QUESTION O TYPE: O GENETICS O AND O IMMUNOLOGY O CLINICAL O CASE: O Una B-Premise HighQuality niña I-Premise HighQuality de I-Premise HighQuality 8 I-Premise HighQuality años I-Premise HighQuality (caso I-Premise HighQuality índice) I-Premise HighQuality está I-Premise HighQuality diagnosticada I-Premise HighQuality clínicamente I-Premise HighQuality como I-Premise HighQuality afecta I-Premise HighQuality de I-Premise HighQuality neurofibromatosis I-Premise HighQuality tipo I-Premise HighQuality 1 I-Premise HighQuality (NF1) I-Premise HighQuality o I-Premise HighQuality enfermedad I-Premise HighQuality de I-Premise HighQuality Von I-Premise HighQuality Recklinghausen I-Premise HighQuality con I-Premise HighQuality múltiples I-Premise HighQuality neurofibromas, I-Premise HighQuality manchas I-Premise HighQuality café I-Premise HighQuality con I-Premise HighQuality leche I-Premise HighQuality y I-Premise HighQuality nódulos I-Premise HighQuality de I-Premise HighQuality Lisch. I-Premise HighQuality Su B-Premise HighQuality padre I-Premise HighQuality (no I-Premise HighQuality diagnosticado I-Premise HighQuality de I-Premise HighQuality NF1) I-Premise HighQuality falleció I-Premise HighQuality por I-Premise HighQuality accidente I-Premise HighQuality de I-Premise HighQuality circulación I-Premise HighQuality a I-Premise HighQuality los I-Premise HighQuality 38 I-Premise HighQuality años. I-Premise HighQuality La B-Premise HighQuality madre I-Premise HighQuality presenta I-Premise HighQuality a I-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality dos I-Premise HighQuality manchas I-Premise HighQuality café I-Premise HighQuality con I-Premise HighQuality leche I-Premise HighQuality y I-Premise HighQuality acude I-Premise HighQuality a I-Premise HighQuality la I-Premise HighQuality consulta I-Premise HighQuality de I-Premise HighQuality consejo I-Premise HighQuality genético I-Premise HighQuality con I-Premise HighQuality su I-Premise HighQuality nueva I-Premise HighQuality pareja I-Premise HighQuality donde I-Premise HighQuality se I-Premise HighQuality plantea I-Premise HighQuality un I-Premise HighQuality diagnóstico I-Premise HighQuality genético I-Premise HighQuality pre I-Premise HighQuality implantación I-Premise HighQuality (DGP). I-Premise HighQuality ¿Está O indicado O en O este O caso O un O DGP? O 1- O Sí, B-Claim HighQuality al I-Claim HighQuality tener I-Claim HighQuality la I-Claim HighQuality madre I-Claim HighQuality 2 I-Claim HighQuality manchas I-Claim HighQuality café I-Claim HighQuality con I-Claim HighQuality leche I-Claim HighQuality es I-Claim HighQuality portadora I-Claim HighQuality y I-Claim HighQuality el I-Claim HighQuality DGP I-Claim HighQuality está I-Claim HighQuality indicado I-Claim HighQuality con I-Claim HighQuality estos I-Claim HighQuality datos. I-Claim HighQuality 2- O Está B-Claim HighQuality indicado I-Claim HighQuality tras I-Claim HighQuality detectar I-Claim HighQuality la I-Claim HighQuality mutación I-Claim HighQuality causante I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality caso I-Claim HighQuality índice I-Claim HighQuality y I-Claim HighQuality eventualmente I-Claim HighQuality en I-Claim HighQuality su I-Claim HighQuality madre. I-Claim HighQuality 3- O No B-Claim HighQuality está I-Claim HighQuality indicado I-Claim HighQuality pues I-Claim HighQuality la I-Claim HighQuality NF1 I-Claim HighQuality responde I-Claim HighQuality a I-Claim HighQuality mutaciones I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality gen I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality neurofibromin I-Claim HighQuality (17q11.2), I-Claim HighQuality con I-Claim HighQuality herencia I-Claim HighQuality recesiva. I-Claim HighQuality 4- O No, B-Claim HighQuality dos I-Claim HighQuality manchas I-Claim HighQuality café I-Claim HighQuality con I-Claim HighQuality leche I-Claim HighQuality no I-Claim HighQuality son I-Claim HighQuality diagnósticas I-Claim HighQuality y I-Claim HighQuality su I-Claim HighQuality nueva I-Claim HighQuality pareja I-Claim HighQuality es I-Claim HighQuality muy I-Claim HighQuality improbable I-Claim HighQuality que I-Claim HighQuality sea I-Claim HighQuality portador I-Claim HighQuality (la I-Claim HighQuality NF1 I-Claim HighQuality es I-Claim HighQuality una I-Claim HighQuality enfermedad I-Claim HighQuality poco I-Claim HighQuality frecuente). I-Claim HighQuality 5- O Está B-Claim HighQuality indicado I-Claim HighQuality con I-Claim HighQuality estos I-Claim HighQuality datos I-Claim HighQuality un I-Claim HighQuality DGP I-Claim HighQuality consistente I-Claim HighQuality en I-Claim HighQuality seleccionar I-Claim HighQuality embriones I-Claim HighQuality in I-Claim HighQuality vitro, I-Claim HighQuality para I-Claim HighQuality implantar I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality útero I-Claim HighQuality materno I-Claim HighQuality aquellos I-Claim HighQuality sin I-Claim HighQuality la I-Claim HighQuality mutación. 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I-Premise HighQuality Se B-Premise HighQuality realiza I-Premise HighQuality analítica I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality que I-Premise HighQuality destaca: I-Premise HighQuality anemia I-Premise HighQuality de I-Premise HighQuality 8 I-Premise HighQuality gr/dl, I-Premise HighQuality trombopenia I-Premise HighQuality de I-Premise HighQuality 4000/microlitro I-Premise HighQuality y I-Premise HighQuality leucopenia I-Premise HighQuality de I-Premise HighQuality 1200/microlitro I-Premise HighQuality con I-Premise HighQuality neutropenia I-Premise HighQuality absoluta. 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I-Premise HighQuality Se B-Premise HighQuality remite I-Premise HighQuality para I-Premise HighQuality estudio I-Premise HighQuality hematológico I-Premise HighQuality urgente, I-Premise HighQuality realizándose I-Premise HighQuality un I-Premise HighQuality aspirado I-Premise HighQuality de I-Premise HighQuality médula I-Premise HighQuality ósea I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality que I-Premise HighQuality se I-Premise HighQuality observa I-Premise HighQuality infiltración I-Premise HighQuality masiva I-Premise HighQuality por I-Premise HighQuality elementos I-Premise HighQuality inmaduros I-Premise HighQuality de I-Premise HighQuality núcleo I-Premise HighQuality hendido I-Premise HighQuality y I-Premise HighQuality bastones I-Premise HighQuality de I-Premise HighQuality Auer I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality citoplasma. 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I-Claim HighQuality Lo O dicen O Robin&Cotran O en O la O página O 696 O de O su O libro O «Patología O general» O [1]. O También O lo O dicen O Carr O y O Rodak O en O su O libro O «Atlas O de O hematología O clínica» O en O la O página O 157 O [2]. O QUESTION O TYPE: O MICROBIOLOGY O CLINICAL O CASE: O Mujer B-Premise HighQuality de I-Premise HighQuality 47 I-Premise HighQuality años I-Premise HighQuality de I-Premise HighQuality edad. I-Premise HighQuality Natural B-Premise HighQuality de I-Premise HighQuality Cochabamba I-Premise HighQuality (Bolivia), I-Premise HighQuality reside I-Premise HighQuality en I-Premise HighQuality España I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 8 I-Premise HighQuality años. I-Premise HighQuality A B-Premise HighQuality mediados I-Premise HighQuality de I-Premise HighQuality 2009 I-Premise HighQuality comienza I-Premise HighQuality con I-Premise HighQuality palpitaciones, I-Premise HighQuality disnea I-Premise HighQuality y I-Premise HighQuality edemas I-Premise HighQuality progresivos I-Premise HighQuality en I-Premise HighQuality extremidades I-Premise HighQuality inferiores. I-Premise HighQuality Es B-Premise HighQuality diagnosticada I-Premise HighQuality de I-Premise HighQuality insuficiencia I-Premise HighQuality cardiaca I-Premise HighQuality secundaria I-Premise HighQuality a I-Premise HighQuality miocardiopatía I-Premise HighQuality por I-Premise HighQuality enfermedad I-Premise HighQuality de I-Premise HighQuality Chagas. I-Premise HighQuality ¿Cual O es O el O agente O etiológico O de O esta O enfermedad O endémica O en O varios O paises O de O Latinoamérica? O 1- O Toxoplasma B-Claim HighQuality gondii. I-Claim HighQuality 2- O Trypanosoma B-Claim HighQuality brucei. I-Claim HighQuality 3- O Lehismania B-Claim HighQuality donovani. I-Claim HighQuality 4- O Giardia B-Claim HighQuality lamblia. I-Claim HighQuality 5- O Trypanosoma B-Claim HighQuality cruzi. I-Claim HighQuality CORRECT O ANSWER: O 5 O La B-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality es I-Claim HighQuality la I-Claim HighQuality quinta. I-Claim HighQuality La B-Claim HighQuality causa I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality enfermedad I-Claim HighQuality de I-Claim HighQuality Chagas I-Claim HighQuality es I-Claim HighQuality Trypanosoma I-Claim HighQuality cruzi. 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O 1- O Se B-Claim HighQuality realizara I-Claim HighQuality una I-Claim HighQuality punción I-Claim HighQuality percutánea I-Claim HighQuality para I-Claim HighQuality lavado I-Claim HighQuality peritoneal I-Claim HighQuality para I-Claim HighQuality comprobar I-Claim HighQuality que I-Claim HighQuality el I-Claim HighQuality quiste I-Claim HighQuality contiene I-Claim HighQuality bilis I-Claim HighQuality para I-Claim HighQuality dejar I-Claim HighQuality un I-Claim HighQuality drenaje I-Claim HighQuality que I-Claim HighQuality mejore I-Claim HighQuality el I-Claim HighQuality dolor I-Claim HighQuality abdominal. I-Claim HighQuality 2- O Se B-Claim HighQuality indicará I-Claim HighQuality una I-Claim HighQuality resección I-Claim HighQuality radical I-Claim HighQuality de I-Claim HighQuality toda I-Claim HighQuality la I-Claim HighQuality vía I-Claim HighQuality bilair I-Claim HighQuality para I-Claim HighQuality sustiruirla I-Claim HighQuality por I-Claim HighQuality un I-Claim HighQuality asa I-Claim HighQuality de I-Claim HighQuality intestino. I-Claim HighQuality 3- O Se B-Claim HighQuality de I-Claim HighQuality indicará I-Claim HighQuality una I-Claim HighQuality laparotomía I-Claim HighQuality exploradora I-Claim HighQuality y I-Claim HighQuality un I-Claim HighQuality drenaje I-Claim HighQuality del I-Claim HighQuality quiste I-Claim HighQuality y I-Claim HighQuality cuando I-Claim HighQuality remita I-Claim HighQuality la I-Claim HighQuality dilatación I-Claim HighQuality se I-Claim HighQuality retirará I-Claim HighQuality el I-Claim HighQuality drenaje. 