CASO CLINICO PATOLOGIA CUELLO

HOSPTAL GENERAL DE CUAUTLA “MAURO BELAUNZARÁN TAPIA” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HISTORIA CLÍNICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HISTORIA CLÍNICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HISTORIA CLÍNICA ,[object Object],[object Object],[object Object],[object Object]

URGENCIAS ,[object Object],[object Object],[object Object],DÍA 1

LABORATORIOS DE INGRESO DÍA 1 10.3 Calcio 196 Trig 276 Col 10.8 Ác. Úrico 1.1 Crt 40 Bun 467 Glu 275,000 Plaq 14.4 (no tenemos diferencial) Leu 44.7 Hto 14.9 Hb

URGENCIAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DÍA 1

INTERCONSULTA MEDICINA INTERNA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DÍA 2

INTERCONSULTA CIRUGÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DÍA 3

EVOLUCIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],DÍA 4

LABORATORIOS 34.4 TPT 14.3 TP 5 164 188 165 0.6 3.7 8.7 2.8 109 3.7 145 0.9 242 7.3 6.9 43.6 14.4 4 200 212 1 7.2 9.5 116 5 154 o.8 30 280 7.7 233 38.8 13 3 DHL Tg Col BT Ác. úr Ca Alb Cl K Na Crt BUN Glu Leu Plaq Hto Hb DÍA

CONSENSO ,[object Object],[object Object],[object Object],[object Object],DÍA 5

REVISIÓN BIBLIOGRÁFICA PATOLOGÍA DE CUELLO

Fascia cervical (FC) se dividen en: – Fascia cervical superficial (FCS) – Fascia cervical profunda (FCP) - Capa superficial - Capa media o visceral - Capa profunda o prevertebral a.Capa prevertebral b. Capa alar - Vaina carotídea

Belleza WG, Kalman S. Otolaryngologic emergencies in the outpatient setting. Med Clin N Am2006: 329-353.

MUCOSA PLATISMA ESPACIO SUBLINGUAL MILOHIOIDEO ESPACIO SUBMANDIBULAR RELACIÓN ANATÓMICA DE LAS RAÍCES DENTALES HACIA LOS ESPACIOS SUBLINGUAL, SUBMANDIBULAR Y BUCAL. LAS INFECCIONES QUE SE ORIGINAN DESDE EL PREMOLAR Y MOLAR PUEDEN EXTENDERSE HACIA ESTOS ESPACIOS. Moiser KM. Non oncologic imaging of the oral cavity and jaws 2008; 41: 103-137.

Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576.

Clasificación ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576. ABSCESO MAXILAR ABSCESO MANDIBULAR CAVIDAD ORAL REGIÓN PAROTÍDEA ESPACIOS SUBMANDIBULAR Y SUBLINGUAL ESPACIO DEL MASTICATORIO ESPACIO FARINGEO LATERAL VAINA CAROTÍDEA ESPACIO RETROFARÍNGEO CRÁNEO MEDIASTINO CANINOS ESPACIO INFRATEMPORAL ÓRBITA

Unidad de Cuidados Intensivos del Hospital de Especialidades “Bernardo Sepúlveda” del Centro Médico Nacional Siglo XXI, del Instituto Mexicano del Seguro Social

ABSCESO PERIAMIGDALINO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Belleza WG, Kalman S. Otolaryngologic emergencies in the outpatient setting. Med Clin N Am 2006: 329-353.

ABSCESO PERIAMIGDALINO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Belleza WG, Kalman S. Otolaryngologic emergencies in the outpatient setting. Med Clin N Am2006: 329-353.

ANGINA DE LUDWIG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576.

ANGINA DE LUDWIG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576. Belleza WG, Kalman S. Otolaryngologic emergencies in the outpatient setting. Med Clin N Am2006: 329-353.

Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576. ANGINA DE LUDWIG EN ETAPAS TEMPRANAS. SE OBSERVA REGIÓN SUBMANDIBULAR CON AUMENTO DE VOLUMEN Y DE ASPECTO “LEÑOSO”.

ANGINA DE LUDWIG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576.

PACIENTE DIABÉTICO CON INFECCIÓN PROFUNDA DE CUELLO CON INVOLUCRO DE VARIOS ESPACIOS. PRESENTA FASCITIS NECROTIZANTE DE CUELLO Vieira F, Allen SM. Et al. Deep neck infection Otolaringol Clin N Am 2008; 41: 459-483.

INFECCIONES PROFUNDAS DE CUELLO ,[object Object],[object Object],[object Object],[object Object],Vieira F, Allen SM. Et al. Deep neck infection Otolaringol Clin N Am 2008; 41: 459-483.

INFECCIONES PROFUNDAS DE CUELLO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Reynolds SC, Chow AW. Life threatening infections of the peripharyngeal and deep fascial spaces of the head and neck. Infect Dis Clin N Am 2007; 21: 557-576.

INFECCIONES PROFUNDAS DE CUELLO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vieira F, Allen SM. Et al. Deep neck infection Otolaryngl Clin N Am 2008; 41: 459-483.

TUMORES DE CUELLO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Brunicadi FCh, Andersen DK, Billiar TR. et al. Schartz Principios de cirugía. México. Vol 1. 8ª edición. Mc Graw Hill: 501- 544.

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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