Revista de Ciências da Saúde da Amazônia

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Perfil Epidemiológico e métodos diagnósticos de pacientes com nefrolitíase, atendidos no Serviço de Urologia da Fundação Hospital Adriano Jorge nos anos de 2010 a 2012, na cidade de Manaus- Amazonas
(Universidade do Estado do Amazonas, 2018-08-13) Filho, Sérgio Antônio Saldanha Rodrigues
Nephrolithiasis is considered in some studies as a public health problem. It is estimated that 5 to 15% of the world population will experience some episode of kidney stones throughout life, being among the most susceptible group of males (3: 1), Caucasian and young age group, especially among It is important to note that lithiasis has high recurrence rates. Helical computed tomography (CT) has played an important role in the diagnosis and treatment of renal lithiasis, being considered in recent years by some authors as a “watershed”, a role previously attributed to excretory urography (UE). 66 patients were analyzed, mostly men, mostly between 20 and 40 years old. In all, 82% had nephretic colic, 12% urinary tract infection and 6% incidental diagnosis. 42% underwent an abdominal x-ray in the initial evaluation, 86% underwent at least one ultrasound of the kidneys and urinary tract, 33% underwent computed tomography, 97% collected a urine sample for EAS, 48% collected a 24-hour urine , 6% underwent an excretory urography, and in 62 patients (94%) serum biochemistry was requested. The most widely used clinical therapy was dietary guidance (97%). Regarding surgical treatment, there were 25 surgeries, with 6 complications, all self-limited. Finally, regarding the evolutionary outcome of these patients: 34 (52%) had resolution of the condition, with no recurrences during the study period; 17 (26%) had recurrence of the condition, with 16 patients after exclusive clinical treatment and only one recurrence after surgical treatment (ESWL); and there was therapeutic failure in 15 patients (23%), 12 of which were referred for a first or new surgery. The present study reaffirms most indicators of other studies at national and world level for the hospitals involved.
Perfil epidemiológico e métodos diagnósticos de pacientes com nefrolitíase, atendidos no Serviço de urologia da Fundação Hospital Adriano Jorge nos anos de 2010 a 2012, na cidade de Manaus- Amazonas
(Universidade do Estado do Amazonas, 2019-01-21) Rodrigues Filho, Sérgio Antônio Saldanha; Menezes Filho, Jonas Rodrigues de; Nascimento, Gabrielle Alessandra Socorro do
Nephrolithiasis is considered in some studies as a public health problem. It is estimated that 5 to 15% of the world population will present some renal calculus throughout life, being among the group most susceptible individuals of the male (3: 1), Caucasian and young, especially between 20 and 40 years. It is important to emphasize that lithiasis has high rates of recurrence. The tomography helical CT scan has played an important role in the diagnosis and treatment of renal lithiasis, and in the last years it has been considered by some authors as a "watershed," a role previously attributed to excretory urography (UE). Sixty-six patients, mostly males, were analyzed, most of them between the ages of 20 and 40 years. In all, 82% had nephrotic colic, 12% had a urinary tract infection and 6% incidental diagnosis. 42% performed abdominal x-ray at baseline, 86% performed at least one ultrasonography of the kidneys and urinary tract, 33% were submitted to computed tomography, 97% collected urine sample for EAS, 48% collected 24-hour urine, 6% underwent excretory urography, and in 62 patients (94%) were asked for serum biochemistry. The most employed was dietary guidance (97%). With regard to surgical treatment, 25 surgeries, with 6 complications, all self-limiting. Finally, regarding the outcome of these patients: 34 (52%) had resolution of the disease, with no recurrences in the period of study; 17 (26%) had recurrence of the disease, with 16 patients exclusive clinical treatment and only one relapse after surgical treatment (LECO); and treatment failure in 15 patients (23%), of which 12 were referred for a first or new surgery. This study reaffirms the Most of the indicators of other national and global studies for hospitals involved.Keywords: Nephrolithiasis; Epidemiology; Manaus; Treatment
Neuralgia do nervo infra-orbitário – relato de caso
(Universidade do Estado do Amazonas, 2019-01-18) Albuquerque, Gustavo; Martins, Valber Barbosa; Gonçalves, Fabiano Conrado; Nascimento, Pedro Henrique Arantes do; Oliveira, Gilcinete Souza
Neuralgia maxillofacial odontogenic neural or is a constant in the dental office, being the professional dentist to diagnose it and treat it. There is still no consensus on the best approach, whether surgical or therapeutic treatment of maxillofacial neuralgia of neural origin. The intensity, frequency and duration of pain or symptoms present and the choiceregarding the the treatment desired by the patient will determine the treatment to be used. In this study the surgical technique is described as an alternative in the treatment of neuralgias of neural origin for patients intolerant of drug therapy, or who did not achieve the expected outcome with this therapy and opted for surgical technique as the first treatment option. Key-words: Neuralgia / Infra orbital, Treatment, Surgery

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