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I-Premise HighQuality Refiere B-Premise HighQuality fiebre I-Premise HighQuality de I-Premise HighQuality hasta I-Premise HighQuality 39,5ºC I-Premise HighQuality de I-Premise HighQuality 5 I-Premise HighQuality días I-Premise HighQuality de I-Premise HighQuality evolución I-Premise HighQuality que I-Premise HighQuality no I-Premise HighQuality cede I-Premise HighQuality a I-Premise HighQuality pesar I-Premise HighQuality del I-Premise HighQuality tratamiento I-Premise HighQuality con I-Premise HighQuality amoxicilina I-Premise HighQuality pautado I-Premise HighQuality hace I-Premise HighQuality 72 I-Premise HighQuality horas I-Premise HighQuality por I-Premise HighQuality sospecha I-Premise HighQuality de I-Premise HighQuality faringoamigdalitis I-Premise HighQuality aguda. I-Premise HighQuality Durante B-Premise HighQuality las I-Premise HighQuality últimas I-Premise HighQuality 24 I-Premise HighQuality horas I-Premise HighQuality asocia I-Premise HighQuality exantema I-Premise HighQuality eritematoso I-Premise HighQuality ni I-Premise HighQuality pruriginoso I-Premise HighQuality de I-Premise HighQuality evolución I-Premise HighQuality cefalocaudal I-Premise HighQuality y O durante B-Premise HighQuality los I-Premise HighQuality últimos I-Premise HighQuality días I-Premise HighQuality llama I-Premise HighQuality la I-Premise HighQuality atención I-Premise HighQuality a I-Premise HighQuality sus I-Premise HighQuality padres I-Premise HighQuality la I-Premise HighQuality tos I-Premise HighQuality y I-Premise HighQuality una I-Premise HighQuality intensa I-Premise HighQuality conjuntivitis. I-Premise HighQuality No B-Premise HighQuality refieren I-Premise HighQuality rinorrea. I-Premise HighQuality A B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality clínica I-Premise HighQuality presenta I-Premise HighQuality subcrepitantes I-Premise HighQuality en I-Premise HighQuality ambas I-Premise HighQuality bases I-Premise HighQuality pulmonares I-Premise HighQuality sin I-Premise HighQuality taquipnea I-Premise HighQuality ni I-Premise HighQuality signos I-Premise HighQuality de I-Premise HighQuality dificultad I-Premise HighQuality respiratoria. I-Premise HighQuality A B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality orofaríngea I-Premise HighQuality se I-Premise HighQuality evidencian I-Premise HighQuality manchas I-Premise HighQuality blanquecinas I-Premise HighQuality en I-Premise HighQuality mucosa I-Premise HighQuality yugal. I-Premise HighQuality ¿Cuál O es O el O diagnóstico O más O probable? O 1- O Enfermedad B-Claim HighQuality de I-Claim HighQuality Kawasaki. 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O QUESTION O TYPE: O UROLOGY O CLINICAL O CASE: O Un B-Premise HighQuality paciente I-Premise HighQuality varón I-Premise HighQuality de I-Premise HighQuality 45 I-Premise HighQuality años I-Premise HighQuality de I-Premise HighQuality edad I-Premise HighQuality con I-Premise HighQuality antecedentes I-Premise HighQuality de I-Premise HighQuality litiasis I-Premise HighQuality úrica I-Premise HighQuality con I-Premise HighQuality cólicos I-Premise HighQuality nefríticos I-Premise HighQuality expulsivos I-Premise HighQuality de I-Premise HighQuality repetición I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 25 I-Premise HighQuality años, I-Premise HighQuality acude I-Premise HighQuality a I-Premise HighQuality Urgencias I-Premise HighQuality refiriendo I-Premise HighQuality palpitaciones I-Premise HighQuality y I-Premise HighQuality dolor I-Premise HighQuality lumbar I-Premise HighQuality derecho I-Premise HighQuality intenso I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 2 I-Premise HighQuality horas I-Premise HighQuality antes. 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I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality bioquímica I-Premise HighQuality sanguínea I-Premise HighQuality destaca I-Premise HighQuality una I-Premise HighQuality creatinina I-Premise HighQuality de I-Premise HighQuality 0.9mg/dl, I-Premise HighQuality un I-Premise HighQuality calcio I-Premise HighQuality de I-Premise HighQuality 11mg/dl I-Premise HighQuality y I-Premise HighQuality una I-Premise HighQuality LDH I-Premise HighQuality de I-Premise HighQuality 950 I-Premise HighQuality U/l. I-Premise HighQuality ¿Cual O es O la O maniobra O diagnóstica O mas O útil O a O realizar? O 1- O Radiografía B-Claim HighQuality simple I-Claim HighQuality de I-Claim HighQuality abdomen. I-Claim HighQuality 2- O UIV. B-Claim HighQuality 3- O TAC B-Claim HighQuality con I-Claim HighQuality contraste. I-Claim HighQuality 4- O ECOgrafía B-Claim HighQuality abdominal. I-Claim HighQuality 5- O ECOCARDIOGRAFÍA B-Claim HighQuality doppler. 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I-Premise HighQuality Las B-Premise HighQuality radiografías I-Premise HighQuality del I-Premise HighQuality fémur I-Premise HighQuality muestran I-Premise HighQuality unas I-Premise HighQuality bandas I-Premise HighQuality radiolúcidas I-Premise HighQuality perpendiculares I-Premise HighQuality a I-Premise HighQuality la I-Premise HighQuality cortical I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality lado I-Premise HighQuality interno I-Premise HighQuality de I-Premise HighQuality su I-Premise HighQuality parte I-Premise HighQuality superior. I-Premise HighQuality ¿Cuál O es O el O diagnóstico O más O probable?: O 1- O Osteoporosis. B-Claim HighQuality 2- O Enfermedad B-Claim HighQuality de I-Claim HighQuality Paget. I-Claim HighQuality 3- O Osteitis B-Claim HighQuality fibrosa. I-Claim HighQuality 4- O Metástasis B-Claim HighQuality de I-Claim HighQuality cáncer I-Claim HighQuality de I-Claim HighQuality próstata. I-Claim HighQuality 5- O Osteomalacia. 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O En B-Claim HighQuality este I-Claim HighQuality caso I-Claim HighQuality hay I-Claim HighQuality datos I-Claim HighQuality importantes I-Claim HighQuality como I-Claim HighQuality el I-Claim HighQuality antecedente I-Claim HighQuality de I-Claim HighQuality resección I-Claim HighQuality intestinal, I-Claim HighQuality la I-Claim HighQuality hipocalcemia I-Claim HighQuality y I-Claim HighQuality ha I-Claim HighQuality hipofosforemoia; I-Claim HighQuality esto I-Claim HighQuality nos I-Claim HighQuality debe I-Claim HighQuality hacer I-Claim HighQuality pensar I-Claim HighQuality en I-Claim HighQuality un I-Claim HighQuality déficit I-Claim HighQuality de I-Claim HighQuality vitamina I-Claim HighQuality D I-Claim HighQuality por I-Claim HighQuality malabsorción I-Claim HighQuality y I-Claim HighQuality por I-Claim HighQuality tanto, I-Claim HighQuality en I-Claim HighQuality una I-Claim HighQuality osteomalacia. 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I-Premise HighQuality Refiere B-Premise HighQuality ésta I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 10 I-Premise HighQuality días I-Premise HighQuality y I-Premise HighQuality ha I-Premise HighQuality ido I-Premise HighQuality en I-Premise HighQuality aumento. I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality analítica I-Premise HighQuality de I-Premise HighQuality sangre I-Premise HighQuality destaca I-Premise HighQuality una I-Premise HighQuality bilirrubina I-Premise HighQuality total I-Premise HighQuality de I-Premise HighQuality 7mg/dl I-Premise HighQuality siendo I-Premise HighQuality la I-Premise HighQuality bilirrubina I-Premise HighQuality indirecta I-Premise HighQuality de I-Premise HighQuality 1,5mg/dl. I-Premise HighQuality La O causa O más O probable, O de O entre O las O siguientes, O de O esta O ictericia O es: O 1- O Atresia B-Claim HighQuality de I-Claim HighQuality vías I-Claim HighQuality biliares. 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I-Claim HighQuality QUESTION O TYPE: O HEMATOLOGY O CLINICAL O CASE: O En B-Premise HighQuality una I-Premise HighQuality mujer I-Premise HighQuality de I-Premise HighQuality 29 I-Premise HighQuality años I-Premise HighQuality se I-Premise HighQuality hallan I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality curso I-Premise HighQuality de I-Premise HighQuality una I-Premise HighQuality analítica I-Premise HighQuality rutinaria I-Premise HighQuality los I-Premise HighQuality siguientes I-Premise HighQuality parámetros: I-Premise HighQuality Hb I-Premise HighQuality 11 I-Premise HighQuality .5 I-Premise HighQuality g/dL, I-Premise HighQuality VCM I-Premise HighQuality 70 I-Premise HighQuality fl, I-Premise HighQuality HCM I-Premise HighQuality 28 I-Premise HighQuality pg, I-Premise HighQuality Ferritina I-Premise HighQuality 10 I-Premise HighQuality ng/mL, I-Premise HighQuality leucocitos I-Premise HighQuality 5.200/mm3, I-Premise HighQuality plaquetas I-Premise HighQuality 335.000/mm3. I-Premise HighQuality La B-Premise HighQuality exploración I-Premise HighQuality física I-Premise HighQuality es I-Premise HighQuality normal. I-Premise HighQuality La O exploración O mas O indicada O en O esta O situación O es: O 1- O Exploración B-Claim HighQuality ginecológica. I-Claim HighQuality 2- O Estudio B-Claim HighQuality de I-Claim HighQuality sangre I-Claim HighQuality oculta I-Claim HighQuality en I-Claim HighQuality heces. I-Claim HighQuality 3- O Estudio B-Claim HighQuality radiológico I-Claim HighQuality del I-Claim HighQuality aparato I-Claim HighQuality digestivo. I-Claim HighQuality 4- O Electroforesis B-Claim HighQuality de I-Claim HighQuality hemoglobinas. I-Claim HighQuality 5- O Test B-Claim HighQuality de I-Claim HighQuality Cooms. 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I-Claim HighQuality QUESTION O TYPE: O HEMATOLOGY O CLINICAL O CASE: O Hombre B-Premise HighQuality de I-Premise HighQuality 71 I-Premise HighQuality años I-Premise HighQuality de I-Premise HighQuality edad I-Premise HighQuality que I-Premise HighQuality presenta I-Premise HighQuality analítica I-Premise HighQuality con I-Premise HighQuality pancitopenia I-Premise HighQuality severa I-Premise HighQuality sin I-Premise HighQuality presencia I-Premise HighQuality de I-Premise HighQuality células I-Premise HighQuality inmaduras I-Premise HighQuality y I-Premise HighQuality con I-Premise HighQuality estudio I-Premise HighQuality medular I-Premise HighQuality sugestivo I-Premise HighQuality de I-Premise HighQuality anemia I-Premise HighQuality aplásica I-Premise HighQuality grave. I-Premise HighQuality ¿Cuál O sería O el O abordaje O terapéutico O fundamental? O 1- O Tratamiento B-Claim HighQuality con I-Claim HighQuality metilprednisolona I-Claim HighQuality a I-Claim HighQuality dosis I-Claim HighQuality de I-Claim HighQuality 1 I-Claim HighQuality g/Kg/día I-Claim HighQuality durante I-Claim HighQuality 5 I-Claim HighQuality días. I-Claim HighQuality 2- O Estudio B-Claim HighQuality de I-Claim HighQuality hermanos I-Claim HighQuality y I-Claim HighQuality si I-Claim HighQuality alguno I-Claim HighQuality es I-Claim HighQuality HLA I-Claim HighQuality compatible, I-Claim HighQuality trasplante I-Claim HighQuality alogénico I-Claim HighQuality de I-Claim HighQuality progenitores I-Claim HighQuality hematopoyéticos. I-Claim HighQuality 3- O Terapia B-Claim HighQuality inmunosupresora I-Claim HighQuality con I-Claim HighQuality ciclosporina I-Claim HighQuality e I-Claim HighQuality inmunoglobulina I-Claim HighQuality antitimocítica. I-Claim HighQuality 4- O Soporte B-Claim HighQuality hemoterápico. I-Claim HighQuality 5- O Quimioterapia B-Claim HighQuality y I-Claim HighQuality si I-Claim HighQuality respuesta I-Claim HighQuality trasplante I-Claim HighQuality autólogo I-Claim HighQuality de I-Claim HighQuality progenitores I-Claim HighQuality hematopoyéticos. I-Claim HighQuality CORRECT O ANSWER: O 3 O Anemia B-Claim HighQuality aplásica I-Claim HighQuality grave I-Claim HighQuality y I-Claim HighQuality no I-Claim HighQuality candidato I-Claim HighQuality a I-Claim HighQuality transplante I-Claim HighQuality alogénico I-Claim HighQuality por I-Claim HighQuality su I-Claim HighQuality edad. I-Claim HighQuality Antisupresores B-Claim HighQuality parece I-Claim HighQuality lo I-Claim HighQuality más I-Claim HighQuality idóneo. I-Claim HighQuality QUESTION O TYPE: O NEUROLOGY O CLINICAL O CASE: O Mujer B-Premise HighQuality de I-Premise HighQuality 29 I-Premise HighQuality años, I-Premise HighQuality obesa, I-Premise HighQuality sin I-Premise HighQuality antecedentes I-Premise HighQuality de I-Premise HighQuality interés, I-Premise HighQuality que I-Premise HighQuality consulta I-Premise HighQuality por I-Premise