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Proceso de atención en enfermería en paciente de 29 años colecistectomizado.
| dc.contributor.advisor | Paz Sánchez, Carlos | |
| dc.contributor.author | Ibarra Vásquez, Emelyn Margarita | |
| dc.date.accessioned | 2022-10-04T05:43:46Z | |
| dc.date.available | 2022-10-04T05:43:46Z | |
| dc.date.issued | 2022 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/12649 | |
| dc.description | Gallstones were the main cause of morbidity with 43,673 discharged from hospitals (INEC, 2019). The clinical case is of a 29-year-old female patient who came to the Alfredo Noboa Montenegro Hospital for outpatient consultation due to colic-type abdominal pain in the right hypochondrium of intensity 8/10 according to the VAS scale, positive Murphy sign. Accompanied by nausea that reaches vomiting, algic fasciae are evident, plus quantified thermo fever. Laboratory tests are performed where neutrophilia without leukocytosis is evidenced, an abdominal echo is performed in the liver and bile ducts, where a thickening of the wall is found in the gallbladder, size 5.72 x 3.42cm, with abundant hyperechoic images ( more than 7) being the one with the largest diameter of approximately 2cm and giving a posterior shadow, with a diagnosis of cholelithiasis, whereby the treating doctor assesses and schedules a surgical procedure by nursing. The anamnesis is carried out where it is stated that she has a surgical history with an abdominoplasty 7 years ago, gynecological history G 1, C1, personal history of hypertensive mother, diagnosis of patients is taken to the surgery service by outpatient staff, negative COVID test, with pre-anesthetic visit. | es_ES |
| dc.description | Gallstones were the main cause of morbidity with 43,673 discharged from hospitals (INEC, 2019). The clinical case is of a 29-year-old female patient who came to the Alfredo Noboa Montenegro Hospital for outpatient consultation due to colic-type abdominal pain in the right hypochondrium of intensity 8/10 according to the VAS scale, positive Murphy sign. Accompanied by nausea that reaches vomiting, algic fasciae are evident, plus quantified thermo fever. Laboratory tests are performed where neutrophilia without leukocytosis is evidenced, an abdominal echo is performed in the liver and bile ducts, where a thickening of the wall is found in the gallbladder, size 5.72 x 3.42cm, with abundant hyperechoic images ( more than 7) being the one with the largest diameter of approximately 2cm and giving a posterior shadow, with a diagnosis of cholelithiasis, whereby the treating doctor assesses and schedules a surgical procedure by nursing. The anamnesis is carried out where it is stated that she has a surgical history with an abdominoplasty 7 years ago, gynecological history G 1, C1, personal history of hypertensive mother, diagnosis of patients is taken to the surgery service by outpatient staff, negative COVID test, with pre-anesthetic visit. | es_ES |
| dc.description.abstract | La litiasis biliar fue la principal causa de morbilidad con 43.673 dados de alta de hospitales (INEC, 2019). El caso clínico es de una paciente de sexo femenino de 29 años de edad que acude al Hospital Alfredo Noboa Montenegro por consulta externa por presentar dolor abdominal en hipocondrio derecho tipo cólico de intensidad 8/10 de acuerdo a la escala de EVA, signo Murphy positivo, acompañado de nausea que llegan al vomito se evidencia fascie algicas más fiebre termo cuantificada. Se realiza pruebas de laboratorio donde se evidencia neutrofilia sin leucocitosis se procede a realizar un eco abdominal en hígado y vías biliares en donde se encuentra en vesícula biliar un engrosamiento de la pared, tamaño 5,72 x 3,42cm, con abundantes imágenes hiperecogénicas (más de 7) siendo la de mayor diámetro de 2cm aproximadamente y dan sombra posterior, con un diagnóstico de colelitiasis, por donde médico tratante valora y programa para procedimiento quirúrgico, por parte de enfermería. Se realiza la anamnesis en donde manifiesta que tiene antecedente quirúrgico con una abdominoplastia hace 7 años, antecedentes ginecológico G 1, C1, antecedentes personales madre hipertensa, diagnóstico de pacientes es llevada al servicio de cirugía por el personal de consulta externa, prueba COVID negativa, con visita pre anestésica. | es_ES |
| dc.format.extent | 40 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2022 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Colelitiasis | es_ES |
| dc.subject | Vesícula biliar | es_ES |
| dc.subject | Dolor | es_ES |
| dc.subject | Antecedentes | es_ES |
| dc.subject | Abdominal | es_ES |
| dc.title | Proceso de atención en enfermería en paciente de 29 años colecistectomizado. | es_ES |
| dc.type | bachelorThesis | es_ES |
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