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Fundamentos

Created by

Melany Ormaza
Melany Ormaza
Ecuador

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Casos clínicos
 

Casos clínicosOnline version

Fundamentos

by Melany Ormaza
1

Paciente: Mujer de 33 años, 34 semanas de embarazo. Motivo de consulta: Se cansa rápido al subir escaleras y siente falta de aire leve. No tiene tos, fiebre ni dolor torácico. Signos vitales: FC 90 lpm, FR 20 rpm, TA 110/70 mmHg, saturación O₂ 98%. Exploración física (Semiología): Inspección: Tórax simétrico, respiración regular, uso normal de músculos accesorios. Palpación: No hay dolor ni crepitaciones. -La disnea en esta paciente se debe principalmente a:

2

Un hallazgo que indica que la disnea es fisiológica y no patológica es:

3

Paciente: Mujer de 25 años, 18 semanas de embarazo, primer hijo. Motivo de consulta: Come más de lo normal, sobre todo en la noche, y siente calor incluso cuando el clima está fresco. Suda con facilidad al caminar. Signos vitales: TA 112/72 mmHg, FC 86 lpm, temperatura 36.9 °C. Preguntas: -En el embarazo, la tiroides normalmente:

4

El aumento del apetito en el embarazo se debe sobre todo a:

5

Paciente: Mujer de 28 años, 27 semanas de embarazo. Motivo de consulta: El corazón le late más rápido al subir gradas y le cuesta un poco recuperar el aire. No dolor torácico ni hinchazón en pies. Signos vitales: TA 106/66 mmHg, FC 96 lpm, saturación O₂ 98%. Soplo sistólico leve. Preguntas: -La presión baja en el segundo trimestre porque:

6

El soplo sistólico funcional se debe a:

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