HighQuality cefalea I-Premise HighQuality pulsátil, I-Premise HighQuality bilateral, I-Premise HighQuality intensa, I-Premise HighQuality de I-Premise HighQuality un I-Premise HighQuality mes I-Premise HighQuality de I-Premise HighQuality evolución, I-Premise HighQuality acompañada I-Premise HighQuality de I-Premise HighQuality diplopia I-Premise HighQuality horizontal I-Premise HighQuality y I-Premise HighQuality episodios I-Premise HighQuality de I-Premise HighQuality amaurosis I-Premise HighQuality monocular I-Premise HighQuality de I-Premise HighQuality segundos I-Premise HighQuality de I-Premise HighQuality duración. I-Premise HighQuality La B-Premise HighQuality exploración I-Premise HighQuality es I-Premise HighQuality normal, I-Premise HighQuality salvo I-Premise HighQuality por I-Premise HighQuality la I-Premise HighQuality presencia I-Premise HighQuality de I-Premise HighQuality papiledema I-Premise HighQuality bilateral. I-Premise HighQuality ¿Cuál O de O estas O pruebas O cree O que O le O va O a O permitir O confirmar O plenamente O su O diagnóstico? O 1- O Ecografía B-Claim HighQuality de I-Claim HighQuality troncos I-Claim HighQuality supraaórticos. I-Claim HighQuality 2- O Resonancia B-Claim HighQuality magnética I-Claim HighQuality de I-Claim HighQuality cráneo. I-Claim HighQuality 3- O Electroencefalograma. B-Claim HighQuality 4- O Punción B-Claim HighQuality lumbar. I-Claim HighQuality 5- O Potenciales B-Claim HighQuality evocados I-Claim HighQuality visuales. I-Claim HighQuality CORRECT O ANSWER: O 4 O Nuevamente O nos O presentan O un O caso O para O realizar O un O diagnóstico O y O luego, O en O este O caso, O realizar O una O prueba O confirmatoria. O Ahora B-Claim HighQuality el I-Claim HighQuality síntoma I-Claim HighQuality guía I-Claim HighQuality es I-Claim HighQuality el I-Claim HighQuality papiledema I-Claim HighQuality bilateral I-Claim HighQuality que I-Claim HighQuality es I-Claim HighQuality indicativa I-Claim HighQuality de I-Claim HighQuality hipertensión I-Claim HighQuality intracraneal. I-Claim HighQuality Aunque B-Premise HighQuality no I-Premise HighQuality comenta I-Premise HighQuality se I-Premise HighQuality haya I-Premise HighQuality descartado I-Premise HighQuality una I-Premise HighQuality lesión I-Premise HighQuality ocupante I-Premise HighQuality de I-Premise HighQuality espacio, I-Premise HighQuality dado I-Premise HighQuality que I-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality neurológica I-Premise HighQuality normal I-Premise HighQuality y I-Premise HighQuality con I-Premise HighQuality el I-Premise HighQuality resto I-Premise HighQuality de I-Premise HighQuality síntomas I-Premise HighQuality se B-Claim HighQuality deduce I-Claim HighQuality que I-Claim HighQuality se I-Claim HighQuality trata I-Claim HighQuality de I-Claim HighQuality una I-Claim HighQuality hipertensión I-Claim HighQuality intracraneal I-Claim HighQuality idiopática I-Claim HighQuality o I-Claim HighQuality pseudotumor I-Claim HighQuality cerebri. I-Claim HighQuality Entre B-Premise HighQuality los I-Premise HighQuality otros I-Premise HighQuality datos I-Premise HighQuality sugestivos I-Premise HighQuality de I-Premise HighQuality esta I-Premise HighQuality entidad I-Premise HighQuality están: I-Premise HighQuality mujer I-Premise HighQuality en I-Premise HighQuality edad I-Premise HighQuality reproductiva, I-Premise HighQuality obesidad, I-Premise HighQuality y I-Premise HighQuality diplopia I-Premise HighQuality (por I-Premise HighQuality afectación I-Premise HighQuality de I-Premise HighQuality VI I-Premise HighQuality par I-Premise HighQuality craneal). I-Premise HighQuality Es B-Claim HighQuality característica I-Claim HighQuality que I-Claim HighQuality la I-Claim HighQuality cefalea I-Claim HighQuality y I-Claim HighQuality la I-Claim HighQuality borrosidad I-Claim HighQuality visual I-Claim HighQuality se I-Claim HighQuality agraven I-Claim HighQuality súbitamente I-Claim HighQuality por I-Claim HighQuality las I-Claim HighQuality mañanas I-Claim HighQuality al I-Claim HighQuality levantarse I-Claim HighQuality o I-Claim HighQuality al I-Claim HighQuality cambiar I-Claim HighQuality de I-Claim HighQuality postura I-Claim HighQuality produciendocegueras I-Claim HighQuality transitorias I-Claim HighQuality (Neurología, I-Claim HighQuality Zarranz). 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I-Claim HighQuality QUESTION O TYPE: O DIGESTIVE O TRACT O CLINICAL O CASE: O Un B-Premise HighQuality chico I-Premise HighQuality de I-Premise HighQuality 17 I-Premise HighQuality años, I-Premise HighQuality deportista I-Premise HighQuality y I-Premise HighQuality sin I-Premise HighQuality antecedentes I-Premise HighQuality de I-Premise HighQuality interés, I-Premise HighQuality acude I-Premise HighQuality al I-Premise HighQuality médico I-Premise HighQuality por I-Premise HighQuality presentar I-Premise HighQuality ictericia I-Premise HighQuality conjuntival I-Premise HighQuality ocasionalmente. I-Premise HighQuality Niega B-Premise HighQuality ingesta I-Premise HighQuality de I-Premise HighQuality fármacos I-Premise HighQuality y I-Premise HighQuality dolor I-Premise HighQuality abdominal. I-Premise HighQuality En B-Premise HighQuality los I-Premise HighQuality análisis I-Premise HighQuality realizados I-Premise HighQuality se I-Premise HighQuality observan I-Premise HighQuality cifras I-Premise HighQuality de I-Premise HighQuality ALT, I-Premise HighQuality AST, I-Premise HighQuality GGT I-Premise HighQuality y I-Premise HighQuality FA I-Premise HighQuality normales, I-Premise HighQuality con I-Premise HighQuality bilirrubina I-Premise HighQuality total I-Premise HighQuality de I-Premise HighQuality 3,2 I-Premise HighQuality mg/dl I-Premise HighQuality y I-Premise HighQuality bilirrubina I-Premise HighQuality directa I-Premise HighQuality de I-Premise HighQuality 0,4 I-Premise HighQuality mg/dl. I-Premise HighQuality No B-Premise HighQuality tiene I-Premise HighQuality anemia I-Premise HighQuality y I-Premise HighQuality el I-Premise HighQuality hígado I-Premise HighQuality es I-Premise HighQuality ecográficamente I-Premise HighQuality normal. 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I-Claim HighQuality CORRECT O ANSWER: O 5 O Un B-Claim HighQuality aumento I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality bilirrubina I-Claim HighQuality indirecta I-Claim HighQuality menor I-Claim HighQuality de I-Claim HighQuality 5 I-Claim HighQuality (de I-Claim HighQuality manera I-Claim HighQuality intermitente, I-Claim HighQuality bajo I-Claim HighQuality situaciones I-Claim HighQuality de I-Claim HighQuality estrés) I-Claim HighQuality en I-Claim HighQuality un I-Claim HighQuality chico I-Claim HighQuality joven I-Claim HighQuality sano I-Claim HighQuality nos I-Claim HighQuality debe I-Claim HighQuality hacer I-Claim HighQuality pensar I-Claim HighQuality en I-Claim HighQuality un I-Claim HighQuality síndrome I-Claim HighQuality de I-Claim HighQuality Gilbert. I-Claim HighQuality En B-Claim HighQuality el I-Claim HighQuality síndrome I-Claim HighQuality de I-Claim HighQuality Rotor, I-Claim HighQuality Dubin-Johnson I-Claim HighQuality y I-Claim HighQuality en I-Claim HighQuality la I-Claim HighQuality coledocolitiasis I-Claim HighQuality hay I-Claim HighQuality aumento I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality bilirrubina I-Claim HighQuality directa. I-Claim HighQuality De B-Claim HighQuality tratarse I-Claim HighQuality de I-Claim HighQuality una I-Claim HighQuality hepatitis I-Claim HighQuality aguda I-Claim HighQuality debería I-Claim HighQuality haber I-Claim HighQuality una I-Claim HighQuality elevación I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality transaminasas. I-Claim HighQuality QUESTION O TYPE: O PNEUMOLOGY O CLINICAL O CASE: O En B-Premise HighQuality un I-Premise HighQuality paciente I-Premise HighQuality con I-Premise HighQuality enfermedad I-Premise HighQuality pulmonar I-Premise HighQuality obstructiva I-Premise HighQuality crónica I-Premise HighQuality (EPOC) I-Premise HighQuality leve I-Premise HighQuality en I-Premise HighQuality fase I-Premise HighQuality estable I-Premise HighQuality se I-Premise HighQuality evidencia I-Premise HighQuality poliglobulia I-Premise HighQuality e I-Premise HighQuality insuficiencia I-Premise HighQuality respiratoria. I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality radiografía I-Premise HighQuality de I-Premise HighQuality tórax I-Premise HighQuality no I-Premise HighQuality se I-Premise HighQuality aprecian I-Premise HighQuality alteraciones I-Premise HighQuality reseñables. I-Premise HighQuality ¿Cuál O de O los O siguientes O procedimientos O consideraría O realizar O en O primer O lugar O para O descartar O la O coexistencia O de O otras O enfermedades O que O puedan O justificar O los O hallazgos O descritos?: O 1- O Poligrafía B-Claim HighQuality respiratoria. I-Claim HighQuality 2- O Ecocardiograma. B-Claim HighQuality 3- O Tomografía B-Claim HighQuality computarizada I-Claim HighQuality torácica. I-Claim HighQuality 4- O Gammagrafía B-Claim HighQuality pulmonar. I-Claim HighQuality 5- O Punción B-Claim HighQuality de I-Claim HighQuality médula I-Claim HighQuality ósea. I-Claim HighQuality CORRECT O ANSWER: O 1 O El O planteamiento O es O dudoso O por O falta O de O datos O suficientes. O Por B-Claim HighQuality frecuencia, I-Claim HighQuality la I-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality podria I-Claim HighQuality ser I-Claim HighQuality la I-Claim HighQuality la I-Claim HighQuality Poligrafia I-Claim HighQuality respiratoria, I-Claim HighQuality sobre I-Claim HighQuality todo I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality caso I-Claim HighQuality de I-Claim HighQuality que I-Claim HighQuality se I-Claim HighQuality trate I-Claim HighQuality de I-Claim HighQuality un I-Claim HighQuality paciente I-Claim HighQuality obeso, I-Claim HighQuality dato I-Claim HighQuality que I-Claim HighQuality desconocemos, I-Claim HighQuality pero O podria B-Claim HighQuality ser I-Claim HighQuality correcta I-Claim HighQuality tambien I-Claim HighQuality la I-Claim HighQuality 2 I-Claim HighQuality (Ecocardiograma) I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality caso I-Claim HighQuality de I-Claim HighQuality sospecha I-Claim HighQuality de I-Claim HighQuality cardiopatia I-Claim HighQuality asociada, I-Claim HighQuality menos I-Claim HighQuality frecuente I-Claim HighQuality pero I-Claim HighQuality tambien I-Claim HighQuality posible. I-Claim HighQuality La O asociacion O de O EPOC O con O SAOS O es O una O causa O frecuente O de O deterioro O de O la O EPOC, O mayor O del O que O le O corresponderia O por O afectacion O funcional. O QUESTION O TYPE: O DIGESTIVE O SYSTEM O CLINICAL O CASE: O Un B-Premise HighQuality hombre I-Premise HighQuality de I-Premise HighQuality 52 I-Premise HighQuality años I-Premise HighQuality sin I-Premise HighQuality enfermedades I-Premise HighQuality concomitantes, I-Premise HighQuality acude I-Premise HighQuality a I-Premise HighQuality urgencias I-Premise HighQuality por I-Premise HighQuality melenas I-Premise HighQuality de I-Premise HighQuality 24 I-Premise HighQuality horas I-Premise HighQuality de I-Premise HighQuality evolución I-Premise HighQuality sin I-Premise HighQuality repercusión I-Premise HighQuality hemodinámica. I-Premise HighQuality Niega B-Premise HighQuality consumo I-Premise HighQuality de I-Premise HighQuality antiinflamatorios I-Premise HighQuality no I-Premise HighQuality esteroideos. I-Premise HighQuality El B-Premise HighQuality hematocrito I-Premise HighQuality es I-Premise HighQuality de I-Premise HighQuality 33% I-Premise HighQuality y I-Premise HighQuality el I-Premise HighQuality resto I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality analítica I-Premise HighQuality es I-Premise HighQuality normal. I-Premise HighQuality La B-Premise HighQuality endoscopia I-Premise HighQuality digestiva I-Premise HighQuality alta I-Premise HighQuality realizada I-Premise HighQuality de I-Premise HighQuality forma I-Premise HighQuality urgente I-Premise HighQuality a I-Premise HighQuality las I-Premise HighQuality 6 I-Premise HighQuality horas I-Premise HighQuality del I-Premise HighQuality ingreso I-Premise HighQuality muestra I-Premise HighQuality un I-Premise HighQuality estómago I-Premise HighQuality normal, I-Premise HighQuality sin I-Premise HighQuality sangre I-Premise HighQuality ni I-Premise HighQuality restos I-Premise HighQuality hemáticos I-Premise HighQuality y I-Premise HighQuality una I-Premise HighQuality úlcera I-Premise HighQuality excavada I-Premise HighQuality de I-Premise HighQuality 8 I-Premise HighQuality mm I-Premise HighQuality de I-Premise HighQuality diámetro I-Premise HighQuality en I-Premise HighQuality cara I-Premise HighQuality anterior I-Premise HighQuality del I-Premise HighQuality bulbo I-Premise HighQuality duodenal I-Premise HighQuality con I-Premise HighQuality «vaso I-Premise HighQuality visible» I-Premise HighQuality en I-Premise HighQuality su I-Premise HighQuality base I-Premise HighQuality y I-Premise HighQuality sin I-Premise HighQuality sangrado I-Premise HighQuality activo. 