week later, the patient came to the clinic due to persistent symptoms and functional impotence to maintain standing.

Her personal and family history and pregnancy were not clinically relevant.

His psychomotor development was normal.

The patient had a weight of 23.5 kg, height of 122 cm, heart rate of 74 bpm and acceptable general status.

On examination, pain, inflammation, and limited flexion due to pain at 90° were observed, as well as tenderness of the right foot, with no pain in the fifth hand and mild metaphalangeal inflammation of the right knee.

No vascular-nerve deficit.

Physical examination revealed no rash, adenopathies, or visceromegaly.

The radiographs were normal at all times.

Analytical: mild thrombocytosis (425 000/μl), without leukocytosis or neutrophilia, C-reactive protein 13 mg/ml, erythrocyte sedimentation rate 52, antinuclear antibodies (ANA) negative to 1/160.

Arthrocentesis was performed (biochemistry and culture) obtaining inflammatory fluid with 5360 cells/ml, glucose 69 mg/dl, protein 5.4 g/dl and negative culture.

Treatment with ibuprofen was initiated at a dose of 200 mg every eight hours, waiting to be evaluated by the specialist, with a slight improvement.

A pediatric rheumatology evaluation was requested, which extended the analytical approach, performed the diagnostic test, and initiated treatment with dementia.

The extended blood test yielded negative results for anti-cyclic citrullinated peptide antibodies, ANSD, HLA B27 and serology hepatitis B and C. The results were also normal in the thyroid tests, the uroanalysis

One month later, she was reviewed by Pediatric Rheumatology and was diagnosed with right knee arthritis ANA(+) and probable JIA, due to persistent inflammation and pain in the right knee and tarsal.

The study was completed with foot ultrasound and corticosteroid withdrawal.

The ultrasound was normal and showed a good evolution after implantation.

A four-year-old male who suddenly ten days ago presented speech disorders consisting of repetition of syllables and prolongation of sounds.

She has no other neurological symptoms.

The parents relate it to a traumatic brain injury suffered the day before the onset of symptoms.

His language was previously paused and considered normal for his age.

He had an adequate acquisition of language skills and other neurodevelopmental milestones to date.

In the exploration, the patient presents a language consistent with repetition of utterances in sentences and prolonged pauses between them.

Acceptance is correct, but the patient has to make an effort to control it.

Organizes sentences of three or four words without syntactic problems.

It shows adequate oral comprehension.

The rest of the neurological examination was normal.

These data are diagnosed as developmental stuttering and assessment by a speech therapist is recommended.

A nine-month-old male presented with intense perianal erythema.

A first rectal smear was performed and the result of the rapid antigen detection test negative for Streptococcus at 24 hours was negative. Treatment with clotrimazole was initiated.

Since the patient did not evolve well, it was decided to repeat the rectal swab and pharyngeal mask, finding a positive result for rapid detection of streptococcus antigen in the rectal swab and negative in the pharynx.

The rectal swab culture was negative for GAABHS growth.