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      "body": "Buen dia mi venezuela hoy les traigo este caso clinico que es conun en nuestro pais por culpa del chipo espero les agrade mi forma de comunicarme con ustedes atentamente Dr. Cesar L.\n![trypanosoma_cruzi_crithidia_m.jpeg](https://cdn.steemitimages.com/DQmWeWBvkjbBCnqfEHwguhsqozUBtn4W7AdaShVTNqoB4yo/trypanosoma_cruzi_crithidia_m.jpeg)\n\n\n\nMOTIVO DE CONSULTA: DOLOR EN EL PIE IZQUIERDO\n\nENFERMEDAD ACTUAL: PACIENTEFEMENINA DE 52 AÑOS DE EDAD SIN ANTECEDENTES PATOLOGICOS CONOCIDOS QUIEN REFIERE INICIO DE ENFERMEDAD ACTUAL EL DIA DE HOY POSTERIOR A...Leer más\n1 OF 2\n\n¿CUANTO TIMEPO LE INDICARIAS REPOSO A ESTE PACIENTE?\n64%\n15 DÍAS 9/14\n36%\n30 DÍAS5/14\n\n8 Me gusta\n\n22 Comentarios\nFOLLOWED\n\nCesar Lopez Marquez\n•\n30 noviembre 2021\nMedicina general\n\nCOVID-19\nSOLVED\nCaso Clínico Dengue\n\nCaso clínico\n\nPaciente femenino de 8 años de edad, que ingresó\nal servicio de pediatría del Hospital Materno Infantil de caracas Venezuela ,\nen fecha 2 de noviembre de 2021; con cuadro clínico\ncaracterizado por: 7 días de...Leer más\n1 OF 4\n\nconoces Todos los serotipos del virus dengue\n100%\nsi 14/14\n0%\nno0/14\n\n6 Me gusta\n\n15 Comentarios\nFOLLOWED\n\nCesar Lopez Marquez\n•\n16 noviembre 2021\nMedicina general\n\nINTERÉS GENERAL\nSOLVED\nCaso clínico de enfermedades infecciosas parasitarias transmitidas por insectos\n\nMotivo de consulta: falta de aire y cansancio.\n\nPaciente masculino de 51 años de edad, de procedencia rural y obrero agrícola. Acude a\n\nconsulta por presentar desde hace dos meses, cansancio fácil, fatigabilidad, disnea deLeer más\n1 OF 4\n\ncual es el nombre correcto de la inflamación que se observa en el párpado, es un indicador de la enfermedad de Chagas aguda\n14%\nedema de chagas 2/14\n7%\nsigno chagasico 1/14\n79%\nsigno de romaña11/14\n0%\nsigno ocular inflamatorio0/14\n\n8 Me gusta\n\n20 Comentarios\nFOLLOWED\n\nCesar Lopez Marquez\n•\n2 noviembre 2021\nMedicina general\n\nMÉDICO LEGAL\nSOLVED\nCaso clínico ECV\n\nMotivo de consulta: Disminución de la fuerza del lado derecho\n\n\n\nEnfermedad actual: Paciente femenina de 70 años de edad natural de Carúpano procedente de la localidad con antecedentes patológicos de hipertensión arterial en...Leer más\n1 OF 3\n\ncrees que el diagnostico no es correcto?\n70%\nsi7/10\n30%\nno3/10\n\n10 Me gusta\n\n20 Comentarios\nFOLLOWED\n\nCesar Lopez Marquez\n•\n2 noviembre 2021\nMedicina general\n\nMÉDICO LEGAL\nSOLVED\nCaso clínico Esquizofrenia indiferenciada\n\nPresentación del caso\n\n\n\n\nVarón de 16 años de edad, natural de Venezuela, que llegó a España con 4 años, residente desde los 11 años en Madrid, adonde se trasladaron sus padres por motivos laborales, con quienes convive (ambos...Leer más\n1 OF 4\n\npiensas que el manejo de este caso fue el correcto?\n100%\nsi13/13\n0%\nno0/13\n\n5 Me gusta\n\n20 Comentarios\nFOLLOWED\n\nCesar Lopez Marquez\n•\n16 noviembre 2021\nMedicina general\nFOLLOWED\nSOLVED\nCaso clínico de enfermedades infecciosas parasitarias transmitidas por insectos\n\nMotivo de consulta: falta de aire y cansancio.\n\nPaciente masculino de 51 años de edad, de procedencia rural y obrero agrícola. Acude a\n\nconsulta por presentar desde hace dos meses, cansancio fácil, fatigabilidad, disnea de\n\nesfuerzo al caminar de dos a tres cuadras y cuando se acuesta.\n\nAl interrogatorio se precisa que cuando era pequeño tuvo una enfermedad transitoria que le\n\nprodujo fiebre, erupción en la piel e inflamación palpebral del ojo izquierdo.\n\nAl examen físico:\n\nAparato cardiovascular: latido de la punta desplazado hacia fuera y abajo. Ritmo de galope\n\nventricular. Frecuencia cardíaca: 110 latidos por minutos. Tensión arterial: 150/95 mm de Hg.\n\nAparato respiratorio: estertores crepitantes en ambas bases pulmonares. Frecuencia\n\nrespiratoria: 22 respiraciones por minuto.\n\nTejido celular subcutáneo: infiltrado en ambos miembros inferiores.\n\n-DIAGNOSTICO:\n\n1. enfermedad de Chagas-Mazza\n\n1.1 Miocardiopatía chagásica\n\n-parásito que causa la enfermedad:\n\nTrypanosoma cruzi\n\nvector que transmite la enfermedad:\n\nEl T. cruzi se transmite a los seres humanos y otros mamíferos por insectos vectores hemípteros de la subfamilia Triatominae, chupadores de sangre, conocidos popularmente como las vinchucas, chinches, chinchorros, conenose bugs, chirimachas, kissing bugs y otros nombres populares locales. en Venezuela es conocido vulgarmente como chipo.",