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I-Claim HighQuality Esto B-Claim HighQuality es I-Claim HighQuality así I-Claim HighQuality por I-Claim HighQuality las I-Claim HighQuality características I-Claim HighQuality propias I-Claim HighQuality del I-Claim HighQuality tumor:los I-Claim HighQuality teratomas I-Claim HighQuality maduros I-Claim HighQuality se I-Claim HighQuality hallan I-Claim HighQuality constituidos I-Claim HighQuality por I-Claim HighQuality tejidos I-Claim HighQuality adultos, I-Claim HighQuality procedentes I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality tres I-Claim HighQuality hojas I-Claim HighQuality embrionarias, I-Claim HighQuality con I-Claim HighQuality neto I-Claim HighQuality predominio I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality elementos I-Claim HighQuality ectodérmicos I-Claim HighQuality (epidermis, I-Claim HighQuality estructuras I-Claim HighQuality pilosebáceas I-Claim HighQuality y I-Claim HighQuality tejido I-Claim HighQuality neural). I-Claim HighQuality El B-Claim HighQuality teratoma I-Claim HighQuality maduro I-Claim HighQuality es I-Claim HighQuality un I-Claim HighQuality tumor I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality células I-Claim HighQuality germinales I-Claim HighQuality ováricas. I-Claim HighQuality QUESTION O TYPE: O GYNECOLOGY O AND O OBSTETRICS O CLINICAL O CASE: O Una B-Premise HighQuality embarazada I-Premise HighQuality de I-Premise HighQuality 10 I-Premise HighQuality semanas I-Premise HighQuality de I-Premise HighQuality gestación, I-Premise HighQuality acude I-Premise HighQuality urgencias I-Premise HighQuality hospitalarias I-Premise HighQuality por I-Premise HighQuality presentar I-Premise HighQuality una I-Premise HighQuality presión I-Premise HighQuality arterial I-Premise HighQuality de I-Premise HighQuality 160/105 I-Premise HighQuality mmHg. I-Premise HighQuality Buen B-Premise HighQuality estado I-Premise HighQuality general, I-Premise HighQuality sólo I-Premise HighQuality leve I-Premise HighQuality cefalea, I-Premise HighQuality motivo I-Premise HighQuality por I-Premise HighQuality el I-Premise HighQuality que I-Premise HighQuality se I-Premise HighQuality tomó I-Premise HighQuality la I-Premise HighQuality presión I-Premise HighQuality arterial. I-Premise HighQuality Tras B-Premise HighQuality 4 I-Premise HighQuality horas I-Premise HighQuality de I-Premise HighQuality reposo I-Premise HighQuality presenta I-Premise HighQuality cifras I-Premise HighQuality de I-Premise HighQuality 150/95mmHg. I-Premise HighQuality Se B-Premise HighQuality le I-Premise HighQuality realiza I-Premise HighQuality un I-Premise HighQuality hemograma I-Premise HighQuality que I-Premise HighQuality es I-Premise HighQuality normal I-Premise HighQuality y I-Premise HighQuality una I-Premise HighQuality proteinuria I-Premise HighQuality que I-Premise HighQuality es I-Premise HighQuality negativa. I-Premise HighQuality ¿Qué O tipo O de O hipertensión O presenta? O 1- O Preeclampsia B-Claim HighQuality moderada. I-Claim HighQuality 2- O Hipertensión B-Claim HighQuality inducida I-Claim HighQuality por I-Claim HighQuality el I-Claim HighQuality embarazo. I-Claim HighQuality 3- O Hipertensión B-Claim HighQuality crónica. I-Claim HighQuality 4- O Eclampsia. B-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 3 O La B-Claim HighQuality hipertensión I-Claim HighQuality crónica I-Claim HighQuality se I-Claim HighQuality define I-Claim HighQuality como I-Claim HighQuality aquella I-Claim HighQuality que I-Claim HighQuality está I-Claim HighQuality presente I-Claim HighQuality antes I-Claim HighQuality del I-Claim HighQuality embarazo I-Claim HighQuality o I-Claim HighQuality que I-Claim HighQuality se I-Claim HighQuality diagnostica I-Claim HighQuality antes I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality semana I-Claim HighQuality 20 I-Claim HighQuality de I-Claim HighQuality gestación. I-Claim HighQuality En B-Premise HighQuality este I-Premise HighQuality caso, I-Premise HighQuality la I-Premise HighQuality paciente I-Premise HighQuality está I-Premise HighQuality embarazada I-Premise HighQuality de I-Premise HighQuality 10 I-Premise HighQuality semanas I-Premise HighQuality por O lo O que O la B-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality es I-Claim HighQuality la I-Claim HighQuality 3. I-Claim HighQuality QUESTION O TYPE: O PNEUMOLOGY O AND O THORACIC O SURGERY O CLINICAL O CASE: O Mujer B-Premise HighQuality de I-Premise HighQuality 38 I-Premise HighQuality años, I-Premise HighQuality no I-Premise HighQuality fumadora, I-Premise HighQuality diagnosticada I-Premise HighQuality previamente I-Premise HighQuality de I-Premise HighQuality rinitis I-Premise HighQuality atópica I-Premise HighQuality que I-Premise HighQuality acude I-Premise HighQuality por I-Premise HighQuality cuadro I-Premise HighQuality de I-Premise HighQuality dos I-Premise HighQuality meses I-Premise HighQuality consistente I-Premise HighQuality en I-Premise HighQuality tos I-Premise HighQuality y I-Premise HighQuality sibilantes I-Premise HighQuality intermitentes I-Premise HighQuality de I-Premise HighQuality predominio I-Premise HighQuality nocturno. I-Premise HighQuality Rx B-Premise HighQuality de I-Premise HighQuality tórax I-Premise HighQuality normal. I-Premise HighQuality Espirometría B-Premise HighQuality dentro I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality normalidad I-Premise HighQuality con I-Premise HighQuality prueba I-Premise HighQuality broncodilatadora I-Premise HighQuality negativa. I-Premise HighQuality ¿Cuál O de O las O siguientes O pruebas O solicitaría O a O continuación? O 1- O Rx B-Claim HighQuality de I-Claim HighQuality senos I-Claim HighQuality paranasales. I-Claim HighQuality 2- O TAC B-Claim HighQuality torácico. I-Claim HighQuality 3- O Test B-Claim HighQuality de I-Claim HighQuality metacolina. I-Claim HighQuality 4- O Prick-test. B-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 3 O Una B-Premise HighQuality espirometria I-Premise HighQuality normal I-Premise HighQuality y I-Premise HighQuality un I-Premise HighQuality test I-Premise HighQuality broncodilatador I-Premise HighQuality negativo I-Premise HighQuality puntualmente I-Premise HighQuality no I-Premise HighQuality excluye I-Premise HighQuality asma, I-Premise HighQuality y O la B-Premise HighQuality clínica I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality paciente I-Premise HighQuality es I-Premise HighQuality altamente I-Premise HighQuality sugestiva I-Premise HighQuality de I-Premise HighQuality asma, I-Premise HighQuality por O lo O que O un B-Claim HighQuality test I-Claim HighQuality de I-Claim HighQuality metacolina I-Claim HighQuality permitiría I-Claim HighQuality confirmar I-Claim HighQuality el I-Claim HighQuality diagnostico, I-Claim HighQuality al I-Claim HighQuality menos I-Claim HighQuality de I-Claim HighQuality hiperreactividad I-Claim HighQuality bronquial. I-Claim HighQuality QUESTION O TYPE: O PSYCHIATRY O CLINICAL O CASE: O Un B-Premise HighQuality hombre I-Premise HighQuality de I-Premise HighQuality 80 I-Premise HighQuality años I-Premise HighQuality es I-Premise HighQuality llevado I-Premise HighQuality a I-Premise HighQuality Urgencias I-Premise HighQuality por I-Premise HighQuality la I-Premise HighQuality policía I-Premise HighQuality a I-Premise HighQuality encontrarle I-Premise HighQuality por I-Premise HighQuality la I-Premise HighQuality noche, I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality calle, I-Premise HighQuality a I-Premise HighQuality varios I-Premise HighQuality bloques I-Premise HighQuality de I-Premise HighQuality su I-Premise HighQuality domicilio, I-Premise HighQuality algo I-Premise HighQuality perdido. I-Premise HighQuality Dice B-Premise HighQuality al I-Premise HighQuality médico I-Premise HighQuality de I-Premise HighQuality Urgencias I-Premise HighQuality «me I-Premise HighQuality encuentro I-Premise HighQuality bien, I-Premise HighQuality estaba I-Premise HighQuality paseando I-Premise HighQuality y I-Premise HighQuality me I-Premise HighQuality he I-Premise HighQuality perdido». I-Premise HighQuality La O revisión, O por O sistemas, O es O anodina. O Al B-Premise HighQuality preguntarle I-Premise HighQuality por I-Premise HighQuality su I-Premise HighQuality medicación, I-Premise HighQuality no I-Premise HighQuality recuerda. I-Premise HighQuality En B-Premise HighQuality su I-Premise HighQuality historial I-Premise HighQuality constan I-Premise HighQuality glipizida, I-Premise HighQuality atenolol I-Premise HighQuality y I-Premise HighQuality acenocumarol. I-Premise HighQuality Ha B-Premise HighQuality estado I-Premise HighQuality en I-Premise HighQuality Urgencias I-Premise HighQuality 3 I-Premise HighQuality veces I-Premise HighQuality en I-Premise HighQuality los I-Premise HighQuality últimos I-Premise HighQuality tres I-Premise HighQuality meses I-Premise HighQuality por I-Premise HighQuality «mareo», I-Premise HighQuality dolor I-Premise HighQuality lumbar I-Premise HighQuality y I-Premise HighQuality un I-Premise HighQuality INR I-Premise HighQuality de I-Premise HighQuality 5. I-Premise HighQuality Refiere B-Premise HighQuality independencia I-Premise HighQuality en I-Premise HighQuality actividades I-Premise HighQuality básicas I-Premise HighQuality e I-Premise HighQuality instrumentales I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality vida I-Premise HighQuality diaria. I-Premise HighQuality No O hay O evidencia O de O familiares O o O amigos O cercanos. O Varias O referencias O del O trabajo O social O del O área O indican O que O rechaza O ayudas O o O visitas O médicas O o O de O enfermería. O En B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality física, I-Premise HighQuality únicamente I-Premise HighQuality destaca I-Premise HighQuality temperatura I-Premise HighQuality de I-Premise HighQuality 37.7, I-Premise HighQuality