RESUMEN
En 1953 un grupo de ilusionados anestesiólogos constituía en Madrid la Asociación Española de Anestesiología y posteriormente celebraba en Granada la I Reunión Nacional de Anestesiología. En el año de 2003 se cumple el 50 aniversario de este hito que marcó uno de los acontecimientos más importantes de la especialidad de Anestesiología, Reanimación y Terapéutica del Dolor y de la Medicina Española. con motivo de esta celebración evocamos a la memoria histórica para rescatar del olvido y rendir un homenaje a tantos personajes importantes de la Anestesiología, Reanimación y Terapéutica del Dolor y de la Medicina Española. con motivo de esta celebración evocamos a la memoria histórica para rescatar del olvido y rendir un homenaje a tantos personajes importantes de la Anestesiología, Reanimación y Terapéutica del Dolor española y aragonesa, de esa época tan apasionante y brillante de los años 50 del siglo XX (AU)
In 1953 a group of hopeful anaesthetists founded in Madrid the Spanish Anaesthesiology Association and later it was held in Granada the 1º National Meeting of Anaesthesiology. In 2003 we celebrate the 50th Anniversary of this landmark in our history that means one of the most important achievernents of the Speciality of Anaesthesiology, Reanimation and Pain Therapy, and also of Spanish Medicine. For this celebration we call up the historical memory to release from oblivion and to do hornage to so many prominent figures of the Spanish and Aragonese Anaesthesiology, Reanimation and Pain Therapy of such a brilliant and exciting period, the 50´s of the twentieth century (AU)
Asunto(s)
Humanos , Sociedades Médicas/historia , Anestesiología/historia , Aniversarios y Eventos Especiales , EspañaRESUMEN
OBJECTIVE: We have carried out a study to evaluate diagnostic usefulness of ultrasound in Morton's neuroma. METHODS: Twenty five patients with symptoms suggestive of Morton's neuroma underwent ultrasound examination of the forefoot. All patients subsequently had surgical treatment. RESULTS: Nineteen patients had sonographic evidence of neuroma which were confirmed surgically and later by histological exams. One patient had sonographic evidence of a neuroma that was not confirmed surgically. The remaining five patients did not have sonographic or surgical evidence of neuroma in spite of clinical signs and symptoms. No adjacent neuromas were appreciated. Ultrasound accurately predicted the location of the neuroma in 96.7%. Ultrasound demonstrated a sensitivity of 100% and a specificity of 83.3%. CONCLUSION: We conclude that ultrasound is a highly accurate technique in the diagnosis of the presence and location of Morton's neuromas.
Asunto(s)
Enfermedades del Pie/diagnóstico por imagen , Neuroma/diagnóstico por imagen , Adulto , Femenino , Enfermedades del Pie/cirugía , Humanos , Masculino , Persona de Mediana Edad , Neuroma/cirugía , Sensibilidad y Especificidad , UltrasonografíaRESUMEN
La ostepoiquilosis es una alteración esquelética infrecuente que se engloba dentro de las distrofias óseas, cuya herencia es autosómica dominante con penetrancia incompleta que se manifiesta por áreas opacacificadas en las regiones metafiso-epifisarias de los huesos largos y ausencia de manifestaciones clínicas. Se presenta un caso de un varón de 21 años, asintomático con afectación ósea múltiple en las radiografías practicadas, sin otras alteraciones asociadas y que fue detectado en un "Examen preventivo de salud", no padeciendo la enfermedad ni sus progenitores, ni la hermana del paciente (AU)
Asunto(s)
Adulto , Masculino , Humanos , Osteopoiquilosis/congénito , Enfermedades del Desarrollo Óseo/congénito , Huesos/patología , EsclerosisRESUMEN
A hundred and fifty patients with jaundice and analytical suspicion of extrahepatic cholestasis were studied prospectively; history, laboratory investigation and ultrasound examination were realized. Computerized tomography was performed in 146 patients. Ultrasonography and computerized tomography findings were confirmed by CPRE o CPTH and surgery. Ultrasonography has a sensitivity of 92.6% while that of computerized tomography was 87.2% for the identification of dilated biliary ducts. The accuracy of ultrasonography was higher than the one obtained in computerized tomography in cholangiocarcinoma (sensitivity: 77.7%) and gallbladder carcinoma (sensitivity: 100%). Computerized tomography recognized choledocholithiasis (sensitivity: 83.3%) and ampullary carcinoma (sensitivity: 88.8%) with better accuracy. However for pancreatic carcinoma (sensitivity: 88.8%) and pancreatitis (sensitivity: 83.3%) both examinations had the same accuracy.
Asunto(s)
Colestasis Extrahepática/diagnóstico , Páncreas/diagnóstico por imagen , Enfermedades Pancreáticas/diagnóstico , Tomografía Computarizada por Rayos X , Adulto , Anciano , Anciano de 80 o más Años , Colangiografía , Colangiopancreatografia Retrógrada Endoscópica , Colestasis Extrahepática/etiología , Diagnóstico Diferencial , Estudios de Evaluación como Asunto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedades Pancreáticas/complicaciones , Estudios Prospectivos , Sensibilidad y Especificidad , UltrasonografíaRESUMEN
One hundred and fifty patients with jaundice and analytical suspicion of extrahepatic cholestasis were studied prospectively; history laboratory investigation and ultrasound examination were done in all. Computerized tomography was performed in 46 patients. Ultrasonography has a sensitivity of 92.6% while that of computerized tomography was 87.2% for the identification of dilated biliary ducts. Computerized tomography demonstrated the level of obstruction with a sensitivity of 89.1%, being most useful at the suprapancreatic and ampullary levels, while ultrasound examination had a sensitivity of 80%. The accuracy of ultrasonography was higher than the one obtained in computerized tomography in cholangiocarcinoma (sensitivity: 77%) and gallbladder carcinoma (sensitivity: 100%). Computerized tomography recognized choledocholithiasis (sensitivity: 83%) and ampullary carcinoma (sensitivity: 75%) with better accuracy. However for pancreatic carcinoma (sensitivity: 87%) and pancreatitis (sensitivity: 88%) both examinations had the same accuracy.