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      "body": "Soy nuevo aqui como prefieren las publicaciones en español o de esta manera en ingles?\n![images-7-_m.jpeg](https://cdn.steemitimages.com/DQmfFbQWiCcNtfxemTbMetdYYvbyiJuZ8RxadWm2zKKieAM/images-7-_m.jpeg)\n\n![screenshot_20230322_154204_medshr_m.jpg](https://cdn.steemitimages.com/DQmSfczzWamuS2x6sdBbbBbWzog21MLcvNVUBDbtbncqYkd/screenshot_20230322_154204_medshr_m.jpg)\n\n\nA 16 years old boy came in ED with cut injury in left wrist joint and severe bleeding..\n\nEvaluation:\n\nAfter I saw this boy immediately IV line established with Hartman fluid.\n\nImmediate management:\n\nEmergency OT manage and ligation of ulnar artery was done under local anesthesia.After ligation we perform modified Allen's test.We see blood supply of hand is secure so closed skin in layer and layer.\n\nDiagnosis:\n\nAfter operation, patient was send to radiology department for X-ray wrist joint both view for any fracture or dislocation.After x ray we found dislocation and patient send to Orthopedics department for further management.\n\nAllen's test:\n\nBlood Supply of hand is so important.if we any procedure in either radial artery or ulnar artery at first we identify blood supply of hand is adequate.\n\nAllen's test,at first we oculate both ulnar and radial artery then strongly grip of hand,after 30second opposite to procedure arterial ovulation is removed if hand is red after occulation Allen's test is positive.\n\nImportance:\n\nThe Allen test is used to assess collateral blood flow to the hands, generally in preparation for a procedure that has the potential to disrupt blood flow in either the radial or the ulnar artery. These procedures include arterial puncture or cannulation and the harvest of the artery alone or as part of a forearm flap. A negative Allen test means that the patient likely does not have an adequate dual blood supply to the hand, which may present a contraindication to the planned procedure or at least suggest that further evaluation is necessary. This activity reviews the Allen test technique and discusses the interprofessional team's role in applying this maneuver to improve patient outcomes.\n\nObjectives:\n\nIdentify the vessels evaluated by the Allen test.\nDescribe the indications for performing the Allen test.\nOutline the technique for performing the Allen test.\nSummarize interprofessional team strategies for improving communication in regards to the significance of a negative Allen test.",
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      "body": "Hello welcome to Steemit world! \n I'm @steem.history, who is steem witness. \n This is a recommended post for you.[Newcomers Guide](https://steemitdev.com/guide/@steemitblog/steemit-a-guide-for-newcomers) and [The Complete Steemit Etiquette Guide (Revision 2.0)](https://steemit.com/steem/@steem.history/the-complete-steemit-etiquette-guide-revision-20-homage-1598425779) and, recommended community [Newcomers Community](https://steemit.com/trending/hive-172186) \n I wish you luck to your steemit activities.<center> \n \n \n https://cdn.steemitimages.com/DQmXHwdcNs5VPcBft1iSosPdHLpBNBfjuG84g3ffWhMw5JQ/image.png \n <sub>(The bots avatar has been created using https://robohash.org/)</sub> \n @steem.history \n \n ### My witness activity \n - [My aspiration for STEEM witness](https://steemit.com/hive-185836/@steem.history/my-aspiration-for-steem-witness-1601280729) \n - Provides information on Steem.  \n [Reference](https://steemit.com/trending/hive-130095) \n - Supporting the Steem project. \n [SPUD4STEEM project](https://steemit.com/trending/spud4steem) \n - Supporting the community. \n [Newcomers Community](https://steemit.com/trending/hive-172186),[Steem Sri Lanka](https://steemit.com/trending/hive-133716) ,[WORLD OF XPILAR](https://steemit.com/trending/hive-185836), [GLOBAL STEEM](https://steemit.com/trending/hive-145160), [Scouts](https://steemit.com/trending/hive-181136), [Latino Community](https://steemit.com/trending/hive-188619) \n \n ### My featured posts \n - [The Complete Steemit Etiquette Guide (Revision 2.0) -Homage](https://steemit.com/steem/@steem.history/the-complete-steemit-etiquette-guide-revision-20-homage-1598425779) \n \n [![image.png](https://cdn.steemitimages.com/DQmd7of2TpLGqvckkrReWahnkxMWH6eMg5upXesfsujDCnW/image.png)](https://steemlogin.com/sign/account-witness-vote?witness=steem.history&amp;approve=1) \n <sub>please click it!</sub> \n \n ![image.png](https://cdn.steemitimages.com/DQmWDnFh7Kcgj2gdPc5RgG9Cezc4Bapq8sQQJvrkxR8rx5z/image.png) \n <sub>(Go to https://steemit.com/~witnesses and type fbslo at the bottom of the page)</sub> \n \n </center>",
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      "author": "doctorcklm",
      "body": "![images-7-_m.jpeg](https://cdn.steemitimages.com/DQmfFbQWiCcNtfxemTbMetdYYvbyiJuZ8RxadWm2zKKieAM/images-7-_m.jpeg)\n\n![screenshot_20230322_154204_medshr_m.jpg](https://cdn.steemitimages.com/DQmSfczzWamuS2x6sdBbbBbWzog21MLcvNVUBDbtbncqYkd/screenshot_20230322_154204_medshr_m.jpg)\n\n\nA 16 years old boy came in ED with cut injury in left wrist joint and severe bleeding..\n\nEvaluation:\n\nAfter I saw this boy immediately IV line established with Hartman fluid.\n\nImmediate management:\n\nEmergency OT manage and ligation of ulnar artery was done under local anesthesia.After ligation we perform modified Allen's test.We see blood supply of hand is secure so closed skin in layer and layer.\n\nDiagnosis:\n\nAfter operation, patient was send to radiology department for X-ray wrist joint both view for any fracture or dislocation.After x ray we found dislocation and patient send to Orthopedics department for further management.\n\nAllen's test:\n\nBlood Supply of hand is so important.if we any procedure in either radial artery or ulnar artery at first we identify blood supply of hand is adequate.\n\nAllen's test,at first we oculate both ulnar and radial artery then strongly grip of hand,after 30second opposite to procedure arterial ovulation is removed if hand is red after occulation Allen's test is positive.\n\nImportance:\n\nThe Allen test is used to assess collateral blood flow to the hands, generally in preparation for a procedure that has the potential to disrupt blood flow in either the radial or the ulnar artery. These procedures include arterial puncture or cannulation and the harvest of the artery alone or as part of a forearm flap. A negative Allen test means that the patient likely does not have an adequate dual blood supply to the hand, which may present a contraindication to the planned procedure or at least suggest that further evaluation is necessary. This activity reviews the Allen test technique and discusses the interprofessional team's role in applying this maneuver to improve patient outcomes.\n\nObjectives:\n\nIdentify the vessels evaluated by the Allen test.\nDescribe the indications for performing the Allen test.\nOutline the technique for performing the Allen test.\nSummarize interprofessional team strategies for improving communication in regards to the significance of a negative Allen test.",
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      "title": "Ulnar artery ligation and Allen's test"
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