IMC I-Premise HighQuality de I-Premise HighQuality 16, I-Premise HighQuality PA I-Premise HighQuality de I-Premise HighQuality 160/90, I-Premise HighQuality FC I-Premise HighQuality de I-Premise HighQuality 90 I-Premise HighQuality y I-Premise HighQuality SO2 I-Premise HighQuality de I-Premise HighQuality 99%. I-Premise HighQuality Tiene B-Premise HighQuality pérdida I-Premise HighQuality global I-Premise HighQuality de I-Premise HighQuality masa I-Premise HighQuality muscular. I-Premise HighQuality Está B-Premise HighQuality vestido I-Premise HighQuality con I-Premise HighQuality la I-Premise HighQuality bata I-Premise HighQuality de I-Premise HighQuality casa I-Premise HighQuality y I-Premise HighQuality huele I-Premise HighQuality a I-Premise HighQuality orina. I-Premise HighQuality Rechaza B-Premise HighQuality contestar I-Premise HighQuality a I-Premise HighQuality las I-Premise HighQuality preguntas I-Premise HighQuality del I-Premise HighQuality Minimental. I-Premise HighQuality En B-Premise HighQuality las I-Premise HighQuality pruebas I-Premise HighQuality de I-Premise HighQuality laboratorio I-Premise HighQuality destacan I-Premise HighQuality 13.000 I-Premise HighQuality leucos, I-Premise HighQuality Glucemia I-Premise HighQuality 300, I-Premise HighQuality hemoglobina I-Premise HighQuality glicosilada I-Premise HighQuality 11%, I-Premise HighQuality INR I-Premise HighQuality 0.9, I-Premise HighQuality en I-Premise HighQuality orina I-Premise HighQuality más I-Premise HighQuality de I-Premise HighQuality 50 I-Premise HighQuality leucocitos/campo, I-Premise HighQuality nitritos+ I-Premise HighQuality y I-Premise HighQuality urocultivo I-Premise HighQuality > I-Premise HighQuality 100.000 I-Premise HighQuality bacilos I-Premise HighQuality Gram I-Premise HighQuality negativos. I-Premise HighQuality Es B-Premise HighQuality ingresado I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality hospital, I-Premise HighQuality recibe I-Premise HighQuality antibióticos, I-Premise HighQuality insulina I-Premise HighQuality y I-Premise HighQuality se I-Premise HighQuality reinicia I-Premise HighQuality acenocumarol I-Premise HighQuality con I-Premise HighQuality buena I-Premise HighQuality evolución. I-Premise HighQuality Está B-Premise HighQuality estable I-Premise HighQuality y I-Premise HighQuality quiere I-Premise HighQuality irse I-Premise HighQuality a I-Premise HighQuality su I-Premise HighQuality domicilio. I-Premise HighQuality La B-Premise HighQuality enfermera I-Premise HighQuality de I-Premise HighQuality planta I-Premise HighQuality dice I-Premise HighQuality que I-Premise HighQuality es I-Premise HighQuality incapaz I-Premise HighQuality de I-Premise HighQuality autoadministrarse I-Premise HighQuality la I-Premise HighQuality insulina. I-Premise HighQuality ¿Cuál O de O los O siguientes O es O el O próximo O paso O para O determinar O la O seguridad O del O paciente O en O su O domicilio? O 1- O Referir B-Claim HighQuality a I-Claim HighQuality Atención I-Claim HighQuality Primaria I-Claim HighQuality y I-Claim HighQuality trabajo I-Claim HighQuality social I-Claim HighQuality del I-Claim HighQuality área I-Claim HighQuality para I-Claim HighQuality determinar I-Claim HighQuality la I-Claim HighQuality seguridad I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality domicilio. I-Claim HighQuality 2- O Evaluación B-Claim HighQuality formal I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality capacidad I-Claim HighQuality para I-Claim HighQuality tomar I-Claim HighQuality decisiones I-Claim HighQuality concernientes I-Claim HighQuality a I-Claim HighQuality su I-Claim HighQuality salud. I-Claim HighQuality 3- O Evaluación B-Claim HighQuality para I-Claim HighQuality descartar I-Claim HighQuality demencia. I-Claim HighQuality 4- O Evaluación B-Claim HighQuality para I-Claim HighQuality descartar I-Claim HighQuality depresión. I-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 2 O Evaluar B-Claim HighQuality la I-Claim HighQuality capacidad I-Claim HighQuality no I-Claim HighQuality tiene I-Claim HighQuality que I-Claim HighQuality ver I-Claim HighQuality con I-Claim HighQuality quitar I-Claim HighQuality la I-Claim HighQuality autonomía I-Claim HighQuality al I-Claim HighQuality paciente, I-Claim HighQuality sino I-Claim HighQuality asegurarnos I-Claim HighQuality de I-Claim HighQuality que I-Claim HighQuality el I-Claim HighQuality paciente I-Claim HighQuality comprende I-Claim HighQuality y I-Claim HighQuality es I-Claim HighQuality consciente I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality consecuencias I-Claim HighQuality de I-Claim HighQuality sus I-Claim HighQuality decisiones. I-Claim HighQuality De B-Claim HighQuality hecho I-Claim HighQuality es I-Claim HighQuality una I-Claim HighQuality medida I-Claim HighQuality de I-Claim HighQuality protección I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality pacientes I-Claim HighQuality más I-Claim HighQuality frágiles I-Claim HighQuality para I-Claim HighQuality asegurar I-Claim HighQuality los I-Claim HighQuality mejores I-Claim HighQuality cuidados. I-Claim HighQuality Esto B-Claim HighQuality no I-Claim HighQuality lo I-Claim HighQuality hace I-Claim HighQuality un I-Claim HighQuality psiquiatra, I-Claim HighQuality sino I-Claim HighQuality el I-Claim HighQuality médico I-Claim HighQuality a I-Claim HighQuality cargo. I-Claim HighQuality Hay B-Claim HighQuality varios I-Claim HighQuality tests I-Claim HighQuality o I-Claim HighQuality entrevistas I-Claim HighQuality semiestructuradas I-Claim HighQuality para I-Claim HighQuality valorar I-Claim HighQuality la I-Claim HighQuality capacidad I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality pacientes, I-Claim HighQuality y I-Claim HighQuality todos I-Claim HighQuality los I-Claim HighQuality médicos I-Claim HighQuality deberían I-Claim HighQuality conocer I-Claim HighQuality estos I-Claim HighQuality instrumentos. I-Claim HighQuality Es O importante O que O sea O el O médico O a O cargo O el O que O realiza O esta O valoración, O porque O es O el O que O previamente O informa O al O paciente O (consentimiento O informado) O del O plan O terapéutico O y O es O el O que O está O mejor O capacitado O para O evaluar O si O el O paciente O ha O entendido O todo: O cuál O es O el O problema O médico, O qué O tratamiento O se O le O propone, O las O alternativas O si O las O hubiera, O tener O opción O de O aceptar O alguna O o O rechazarlas O y O por O qué, O consecuencias O de O tomar O esas O decisiones O (también O las O de O no O querer O tratamiento), O incluso O valorar O psicopatología O susceptible O de O un O PIC O a O Psiquiatría. O QUESTION O TYPE: O INFECTIOUS O DISEASES O AND O MICROBIOLOGY O CLINICAL O CASE: O Luis B-Premise HighQuality es I-Premise HighQuality un I-Premise HighQuality joven I-Premise HighQuality de I-Premise HighQuality 25 I-Premise HighQuality años I-Premise HighQuality que I-Premise HighQuality sufrió I-Premise HighQuality esplenectomía I-Premise HighQuality tras I-Premise HighQuality accidente I-Premise HighQuality de I-Premise HighQuality bicicleta I-Premise HighQuality hace I-Premise HighQuality 1 I-Premise HighQuality año. I-Premise HighQuality Tiene B-Premise HighQuality un I-Premise HighQuality perro I-Premise HighQuality que I-Premise HighQuality Ie I-Premise HighQuality mordió I-Premise HighQuality hace I-Premise HighQuality 24 I-Premise HighQuality horas I-Premise HighQuality y I-Premise HighQuality le I-Premise HighQuality ha I-Premise HighQuality producido I-Premise HighQuality una I-Premise HighQuality pequeña I-Premise HighQuality herida I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality mano I-Premise HighQuality derecha. I-Premise HighQuality Acude B-Premise HighQuality a I-Premise HighQuality su I-Premise HighQuality centro I-Premise HighQuality de I-Premise HighQuality salud I-Premise HighQuality (situada I-Premise HighQuality a I-Premise HighQuality 3 I-Premise HighQuality horas I-Premise HighQuality del I-Premise HighQuality hospital I-Premise HighQuality más I-Premise HighQuality cercano) I-Premise HighQuality por I-Premise HighQuality fiebre I-Premise HighQuality de I-Premise HighQuality 39ºC, I-Premise HighQuality dolor I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality herida I-Premise HighQuality y I-Premise HighQuality malestar I-Premise HighQuality general. I-Premise HighQuality A B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality PA I-Premise HighQuality 100/60 I-Premise HighQuality mm I-Premise HighQuality Hg, I-Premise HighQuality FC I-Premise HighQuality 110 I-Premise HighQuality latidos I-Premise HighQuality por I-Premise HighQuality minuto, I-Premise HighQuality ligera I-Premise HighQuality inflamación I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality herida I-Premise HighQuality sin I-Premise HighQuality pus. I-Premise HighQuality ¿Cual O de O las O siguientes O actuaciones O está O más O indicada O en O este O momento? O 1- O Enviar B-Claim HighQuality al I-Claim HighQuality hospital I-Claim HighQuality para I-Claim HighQuality vacunar I-Claim HighQuality de I-Claim HighQuality rabia I-Claim HighQuality y I-Claim HighQuality tétanos I-Claim HighQuality y I-Claim HighQuality mantener I-Claim HighQuality en I-Claim HighQuality observación. I-Claim HighQuality 2- O Limpiar B-Claim HighQuality la I-Claim HighQuality herida I-Claim HighQuality y I-Claim HighQuality administrar I-Claim HighQuality gamaglobulina I-Claim HighQuality inespecífica I-Claim HighQuality intramuscular. I-Claim HighQuality 3- O Dar B-Claim HighQuality 400 I-Claim HighQuality mg I-Claim HighQuality de I-Claim HighQuality moxifloxacino I-Claim HighQuality oral I-Claim HighQuality y I-Claim HighQuality enviar I-Claim HighQuality al I-Claim HighQuality hospital. I-Claim HighQuality 4- O Dar B-Claim HighQuality clindamicina I-Claim HighQuality 600 I-Claim HighQuality mg I-Claim HighQuality oral I-Claim HighQuality cada I-Claim HighQuality 8 I-Claim HighQuality horas I-Claim HighQuality y I-Claim HighQuality observación. I-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 3 O Esta O pregunta O nos O ha O resultado O complicada. O La O pregunta O no O tiene O toda O la O información O necesaria, O pero O usando O lo O que O tenemos O podemos O intentar O responder. O El B-Premise HighQuality perro I-Premise HighQuality es I-Premise HighQuality doméstico, I-Premise HighQuality conocido I-Premise HighQuality y I-Premise HighQuality puede I-Premise HighQuality ser I-Premise HighQuality sometido I-Premise HighQuality a I-Premise HighQuality vigilancia, I-Premise HighQuality por O lo O tanto O habría B-Claim HighQuality que I-Claim HighQuality esperar I-Claim HighQuality a I-Claim HighQuality que I-Claim HighQuality pase I-Claim HighQuality el I-Claim HighQuality periodo I-Claim HighQuality de I-Claim HighQuality observación I-Claim HighQuality y I-Claim HighQuality no I-Claim HighQuality se I-Claim HighQuality recomienda I-Claim HighQuality profilaxis. I-Claim HighQuality En B-Claim HighQuality este I-Claim HighQuality punto I-Claim HighQuality solo I-Claim HighQuality tendremos I-Claim HighQuality que I-Claim HighQuality preocuparnos I-Claim HighQuality por I-Claim HighQuality la I-Claim HighQuality posible I-Claim HighQuality bacteriemia I-Claim HighQuality que I-Claim HighQuality puede I-Claim HighQuality estar I-Claim HighQuality ocurriendo I-Claim HighQuality en I-Claim HighQuality un I-Claim HighQuality paciente I-Claim HighQuality con I-Claim HighQuality posibilidad I-Claim HighQuality de I-Claim HighQuality alto