Tratamiento médico conservador para la litiasis.pptx

AndrsVera24 18 views 87 slides Jun 25, 2024
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About This Presentation

Tratamiento médico conservador para una litiasis adecuada y clave en el desarrollo del tratamiento


Slide Content

TRATAMIENTO MÉDICO CONSERVADOR Recomendaciones sobre el manejo hídrico

Volumen Dureza del agua Zumo de frutas Se debe alentar a los pacientes a consumir suficientes líquidos para producir 2 L de orina al día Tiene pocas probabilidades de influir de manera significativa sobre el riesgo de recidiva Los zumos cítricos (en particular, de limón y de naranja) pueden considerarse auxiliares útiles para prevenir la formación de cálculos

Obesidad ● Se asocia con tolerancia alterada a carbohidratos y respuestas irregulares del calcio a la ingesta de glucosa Restricción de proteínas ● Incidencia de cálculos renales mayor al alto consumo de proteínas animales ● Beneficio en la restricción del sodio en la dieta Recomendaciones dietéticas

Restricción del oxalato Papel del calcio en la dieta No se recomienda restringir de manera muy pronunciada la ingesta de calcio Menos del 10 al 15% del oxalato urinario suele provenir de la dieta

TRATAMIENTO MÉDICO SELECTIVO PARA LA NEFROLITIASIS Hipercalciuria absortiva Tiazidas Hidroclorotiazida No disminuyen la absorción intestinal de calcio Otros agentes hipocalciúricos Clortalidona (25 y 50 mg/día) Indapamida (2,5 mg/día) Revertir trastornos fisicoquímicos y fisiológicos Inhibir fomración de cálculos Resolver complicaciones no renales de la enfermedad No producir efectos colaterales graves

Hipercalciuria renal Tiazida incrementa reabsorción de calcio en el túbulo distal Hiperparatiroidismo primario Paratiroidectomía Resección de adenoma o 4 glándulas hiperplásicas Hiperoxaluria entérica Preparados de calcio (0,25-1 g 4/día) o magnesio de venta libre Nefrolitiasis cálcica e hipomagnesiuria Restitución de concentraciones de magnesio con óxido o hidróxido de magnesio Diátesis gotosa Aumentar pH urinario encima de 5,5 (6-6,5)

TRATAMIENTO ANTIRRETROVIRAL Las herramientas principales de monitoreo son las concentraciones plasmáticas de RNA del HIV y el recuento de células T CD4+. FÁRMACOS DISPONIBLES El tratamiento óptimo (HAART) combina fármacos para maximizar la eficacia y reducir la resistencia. Los fármacos disponibles incluyen inhibidores de la transcriptasa reversa y de la proteasa

TABLE OF CONTENT 01. ABOUT THE PATIENT You can describe the topic of the section here 02. DISCUSSION You can describe the topic of the section here 03. DIAGNOSIS You can describe the topic of the section here TREATMENT You can describe the topic of the section here 04. PATIENT MONITORING You can describe the topic of the section here 05.

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INTRODUCTION Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal, since it was named after the Roman messenger god

La estrategia terapéutica actual prioriza el inicio del tratamiento según el estadio de la enfermedad, considerando factores como el recuento de células T CD4+ y la carga viral. La rentabilidad del tratamiento antiviral temprano se ha evaluado en numerosos estudios, indicando que puede aumentar significativamente los años de vida ajustados por calidad. Estrategias terapéuticas en desarrollo para el VIH

IDENTIFYING INFORMATION Jupiter i s a gas giant and the biggest planet in the Solar System Saturn is composed mostly of hydrogen and helium Despite being red, Mars is actually a very cold place

IDENTIFYING INFORMATION Mercury is the closest planet to the Sun and the smallest one Saturn is composed of hydrogen and helium Despite being red, Mars is actually a very cold place

ABOUT THE PATIENT 01.

AGE: 25 GENDER: Male ALLERGIES: None LOCATION: Madrid, Spain Despite being red, Mars is a cold place Mercury is the closest planet to the Sun Saturn is the ringed one. It’s a gas giant 2010 2015 2020 PATIENT MEDICAL HISTORY

AGE: 25 GENDER: Female ALLERGIES: None LOCATION: Madrid, Spain Despite being red, Mars is a cold place Mercury is the closest planet to the Sun Earth is the planet where we all live on 2005 2010 2020 PATIENT MEDICAL HISTORY Saturn is the ringed one. It’s a gas giant 2015

AGE: 25 GENDER: Male ALLERGIES: None LOCATION: Madrid, Spain Mercury is the closest planet to the Sun Despite being red, Mars is a cold place 2010 2020 PATIENT MEDICAL HISTORY Saturn is the ringed one. It’s a gas giant 2015

Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium Despite being red, Mars is a very cold place. The planet is full of iron oxide dust, which makes it red REVIEW OF SYSTEMS

This is the ringed one SATURN Mars is a cold place MARS Jupiter is a gas giant JUPITER PHYSICAL EXAMINATION

Despite being red, Mars is a very cold place. The planet is full of iron oxide dust MARS Saturn is the ringed one. It’s composed mostly of hydrogen and helium SATURN PHYSICAL EXAMINATION

This is the ringed one SATURN Mars is a cold place MARS Jupiter is a gas giant JUPITER PHYSICAL EXAMINATION

DIAGNOSIS VENUS Venus has a very beautiful name and is the second planet MARS Despite being red, Mars is a cold place. It’s full of iron oxide dust JUPITER Jupiter is a gas giant and the biggest planet in the Solar System SATURN Yes, this is the ringed one. It’s composed of hydrogen and helium NEPTUNE Neptune is the farthest planet and the fourth-largest one MERCURY Mercury is the closest planet to the Sun and the smallest one

DIAGNOSIS VENUS Venus has a very beautiful name and is the second planet MARS Despite being red, Mars is a cold place. It’s full of iron oxide dust JUPITER Jupiter is a gas giant and the biggest planet in the Solar System SATURN Yes, this is the ringed one. It’s composed of hydrogen and helium NEPTUNE Neptune is the farthest planet and the fourth-largest one MERCURY Mercury is the closest planet to the Sun and the smallest one

A PICTURE IS WORTH A THOUSAND WORDS

A PICTURE IS WORTH A THOUSAND WORDS

MERCURY VENUS 2 Venus has a beautiful name and is the second planet from the Sun. It’s hotter than Mercury and its atmosphere incredibly is poisonous Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than Earth’s moon 1 TREATMENT

Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than Earth’s moon Venus has a beautiful name and is the second planet from the Sun. It’s hotter than Mercury and its atmosphere incredibly is poisonous MERCURY VENUS 2 1 TREATMENT

CONTRAINDICATIONS & INDICATIONS ● Here you can describe a reason to start the treatment ● Here you can describe a reason to start the treatment ● Here you can describe a reason to start the treatment Mercury Mercury is the smallest ● Here you can describe a reason to stop the treatment ● Here you can describe a reason to stop the treatment ● Here you can describe a reason to stop the treatment

12% 23% 42% 81% 64% TEST 2 TEST 1 Mars is a very cold place Mercury is the smallest planet FINDINGS Neptune Venus Saturn Jupiter 12% 12% 12% 12% TEST 3 Saturn is the ringed one To modify this graph, click on it, follow the link, change the data and paste the new graph here

FINDINGS To modify this graph, click on it, follow the link, change the data and paste the new graph here TEST 1 Mars is a very cold place TEST 2 Earth is where we live on

FINDINGS To modify this graph, click on it, follow the link, change the data and paste the new graph here, replacing this one MEN WOMEN HEARTBEATS MEDICATION 80% 60% 80% 60%

DAY 4 Jupiter is a gas giant DAY 3 We live on Earth DAY 2 Neptune is far away DAY 1 The Sun is a star CASE TIMELINE

DAY 4 Jupiter is a gas giant DAY 3 DAY 2 We live on this planet Neptune is far away DAY 1 The Sun is a giant star CASE TIMELINE DAY 5 Mars is a cold place

CASE TIMELINE MARS Despite being red, Mars is a cold place JUPITER Jupiter is a gas giant and the biggest planet SATURN Yes, this is the ringed one. It’s a gas giant MERCURY Mercury is the closest planet to the Sun

URINARY TRACT INFECTIONS MARS Despite being red, Mars is a cold place SATURN Yes, this is the ringed one. It’s a gas giant MERCURY Mercury is the closest planet to the Sun

URINARY TRACT INFECTIONS MARS Despite being red, Mars is a cold place MERCURY Mercury is the closest planet to the Sun

BACTERIAL INFECTIONS 24% Mercury is the closest planet to the Sun 57% Despite being red, Mars is a cold place 19% Yes, this is the ringed one. It’s a gas giant

BACTERIAL INFECTIONS 24% Yes, this is the ringed one. It’s a gas giant 57% Despite being red, Mars is a cold place 19% Mercury is the closest planet to the Sun SATURN MERCURY MARS

INFECTIONS Mercury is the closest planet to the Sun Despite being red, Mars is a cold place Yes, this is the ringed one. It’s a gas giant MARS SATURN MERCURY 57% 24% 19%

DISCUSSION 02.