I-Claim HighQuality riesgo I-Claim HighQuality por I-Claim HighQuality asplenia. I-Claim HighQuality El B-Claim HighQuality tratamiento I-Claim HighQuality de I-Claim HighQuality elección I-Claim HighQuality en I-Claim HighQuality mordedura I-Claim HighQuality de I-Claim HighQuality perro I-Claim HighQuality es I-Claim HighQuality amoxicilina/clavulánico I-Claim HighQuality pero I-Claim HighQuality no I-Claim HighQuality está, I-Claim HighQuality así O que O podemos B-Claim HighQuality usar I-Claim HighQuality otro I-Claim HighQuality como I-Claim HighQuality clindamicina I-Claim HighQuality más I-Claim HighQuality una I-Claim HighQuality cefalosporina I-Claim HighQuality o I-Claim HighQuality clindamicina I-Claim HighQuality + I-Claim HighQuality moxifloxacino I-Claim HighQuality pero I-Claim HighQuality de I-Claim HighQuality igual I-Claim HighQuality forma I-Claim HighQuality no I-Claim HighQuality está I-Claim HighQuality contemplado I-Claim HighQuality entre I-Claim HighQuality las I-Claim HighQuality alternativas. I-Claim HighQuality En B-Claim HighQuality un I-Claim HighQuality primer I-Claim HighQuality intento I-Claim HighQuality contestamos I-Claim HighQuality la I-Claim HighQuality 4, I-Claim HighQuality pero O la B-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality es I-Claim HighQuality la I-Claim HighQuality 3, I-Claim HighQuality por I-Claim HighQuality la I-Claim HighQuality segunda I-Claim HighQuality parte I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality pregunta; I-Claim HighQuality es B-Premise HighQuality un I-Premise HighQuality paciente I-Premise HighQuality de I-Premise HighQuality alto I-Premise HighQuality riesgo I-Premise HighQuality con I-Premise HighQuality signos I-Premise HighQuality incipiente I-Premise HighQuality de I-Premise HighQuality sepsis I-Premise HighQuality por O lo O que O debe B-Claim HighQuality de I-Claim HighQuality enviarse I-Claim HighQuality al I-Claim HighQuality hospital, I-Claim HighQuality aquí O la O clave O más O que O en O el O antibiótico O está O en O la O postura O a O tomar, O en O la O segunda O parte O de O cada O respuesta.. O Se B-Claim HighQuality podría I-Claim HighQuality impugnar I-Claim HighQuality ya I-Claim HighQuality que I-Claim HighQuality no I-Claim HighQuality dicen I-Claim HighQuality en I-Claim HighQuality cual I-Claim HighQuality comunidad I-Claim HighQuality ocurrió I-Claim HighQuality la I-Claim HighQuality mordedura I-Claim HighQuality (si B-Claim HighQuality fuera I-Claim HighQuality en I-Claim HighQuality Ceuta I-Claim HighQuality o I-Claim HighQuality Melilla I-Claim HighQuality el I-Claim HighQuality protocolo I-Claim HighQuality puede I-Claim HighQuality variar). I-Claim HighQuality QUESTION O TYPE: O NEUROSURGERY O CLINICAL O CASE: O Un B-Premise HighQuality niño I-Premise HighQuality de I-Premise HighQuality 13 I-Premise HighQuality años I-Premise HighQuality presenta I-Premise HighQuality un I-Premise HighQuality cuadro I-Premise HighQuality subagudo I-Premise HighQuality de I-Premise HighQuality cefalea I-Premise HighQuality y I-Premise HighQuality diplopia. I-Premise HighQuality La B-Premise HighQuality exploración I-Premise HighQuality neurológica I-Premise HighQuality muestra I-Premise HighQuality una I-Premise HighQuality parálisis I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality mirada I-Premise HighQuality vertical I-Premise HighQuality y I-Premise HighQuality la I-Premise HighQuality resonancia I-Premise HighQuality magnética I-Premise HighQuality una I-Premise HighQuality lesión I-Premise HighQuality captante I-Premise HighQuality de I-Premise HighQuality contraste I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality región I-Premise HighQuality pineal I-Premise HighQuality que I-Premise HighQuality obstruye I-Premise HighQuality el I-Premise HighQuality acueducto I-Premise HighQuality de I-Premise HighQuality Silvio. I-Premise HighQuality El O diagnóstico O más O probable O es: O 1- O Glioblastoma. B-Claim HighQuality 2- O Meduloblastoma. B-Claim HighQuality 3- O Tumor B-Claim HighQuality de I-Claim HighQuality células I-Claim HighQuality germinales. I-Claim HighQuality 4- O Meningioma. B-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 3 O Los B-Claim HighQuality tumores I-Claim HighQuality germinales I-Claim HighQuality son I-Claim HighQuality los I-Claim HighQuality más I-Claim HighQuality frecuentes I-Claim HighQuality en I-Claim HighQuality niños I-Claim HighQuality en I-Claim HighQuality la I-Claim HighQuality región I-Claim HighQuality pineal. I-Claim HighQuality Suelen B-Claim HighQuality captar I-Claim HighQuality homogéneamente I-Claim HighQuality y I-Claim HighQuality provocar I-Claim HighQuality hidrocefalia I-Claim HighQuality triventricular I-Claim HighQuality y I-Claim HighQuality Parinaud. 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I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality está I-Premise HighQuality afebril, I-Premise HighQuality se I-Premise HighQuality observan I-Premise HighQuality equimosis I-Premise HighQuality múltiples, I-Premise HighQuality no I-Premise HighQuality se I-Premise HighQuality palpa I-Premise HighQuality esplenomegalia. I-Premise HighQuality Analítica: B-Premise HighQuality Leucocitos I-Premise HighQuality 7,2 I-Premise HighQuality x103/μL, I-Premise HighQuality Hb I-Premise HighQuality 12,3 I-Premise HighQuality g/dL, I-Premise HighQuality Plaquetas I-Premise HighQuality 6,0 I-Premise HighQuality x103/μL. I-Premise HighQuality La B-Premise HighQuality trombocitopenia I-Premise HighQuality se I-Premise HighQuality confirma I-Premise HighQuality en I-Premise HighQuality el I-Premise HighQuality frotis, I-Premise HighQuality donde I-Premise HighQuality se I-Premise HighQuality observan I-Premise HighQuality plaquetas I-Premise HighQuality de I-Premise HighQuality tamaño I-Premise HighQuality aumentado. I-Premise HighQuality Estudio B-Premise HighQuality de I-Premise HighQuality coagulación I-Premise HighQuality y I-Premise HighQuality bioquímica I-Premise HighQuality normales. I-Premise HighQuality ¿Cuál O considera O el O diagnóstico O más O probable?: O 1- O Púrpura B-Claim HighQuality trombótica I-Claim HighQuality trombocitopénica. I-Claim HighQuality 2- O Coagulación B-Claim HighQuality intravascular I-Claim HighQuality diseminada. I-Claim HighQuality 3- O Trombocitopenia B-Claim HighQuality inducida I-Claim HighQuality por I-Claim HighQuality infección. I-Claim HighQuality 4- O Trombocitopenia B-Claim HighQuality inmune I-Claim HighQuality primaria. I-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 4 O Si B-Claim HighQuality quisieran I-Claim HighQuality que I-Claim HighQuality respondiéramos I-Claim HighQuality que I-Claim HighQuality es I-Claim HighQuality una I-Claim HighQuality PTT I-Claim HighQuality (respuesta I-Claim HighQuality 1) I-Claim HighQuality probablemente I-Claim HighQuality asociarían I-Claim HighQuality anemia I-Claim HighQuality y I-Claim HighQuality de I-Claim HighQuality seguro I-Claim HighQuality que I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality frotis I-Claim HighQuality nos I-Claim HighQuality hablarían I-Claim HighQuality de I-Claim HighQuality esquistocitos. I-Claim HighQuality Por B-Claim HighQuality no I-Claim HighQuality decir, I-Claim HighQuality que I-Claim HighQuality probablemente I-Claim HighQuality la I-Claim HighQuality clínica I-Claim HighQuality del I-Claim HighQuality paciente I-Claim HighQuality sería I-Claim HighQuality mucho I-Claim HighQuality más I-Claim HighQuality que I-Claim HighQuality una I-Claim HighQuality epistaxis. I-Claim HighQuality Las B-Claim HighQuality otras I-Claim HighQuality dos I-Claim HighQuality respuestas, I-Claim HighQuality no I-Claim HighQuality tenéis I-Claim HighQuality que I-Claim HighQuality dudar I-Claim HighQuality con I-Claim HighQuality ellas. I-Claim HighQuality Nada B-Claim HighQuality orienta I-Claim HighQuality a I-Claim HighQuality eso. I-Claim HighQuality QUESTION O TYPE: O PEDIATRICS O CLINICAL O CASE: O Ante B-Premise HighQuality un I-Premise HighQuality trastorno I-Premise HighQuality obsesivo-compulsivo I-Premise HighQuality (TOC) I-Premise HighQuality de I-Premise HighQuality inicio I-Premise HighQuality súbito I-Premise HighQuality en I-Premise HighQuality un I-Premise HighQuality niño I-Premise HighQuality de I-Premise HighQuality 9 I-Premise HighQuality años I-Premise HighQuality que I-Premise HighQuality además I-Premise HighQuality presenta I-Premise HighQuality tics I-Premise HighQuality y I-Premise HighQuality corea I-Premise HighQuality como I-Premise HighQuality manifestaciones I-Premise HighQuality neurológicas I-Premise HighQuality se O debería O descartar O una O infección O por: O 1- O Estreptococo B-Claim HighQuality viridans. I-Claim HighQuality 2- O Estreptococo B-Claim HighQuality alfa-hemolítico. I-Claim HighQuality 3- O Estreptococo B-Claim HighQuality beta-hemolítico, I-Claim HighQuality grupo I-Claim HighQuality A. I-Claim HighQuality 4- O Enterococo. B-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 3 O Nos B-Claim HighQuality presentan I-Claim HighQuality un I-Claim HighQuality caso I-Claim HighQuality de I-Claim HighQuality Síndrome I-Claim HighQuality PANDAS, I-Claim HighQuality complicación I-Claim HighQuality rara I-Claim HighQuality de I-Claim HighQuality una I-Claim HighQuality infección I-Claim HighQuality producida I-Claim HighQuality por I-Claim HighQuality el I-Claim HighQuality estreptococo I-Claim HighQuality beta-hemolítico I-Claim HighQuality del I-Claim HighQuality grupo I-Claim HighQuality A. I-Claim HighQuality QUESTION O TYPE: O PEDIATRICS O CLINICAL O CASE: O Niña B-Premise HighQuality de I-Premise HighQuality 5 I-Premise HighQuality años, I-Premise HighQuality completamente I-Premise HighQuality asintomática, I-Premise HighQuality y I-Premise HighQuality que I-Premise HighQuality acude I-Premise HighQuality a I-Premise HighQuality la I-Premise HighQuality revisión I-Premise HighQuality habitual I-Premise HighQuality del I-Premise HighQuality pediatra. I-Premise HighQuality Consulta O porque O su B-Premise HighQuality madre I-Premise HighQuality fue I-Premise HighQuality operada I-Premise HighQuality de I-Premise HighQuality un I-Premise HighQuality tumor I-Premise HighQuality de I-Premise HighQuality tiroides I-Premise HighQuality y I-Premise HighQuality una I-Premise HighQuality abuela I-Premise HighQuality falleció I-Premise HighQuality hace I-Premise HighQuality 10 I-Premise HighQuality años I-Premise HighQuality por I-Premise HighQuality un I-Premise HighQuality feocromocitoma. I-Premise HighQuality La O actitud O terapéutica O prioritaria O que O adoptaremos O será: O 1- O Exploración B-Claim HighQuality física I-Claim HighQuality exhaustiva I-Claim HighQuality con I-Claim HighQuality control I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality tensión I-Claim HighQuality arterial I-Claim HighQuality para I-Claim HighQuality valorar I-Claim HighQuality si I-Claim HighQuality el I-Claim HighQuality niño I-Claim HighQuality puede I-Claim HighQuality presentar I-Claim HighQuality alguna I-Claim HighQuality enfermedad I-Claim HighQuality familiar. I-Claim HighQuality 2- O Análisis B-Claim HighQuality bioquímico I-Claim HighQuality con I-Claim HighQuality calcitonina. I-Claim HighQuality Si I-Claim HighQuality ésta I-Claim HighQuality es I-Claim HighQuality normal I-Claim HighQuality no I-Claim HighQuality es I-Claim HighQuality preciso I-Claim HighQuality más I-Claim HighQuality control I-Claim HighQuality a I-Claim HighQuality esta I-Claim HighQuality edad. I-Claim HighQuality 3- O Seguimiento B-Claim HighQuality anual I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality niveles I-Claim HighQuality de I-Claim HighQuality calcitonina I-Claim HighQuality con I-Claim HighQuality estimulación I-Claim HighQuality con I-Claim HighQuality pentagastrina I-Claim HighQuality y, I-Claim HighQuality si I-Claim HighQuality se I-Claim HighQuality eleva, I-Claim HighQuality indicar I-Claim HighQuality una I-Claim HighQuality tiroidectomía I-Claim HighQuality profiláctica. I-Claim HighQuality 4- O Estudio B-Claim HighQuality genético I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality mutación I-Claim HighQuality del I-Claim HighQuality proto-oncogen I-Claim HighQuality RET I-Claim HighQuality c634, I-Claim HighQuality y I-Claim HighQuality si I-Claim HighQuality es I-Claim HighQuality positivo I-Claim HighQuality se I-Claim HighQuality realizará I-Claim HighQuality la I-Claim HighQuality tiroidectomía I-Claim HighQuality radical I-Claim HighQuality profiláctica I-Claim HighQuality a I-Claim HighQuality esta I-Claim HighQuality edad. I-Claim HighQuality 5- O Estudio B-Claim HighQuality genético I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality mutación I-Claim HighQuality proto-oncogen I-Claim HighQuality RET I-Claim HighQuality c634, I-Claim HighQuality niveles I-Claim HighQuality de I-Claim HighQuality calcitonina I-Claim HighQuality y I-Claim HighQuality PAAF I-Claim HighQuality (punción I-Claim HighQuality aspiración I-Claim HighQuality con I-Claim HighQuality aguja I-Claim HighQuality fina) I-Claim HighQuality y I-Claim HighQuality si I-Claim HighQuality son I-Claim HighQuality positivas I-Claim HighQuality se I-Claim HighQuality realizará I-Claim HighQuality la I-Claim HighQuality tiroidectomía I-Claim HighQuality radical. I-Claim HighQuality CORRECT O ANSWER: O 4 O La B-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality es I-Claim HighQuality la I-Claim HighQuality 4. I-Claim HighQuality Me O parece O una O pregunta O más O de O Endocrino O que O de O Pediatría. O Los B-Claim HighQuality portadores I-Claim HighQuality del I-Claim HighQuality protooncogen I-Claim HighQuality suelen I-Claim HighQuality tener I-Claim HighQuality tumoraciones I-Claim HighQuality tiroideas I-Claim HighQuality precoces I-Claim HighQuality por O lo O que O se B-Claim HighQuality suele I-Claim HighQuality recomendar I-Claim HighQuality la I-Claim HighQuality tiroidectomía I-Claim HighQuality radical I-Claim HighQuality antes I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality 5 I-Claim HighQuality años. I-Claim HighQuality Obviamente O esto O lo O he O tenido O que O buscar…no O es O muy O frecuente O en O nuestra O práctica O habitual. O QUESTION O TYPE: O DIGESTIVE O CLINICAL O CASE: O Paciente B-Premise HighQuality diagnosticado I-Premise HighQuality de I-Premise HighQuality diverticulitis I-Premise HighQuality aguda, I-Premise HighQuality tratado I-Premise HighQuality con I-Premise HighQuality amoxicilina/clavulánico. I-Premise HighQuality Al B-Premise HighQuality cabo I-Premise HighQuality de I-Premise HighQuality 5 I-Premise HighQuality días I-Premise HighQuality comienza I-Premise HighQuality con I-Premise HighQuality fiebre I-Premise HighQuality y I-Premise HighQuality diarrea. I-Premise HighQuality Se B-Premise HighQuality le I-Premise HighQuality diagnostica I-Premise HighQuality de I-Premise HighQuality colitis I-Premise HighQuality por I-Premise HighQuality Clostridium I-Premise HighQuality difficile, I-Premise HighQuality se I-Premise HighQuality suspende I-Premise HighQuality la I-Premise HighQuality amoxicilina/clavulánico I-Premise HighQuality y I-Premise HighQuality se I-Premise HighQuality pauta I-Premise HighQuality metronidazol. I-Premise HighQuality A B-Premise HighQuality los I-Premise HighQuality 4 I-Premise HighQuality días I-Premise HighQuality no I-Premise HighQuality ha I-Premise HighQuality respondido I-Premise HighQuality al I-Premise HighQuality metronidazol, I-Premise HighQuality pero I-Premise HighQuality se I-Premise HighQuality encuentra I-Premise HighQuality clínicamente I-Premise HighQuality estable. I-Premise HighQuality El O siguiente O paso O del O tratamiento O es: O 1- O Cambiar B-Claim HighQuality el I-Claim HighQuality metronidazol I-Claim HighQuality por I-Claim HighQuality vancomicina I-Claim HighQuality oral I-Claim HighQuality (125 I-Claim HighQuality mg, I-Claim HighQuality cuatro I-Claim HighQuality veces I-Claim HighQuality al I-Claim HighQuality día I-Claim HighQuality durante I-Claim HighQuality 10 I-Claim HighQuality días). I-Claim HighQuality 2- O Cambiar B-Claim HighQuality el I-Claim HighQuality metronidazol I-Claim HighQuality por I-Claim HighQuality piperacilina/ I-Claim HighQuality tazobactam I-Claim HighQuality (4 I-Claim HighQuality g I-Claim HighQuality de I-Claim HighQuality piperacilina/0,5 I-Claim HighQuality g I-Claim HighQuality de I-Claim HighQuality tazobactam I-Claim HighQuality cada I-Claim HighQuality 8 I-Claim HighQuality horas). I-Claim HighQuality 3- O Indicar B-Claim HighQuality una I-Claim HighQuality colectomía I-Claim HighQuality subtotal. I-Claim HighQuality 4- O Realizar B-Claim HighQuality una I-Claim HighQuality ileostomía I-Claim HighQuality en I-Claim HighQuality asa I-Claim HighQuality con I-Claim HighQuality lavado I-Claim HighQuality anterógrado I-Claim HighQuality de I-Claim HighQuality polietilenglicol. I-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 1 O El B-Claim HighQuality tratamiento I-Claim HighQuality de I-Claim HighQuality elección I-Claim HighQuality de I-Claim HighQuality la I-Claim HighQuality infección I-Claim HighQuality por I-Claim HighQuality Clostridioides I-Claim HighQuality difficile I-Claim HighQuality es I-Claim HighQuality la I-Claim HighQuality vancomicina I-Claim HighQuality vía I-Claim HighQuality oral I-Claim HighQuality 125mg/6h I-Claim HighQuality durante I-Claim HighQuality 10 I-Claim HighQuality días. I-Claim HighQuality El B-Claim HighQuality metronidazol I-Claim HighQuality ha I-Claim HighQuality quedado I-Claim HighQuality relegado I-Claim HighQuality a I-Claim HighQuality situaciones I-Claim HighQuality en I-Claim HighQuality las I-Claim HighQuality que I-Claim HighQuality no I-Claim HighQuality se I-Claim HighQuality dispone I-Claim HighQuality de I-Claim HighQuality vancomicina. I-Claim HighQuality QUESTION O TYPE: O PSYCHIATRY O CLINICAL O CASE: O Un B-Premise HighQuality paciente I-Premise HighQuality de I-Premise HighQuality 36 I-Premise HighQuality años, I-Premise HighQuality oriundo I-Premise HighQuality de I-Premise HighQuality otra I-Premise HighQuality cultura I-Premise HighQuality que I-Premise HighQuality vive I-Premise HighQuality en I-Premise HighQuality España I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 4 I-Premise HighQuality años I-Premise HighQuality se I-Premise HighQuality presenta I-Premise HighQuality en I-Premise HighQuality una I-Premise HighQuality consulta I-Premise HighQuality de I-Premise HighQuality S.N. I-Premise HighQuality de I-Premise HighQuality Salud. I-Premise HighQuality Refiere B-Premise HighQuality presentar I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 10 I-Premise HighQuality meses I-Premise HighQuality sintomatología I-Premise HighQuality ansiosa I-Premise HighQuality y I-Premise HighQuality humor I-Premise HighQuality depresivo. I-Premise HighQuality Este O cuadro O interfiere O moderadamente O en O su O actividad O cotidiana. O No B-Premise HighQuality tiene I-Premise HighQuality antecedentes I-Premise HighQuality psiquiátricos I-Premise HighQuality previos. I-Premise HighQuality Dicha O situación O se O produce O a O raíz O del O fallecimiento, O en O un O accidente O automovilístico, O de O un O hermano O mayor O con O quien O se O encontraba O muy O unido. O Señalar O cuál O de O los O siguientes O diagnósticos O es O el O apropiado: O 1- O Depresión B-Claim HighQuality mayor. I-Claim HighQuality 2- O Trastorno B-Claim HighQuality bipolar I-Claim HighQuality II. I-Claim HighQuality 3- O Trastorno B-Claim HighQuality de I-Claim HighQuality adaptación. I-Claim HighQuality 4- O Distimia. B-Claim HighQuality 5- O Ciclotimia. B-Claim HighQuality CORRECT O ANSWER: O 3 O La B-Claim HighQuality relativa I-Claim HighQuality levedad I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality síntomas, I-Claim HighQuality que I-Claim HighQuality no I-Claim HighQuality interfieren I-Claim HighQuality de I-Claim HighQuality forma I-Claim HighQuality grave I-Claim HighQuality en I-Claim HighQuality su I-Claim HighQuality actividad I-Claim HighQuality diaria, I-Claim HighQuality excluye I-Claim HighQuality en I-Claim HighQuality principio I-Claim HighQuality el I-Claim HighQuality diagnóstico I-Claim HighQuality de I-Claim HighQuality depresión I-Claim HighQuality mayor. I-Claim HighQuality No B-Claim HighQuality hay I-Claim HighQuality datos I-Claim HighQuality de I-Claim HighQuality fases I-Claim HighQuality hipomaníacas I-Claim HighQuality que I-Claim HighQuality justifiquen I-Claim HighQuality un I-Claim HighQuality trastorno I-Claim HighQuality bipolar I-Claim HighQuality II. I-Claim HighQuality La B-Claim HighQuality distimia I-Claim HighQuality precisa I-Claim HighQuality una I-Claim HighQuality duración I-Claim HighQuality de I-Claim HighQuality al I-Claim HighQuality menos I-Claim HighQuality dos I-Claim HighQuality años. I-Claim HighQuality La B-Claim HighQuality ciclotimia I-Claim HighQuality es I-Claim HighQuality un I-Claim HighQuality diagnóstico I-Claim HighQuality hoy I-Claim HighQuality en I-Claim HighQuality día I-Claim HighQuality muy I-Claim HighQuality raro I-Claim HighQuality (porque, B-Claim HighQuality como I-Claim HighQuality decía I-Claim HighQuality Castilla I-Claim HighQuality del I-Claim HighQuality Pino I-Claim HighQuality en I-Claim HighQuality una I-Claim HighQuality entrevista, I-Claim HighQuality lo I-Claim HighQuality que I-Claim HighQuality antes I-Claim HighQuality eran I-Claim HighQuality ciclotímicos I-Claim HighQuality los I-Claim HighQuality llamamos I-Claim HighQuality ahora I-Claim HighQuality bipolares, I-Claim HighQuality contribuyendo I-Claim HighQuality a I-Claim HighQuality una I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality múltiples I-Claim HighQuality epidemias I-Claim HighQuality psiquiátricas I-Claim HighQuality de I-Claim HighQuality nuestro I-Claim HighQuality tiempo), I-Claim HighQuality que B-Claim HighQuality consta I-Claim HighQuality de I-Claim HighQuality oscilaciones I-Claim HighQuality entre I-Claim HighQuality el I-Claim HighQuality polo I-Claim HighQuality depresivo I-Claim HighQuality y I-Claim HighQuality el I-Claim HighQuality maniforme, I-Claim HighQuality leves. I-Claim HighQuality Pero B-Premise HighQuality no I-Premise HighQuality hay I-Premise HighQuality datos I-Premise HighQuality de I-Premise HighQuality tales I-Premise HighQuality oscilaciones. I-Premise HighQuality La B-Claim HighQuality respuesta I-Claim HighQuality correcta I-Claim HighQuality es, I-Claim HighQuality con I-Claim HighQuality toda I-Claim HighQuality probabilidad, I-Claim HighQuality la I-Claim HighQuality 3. I-Claim HighQuality El B-Claim HighQuality trastorno I-Claim HighQuality adaptativo I-Claim HighQuality aparece I-Claim HighQuality en I-Claim HighQuality los I-Claim HighQuality 3 I-Claim HighQuality meses I-Claim HighQuality posteriores I-Claim HighQuality al I-Claim HighQuality acontecimiento I-Claim HighQuality estresante I-Claim HighQuality y I-Claim HighQuality no I-Claim HighQuality dura I-Claim HighQuality más I-Claim HighQuality de I-Claim