DISCUSSION DR. JENNA DOE “Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium” DR. DANIEL PATTERSON “Venus has a really beautiful name and is the second planet from the Sun. It's terribly hot“ “Despite being red, Mars is a cold place, not hot. It’s full of iron oxide dust, which makes it red“ DR. JOHN JAMES

DISCUSSION DR. JENNA DOE “Saturn is the ringed one. It’s a gas giant, composed mostly of hydrogen and helium” DR. JANE PATTERSON “Venus has a really beautiful name and is the second planet from the Sun. It's terribly hot“ “Despite being red, Mars is actually a cold place. It’s full of iron oxide dust, which makes it red“ DR. JOHN JAMES

DISCUSSION “Saturn is the ringed one. It’s a gas giant” “Venus has a really beautiful name and it's terribly hot“ “Despite being red, Mars is actually a cold place“ DR. JANE PATTERSON DR. JOHN JAMES DR. JENNA DOE

DISCUSSION “Venus has a really beautiful name and is the second planet from the Sun. It's terribly hot“ “Despite being red, Mars is a cold place. It’s full of iron oxide dust, which makes it red“ DR. JOHN JAMES DR. JENNA DOE

DISCUSSION SUMMARY Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal, since it was named after a Roman god

DISCUSSION SUMMARY Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal, since it was named after a Roman god

PATIENT 1 PATIENT 2 PATIENT 3 PATIENT 4 COMPARISON

PATIENT 1 PATIENT 2 PATIENT 3 COMPARISON

325,000.00 Total diagnoses in 2019

20% 30% 10% 40% 50% Neptune is the farthest planet from the Sun and the fourth-largest by diameter in the Solar System DEMOGRAPHIC DATA

40% DEMOGRAPHIC DATA This is the ringed one SATURN Mars is a cold place MARS Jupiter is a gas giant JUPITER 30% 70%

PROSTATE CANCER AWARENESS

EVALUATION 2 WEEK 2 WEEK 1 WEEK 4 WEEK 3 Earth is where we live on Pluto is now a dwarf planet Mercury is the closest planet Neptune is very far away 15% 50% 100% 75% EVALUATION 1 EVALUATION 3 PATIENT MONITORING Mars is a cold place Jupiter is a gas giant Venus has a nice name

WEEK 1 WEEK 2 WEEK 4 WEEK 3 Mercury is the smallest planet Neptune is very far away Mars is actually a cold place Earth is where we all live on PATIENT MONITORING 50% 75% 15% 95%

Despite being red, Mars is a very cold place Mercury is the closest planet to the Sun Venus has a beautiful name, but it’s very hot Neptune is the farthest planet from the Sun POST- PREVENTION

Mercury is the closest planet to the Sun Venus is the second planet from the Sun Neptune is the farthest planet from the Sun POST - PREVENTION Despite being red, Mars is a cold place 01 02 03 04

Despite being red, Mars is a very cold place Mercury is the closest planet to the Sun Venus has a beautiful name, but it’s very hot Neptune is the farthest planet from the Sun c POST - PREVENTION VENUS MARS SATURN MERCURY

CONCLUSIONS Mercury is the closest planet to the Sun and the smallest one in the Solar System— it’s only a bit larger than the Moon. The planet’s name has nothing to do with the liquid metal, since it was named after the Roman messenger god

Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon ● AUTHOR (YEAR). Title of the publication ● AUTHOR (YEAR). Title of the publication ● AUTHOR (YEAR). Title of the publication ● AUTHOR (YEAR). Title of the publication ● AUTHOR (YEAR). Title of the publication REFERENCES

OUR TEAM Here you can talk about this person DR. JOHN JAMES Here you can talk about this person DR. JANE PATTERSON

TABLET APP You can replace the image on the screen with your own work. Just delete this one, add yours and center it properly

MEDICAL BOOKING APP Mr. DOCTOR LOGIN DR. JAMES TEST NOW CANCEL BOOK HOW DO YOU FEEL TODAY? SPECIALIST MEDICINES TEST HOSPITAL DOCUMENTS PQR 9:00 A.M. 1:00 P.M. 4:00 P.M. 7:00 P.M. 10:00 A.M. 2:00 P.M. 5:00 P.M. 11:00 A.M. 3:00 P.M. 6:00 P.M. HOUR JUNE Forgot your password User Name Password

Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s a bit larger than the Moon ONLINE MEDICAL APPOINTMENTS MERCURY MARS Despite being red, Mars is actually a very cold place. It’s full of iron oxide dust, which is what causes the reddish cast

MOBILE APP Despite being red, Mars is a very cold place Mercury is the closest planet to the Sun Venus has a beautiful name, but it’s very hot VENUS MARS MERCURY Mercury is the closest planet to the Sun and the smallest one in the Solar System—it’s only a bit larger than the Moon

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