HighQuality 6 I-Claim HighQuality meses I-Claim HighQuality si I-Claim HighQuality ha I-Claim HighQuality cesado I-Claim HighQuality el I-Claim HighQuality mismo I-Claim HighQuality o I-Claim HighQuality sus I-Claim HighQuality consecuencias I-Claim HighQuality (lo I-Claim HighQuality que I-Claim HighQuality no I-Claim HighQuality es I-Claim HighQuality el I-Claim HighQuality caso I-Claim HighQuality porque I-Claim HighQuality el I-Claim HighQuality hermano I-Claim HighQuality del I-Claim HighQuality imaginario I-Claim HighQuality paciente I-Claim HighQuality sigue I-Claim HighQuality muerto). I-Claim HighQuality Los O síntomas O ansioso-depresivos O leves O encajan O con O tal O diagnóstico. O Una O muestra O más O de O cómo O conceptualizar O como O enfermedad O lo O que O son O hechos O (aunque O dolorosos) O de O la O vida. O Seguro O que O el O imaginario O paciente O se O lleva O algún O antidepresivo O porque O a O lo O mejor O algo O ayuda O (1). O QUESTION O TYPE: O ONCOLOGY O CLINICAL O CASE: O Ante O un B-Premise HighQuality paciente I-Premise HighQuality que I-Premise HighQuality presenta I-Premise HighQuality una I-Premise HighQuality lesión I-Premise HighQuality úlcerovegetante I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality encía I-Premise HighQuality mandibular I-Premise HighQuality a I-Premise HighQuality nivel I-Premise HighQuality de I-Premise HighQuality la I-Premise HighQuality región I-Premise HighQuality de I-Premise HighQuality los I-Premise HighQuality molares I-Premise HighQuality de I-Premise HighQuality 5 I-Premise HighQuality meses I-Premise HighQuality de I-Premise HighQuality evolución, I-Premise HighQuality la I-Premise HighQuality aparición I-Premise HighQuality de I-Premise HighQuality hipoestesia I-Premise HighQuality en I-Premise HighQuality la I-Premise HighQuality región I-Premise HighQuality mentoniana I-Premise HighQuality requiere I-Premise HighQuality descartar: I-Premise HighQuality 1- O Una B-Claim HighQuality neuropatía I-Claim HighQuality paraneoplásica. I-Claim HighQuality 2- O El B-Claim HighQuality diagnóstico I-Claim HighQuality de I-Claim HighQuality sarcoidosis I-Claim HighQuality con I-Claim HighQuality parálisis I-Claim HighQuality facial I-Claim HighQuality «en I-Claim HighQuality báscula». I-Claim HighQuality 3- O Infección B-Claim HighQuality por I-Claim HighQuality virus I-Claim HighQuality herpes I-Claim HighQuality en I-Claim HighQuality paciente I-Claim HighQuality inmunodeprimido. I-Claim HighQuality 4- O El B-Claim HighQuality diagnóstico I-Claim HighQuality de I-Claim HighQuality carcinoma I-Claim HighQuality con I-Claim HighQuality infiltración I-Claim HighQuality del I-Claim HighQuality canal I-Claim HighQuality mandibular. I-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 4 O Las B-Claim HighQuality parestesias I-Claim HighQuality mentonianas I-Claim HighQuality (signo I-Claim HighQuality de I-Claim HighQuality Roger) I-Claim HighQuality se I-Claim HighQuality asocian I-Claim HighQuality a I-Claim HighQuality metástasis I-Claim HighQuality óseas I-Claim HighQuality (no B-Claim HighQuality es I-Claim HighQuality paraneoplásico I-Claim HighQuality sino I-Claim HighQuality infiltración I-Claim HighQuality directa). I-Claim HighQuality En B-Claim HighQuality este I-Claim HighQuality caso I-Claim HighQuality lo I-Claim HighQuality que I-Claim HighQuality describen I-Claim HighQuality es I-Claim HighQuality un I-Claim HighQuality tumor I-Claim HighQuality oral I-Claim HighQuality creciendo I-Claim HighQuality localmente I-Claim HighQuality e I-Claim HighQuality infiltrando I-Claim HighQuality el I-Claim HighQuality canal I-Claim HighQuality mandibular, I-Claim HighQuality creo. I-Claim HighQuality QUESTION O TYPE: O ENDOCRINOLOGY O CLINICAL O CASE: O Mujer B-Premise HighQuality de I-Premise HighQuality 55 I-Premise HighQuality años I-Premise HighQuality con I-Premise HighQuality diabetes I-Premise HighQuality tipo I-Premise HighQuality 1 I-Premise HighQuality diagnosticada I-Premise HighQuality a I-Premise HighQuality los I-Premise HighQuality 15 I-Premise HighQuality años I-Premise HighQuality que I-Premise HighQuality refiere I-Premise HighQuality náuseas I-Premise HighQuality y I-Premise HighQuality distensión I-Premise HighQuality abdominal, I-Premise HighQuality especialmente I-Premise HighQuality después I-Premise HighQuality de I-Premise HighQuality las I-Premise HighQuality comidas. I-Premise HighQuality La B-Premise HighQuality evaluación I-Premise HighQuality es I-Premise HighQuality compatible I-Premise HighQuality con I-Premise HighQuality una I-Premise HighQuality gastroparesia I-Premise HighQuality diabética. I-Premise HighQuality ¿Cuál O de O los O siguientes O medicamentos O sería O el O tratamiento O más O adecuado O para O mejorar O sus O síntomas?: O 1- O Lansoprazol. B-Claim HighQuality 2- O Ondansetrón. B-Claim HighQuality 3- O Loperamida. B-Claim HighQuality 4- O Metoclopramida. B-Claim HighQuality 5- O nan O CORRECT O ANSWER: O 4 O Fue B-Claim HighQuality aprobada I-Claim HighQuality como I-Claim HighQuality tratamiento I-Claim HighQuality para I-Claim HighQuality la I-Claim HighQuality gastroparesia I-Claim HighQuality por I-Claim HighQuality la I-Claim HighQuality Food I-Claim HighQuality and I-Claim HighQuality Drug I-Claim HighQuality Administration I-Claim HighQuality (FDA) I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality Estados I-Claim HighQuality Unidos I-Claim HighQuality en I-Claim HighQuality 1979 I-Claim HighQuality y I-Claim HighQuality sigue I-Claim HighQuality siendo I-Claim HighQuality el I-Claim HighQuality fármaco I-Claim HighQuality de I-Claim HighQuality primera I-Claim HighQuality línea. I-Claim HighQuality Actúa B-Claim HighQuality como I-Claim HighQuality procinético I-Claim HighQuality por I-Claim HighQuality su I-Claim HighQuality efecto I-Claim HighQuality antagónico I-Claim HighQuality sobre I-Claim HighQuality la I-Claim HighQuality dopamina I-Claim HighQuality 2 I-Claim HighQuality de I-Claim HighQuality los I-Claim HighQuality receptores I-Claim HighQuality (D2) I-Claim HighQuality promoviendo I-Claim HighQuality el I-Claim HighQuality vaciamiento I-Claim HighQuality gástrico I-Claim HighQuality y, I-Claim HighQuality además, I-Claim HighQuality se I-Claim HighQuality une I-Claim HighQuality al I-Claim HighQuality receptor I-Claim HighQuality 5-hidroxitriptamina I-Claim HighQuality 4 I-Claim HighQuality (serotonina I-Claim HighQuality 5-HT4) I-Claim HighQuality para I-Claim HighQuality estimular I-Claim HighQuality las I-Claim HighQuality vías I-Claim HighQuality nerviosas I-Claim HighQuality colinérgicas I-Claim HighQuality en I-Claim HighQuality el I-Claim HighQuality estómago. I-Claim HighQuality Fisiológicamente, B-Claim HighQuality acelera I-Claim HighQuality el I-Claim HighQuality tránsito I-Claim HighQuality intestinal I-Claim HighQuality al I-Claim HighQuality aumentar I-Claim HighQuality el I-Claim HighQuality tono I-Claim HighQuality y I-Claim HighQuality la I-Claim HighQuality amplitud I-Claim HighQuality de I-Claim HighQuality las I-Claim HighQuality contracciones I-Claim HighQuality gástricas, I-Claim HighQuality incrementa I-Claim HighQuality la I-Claim HighQuality presión I-Claim HighQuality del I-Claim HighQuality esfínter I-Claim HighQuality esofágico I-Claim HighQuality inferior I-Claim HighQuality y I-Claim HighQuality mejora I-Claim HighQuality la I-Claim HighQuality coordinación I-Claim HighQuality antropiloroduodenal. 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I-Premise HighQuality Acude B-Premise HighQuality a I-Premise HighQuality urgencias I-Premise HighQuality porque I-Premise HighQuality desde I-Premise HighQuality hace I-Premise HighQuality 3 I-Premise HighQuality días I-Premise HighQuality presenta I-Premise HighQuality fiebre I-Premise HighQuality de I-Premise HighQuality 38ºC, I-Premise HighQuality poliaquiuria, I-Premise HighQuality disuria, I-Premise HighQuality intensa I-Premise HighQuality sed I-Premise HighQuality y I-Premise HighQuality disminución I-Premise HighQuality progresiva I-Premise HighQuality del I-Premise HighQuality nivel I-Premise HighQuality de I-Premise HighQuality consciencia. I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality exploración I-Premise HighQuality física I-Premise HighQuality se I-Premise HighQuality aprecian I-Premise HighQuality signos I-Premise HighQuality de I-Premise HighQuality deshidratación, I-Premise HighQuality PA I-Premise HighQuality de I-Premise HighQuality 95/54 I-Premise HighQuality mm I-Premise HighQuality Hg I-Premise HighQuality y I-Premise HighQuality no I-Premise HighQuality hay I-Premise HighQuality signos I-Premise HighQuality de I-Premise HighQuality localidad I-Premise HighQuality neurológica. I-Premise HighQuality En B-Premise HighQuality la I-Premise HighQuality analítica I-Premise HighQuality destaca I-Premise HighQuality leucocitosis, I-Premise HighQuality creatinina I-Premise HighQuality de I-Premise HighQuality 1,8 I-Premise HighQuality mg/dL I-Premise HighQuality y I-Premise HighQuality glucemia I-Premise HighQuality de I-Premise HighQuality 855 I-Premise HighQuality mg/dL. 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I-Premise HighQuality QUESTION O TYPE: O GENERAL O SURGERY O CLINICAL O CASE: O Mujer B-Premise HighQuality de I-Premise HighQuality 26 I-Premise HighQuality años I-Premise HighQuality que I-Premise HighQuality presenta I-Premise HighQuality incontinencia I-Premise HighQuality fecal I-Premise HighQuality después I-Premise HighQuality de I-Premise HighQuality un I-Premise HighQuality parto I-Premise HighQuality prolongado I-Premise HighQuality e I-Premise HighQuality instrumental. I-Premise HighQuality Se B-Premise HighQuality practica I-Premise HighQuality ecografía I-Premise HighQuality endoanal I-Premise HighQuality apreciándose I-Premise HighQuality una I-Premise HighQuality sección I-Premise HighQuality del I-Premise HighQuality esfínter I-Premise HighQuality anal I-Premise HighQuality externo I-Premise HighQuality de I-Premise HighQuality 30º I-Premise HighQuality de I-Premise HighQuality amplitud. 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O Aunque B-Claim HighQuality el I-Claim HighQuality eritema I-Claim HighQuality nudoso I-Claim HighQuality puede I-Claim HighQuality ser I-Claim HighQuality secundario I-Claim HighQuality a I-Claim HighQuality un I-Claim HighQuality proceso I-Claim HighQuality maligno, I-Claim HighQuality es I-Claim HighQuality más I-Claim HighQuality frecuente I-Claim HighQuality que I-Claim HighQuality se I-Claim HighQuality deba I-Claim HighQuality a I-Claim HighQuality la I-Claim HighQuality misma I-Claim HighQuality enfermedad I-Claim HighQuality de I-Claim HighQuality Crohn I-Claim HighQuality (además O en B-Premise HighQuality un I-Premise HighQuality chico I-Premise HighQuality de I-Premise HighQuality 17 I-Premise HighQuality años I-Premise HighQuality sería I-Premise HighQuality extremadamente I-Premise HighQuality raro) I-Premise HighQuality así O que, O si B-Claim HighQuality el I-Claim HighQuality cuadro I-Claim HighQuality además I-Claim HighQuality se I-Claim HighQuality acompaña I-Claim HighQuality de I-Claim HighQuality un I-Claim HighQuality brote I-Claim HighQuality de I-Claim HighQuality enfermedad I-Claim HighQuality inflamatoria I-Claim HighQuality intestina, I-Claim HighQuality la I-Claim HighQuality última I-Claim HighQuality opción I-Claim HighQuality (5) I-Claim HighQuality parece I-Claim HighQuality la I-Claim HighQuality más I-Claim HighQuality correcta. 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