diff --git "a/data/test.conll" "b/data/test.conll" deleted file mode 100644--- "a/data/test.conll" +++ /dev/null @@ -1,6413 +0,0 @@ -Paciente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -femenino I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -10 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -edad, I-PRESENT_ILLNESS -oriunda B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -provincia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -Misiones, I-PAST_MEDICAL_HISTORY -que B-PRESENT_ILLNESS -consultó I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -Dermatología I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -presentar I-PRESENT_ILLNESS -múltiples I-PRESENT_ILLNESS -placas I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -aspecto I-PRESENT_ILLNESS -verrugoso I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -numerosas I-PRESENT_ILLNESS -pápulas I-PRESENT_ILLNESS -negruzcas I-PRESENT_ILLNESS -sobre I-PRESENT_ILLNESS -su I-PRESENT_ILLNESS -superficie, I-PRESENT_ILLNESS -localizadas I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -sitios I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -apoyo I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -ambos I-PRESENT_ILLNESS -pies I-PRESENT_ILLNESS -(punta I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -dedos, I-PRESENT_ILLNESS -metatarso I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -talones), I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -reciente I-PRESENT_ILLNESS -aparición. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -Las I-PRESENT_ILLNESS -lesiones I-PRESENT_ILLNESS -le I-PRESENT_ILLNESS -ocasionaban I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -dificultaban I-PRESENT_ILLNESS -su I-PRESENT_ILLNESS -deambulación. I-PRESENT_ILLNESS -Realizada B-TREATMENT -la I-TREATMENT -extracción I-TREATMENT -quirúrgica, I-TREATMENT -se B-EXPLORATION -obtuvieron I-EXPLORATION -alrededor I-EXPLORATION -de I-EXPLORATION -20 I-EXPLORATION -tungas I-EXPLORATION -y I-EXPLORATION -las I-EXPLORATION -muestras I-EXPLORATION -extraídas I-EXPLORATION -se I-EXPLORATION -enviaron I-EXPLORATION -al I-EXPLORATION -servicio I-EXPLORATION -de I-EXPLORATION -anatomopatología, I-EXPLORATION -que I-EXPLORATION -confirmó I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -tungiasis. I-EXPLORATION -La B-TREATMENT -paciente I-TREATMENT -fue I-TREATMENT -tratada I-TREATMENT -con I-TREATMENT -ivermecti-na I-TREATMENT -vía I-TREATMENT -oral I-TREATMENT -200 I-TREATMENT -µg/kg I-TREATMENT -como I-TREATMENT -terapia I-TREATMENT -coadyuvante, I-TREATMENT -debido I-TREATMENT -al I-TREATMENT -gran I-TREATMENT -compromiso I-TREATMENT -cutáneo I-TREATMENT -y I-TREATMENT -la I-TREATMENT -multiplicidad I-TREATMENT -de I-TREATMENT -lesiones. I-TREATMENT -Las B-EVOLUTION -lesiones I-EVOLUTION -evolucionaron I-EVOLUTION -favorablemente I-EVOLUTION -con I-EVOLUTION -resolución I-EVOLUTION -completa. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -sexo I-PRESENT_ILLNESS -femenino I-PRESENT_ILLNESS -internada I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -cuatro I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -vida I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -fiebre I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -depresión I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -sensorio. I-PRESENT_ILLNESS -Antecedentes: B-PAST_MEDICAL_HISTORY -recién I-PAST_MEDICAL_HISTORY -nacida I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -término, I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -peso I-PAST_MEDICAL_HISTORY -adecuado I-PAST_MEDICAL_HISTORY -para I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -edad I-PAST_MEDICAL_HISTORY -gestacional, I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -diagnóstico I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -ictericia I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -incompatibilidad I-PAST_MEDICAL_HISTORY -ABO, I-PAST_MEDICAL_HISTORY -tratada I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -luminoterapia I-PAST_MEDICAL_HISTORY -dentro I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -primeras I-PAST_MEDICAL_HISTORY -24 I-PAST_MEDICAL_HISTORY -h I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vida. I-PAST_MEDICAL_HISTORY -Al I-PAST_MEDICAL_HISTORY -momento I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -egreso I-PAST_MEDICAL_HISTORY -los I-PAST_MEDICAL_HISTORY -valores I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -bilirrubina I-PAST_MEDICAL_HISTORY -total I-PAST_MEDICAL_HISTORY -eran I-PAST_MEDICAL_HISTORY -9, I-PAST_MEDICAL_HISTORY -9 I-PAST_MEDICAL_HISTORY -mg/dl I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -directa I-PAST_MEDICAL_HISTORY -0, I-PAST_MEDICAL_HISTORY -5 I-PAST_MEDICAL_HISTORY -mg/dl. I-PAST_MEDICAL_HISTORY -Reingresó I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -Neonatología I-PAST_MEDICAL_HISTORY -al I-PAST_MEDICAL_HISTORY -mes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vida I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -ictericia I-PAST_MEDICAL_HISTORY -prolongada. I-PAST_MEDICAL_HISTORY -Durante I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -internación I-PAST_MEDICAL_HISTORY -se I-PAST_MEDICAL_HISTORY -realizó I-PAST_MEDICAL_HISTORY -ecografía I-PAST_MEDICAL_HISTORY -abdominal I-PAST_MEDICAL_HISTORY -cuyo I-PAST_MEDICAL_HISTORY -informe I-PAST_MEDICAL_HISTORY -mencionaba I-PAST_MEDICAL_HISTORY -presencia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -vías I-PAST_MEDICAL_HISTORY -biliares I-PAST_MEDICAL_HISTORY -intrahepática I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -extrahepáticas, I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -dilatación. I-PAST_MEDICAL_HISTORY -Laboratorio: I-PAST_MEDICAL_HISTORY -bilirrubinemia I-PAST_MEDICAL_HISTORY -total I-PAST_MEDICAL_HISTORY -11, I-PAST_MEDICAL_HISTORY -3 I-PAST_MEDICAL_HISTORY -mg/dl I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -directa I-PAST_MEDICAL_HISTORY -1, I-PAST_MEDICAL_HISTORY -7 I-PAST_MEDICAL_HISTORY -mg/dl, I-PAST_MEDICAL_HISTORY -FAL I-PAST_MEDICAL_HISTORY -257 I-PAST_MEDICAL_HISTORY -UI/L, I-PAST_MEDICAL_HISTORY -TGP I-PAST_MEDICAL_HISTORY -55 I-PAST_MEDICAL_HISTORY -UI/L, I-PAST_MEDICAL_HISTORY -TGO I-PAST_MEDICAL_HISTORY -69 I-PAST_MEDICAL_HISTORY -UI/L. I-PAST_MEDICAL_HISTORY -Fue I-PAST_MEDICAL_HISTORY -dada I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -alta I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -continuó I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -seguimiento I-PAST_MEDICAL_HISTORY -ambulatorio I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -gastroenterólogo I-PAST_MEDICAL_HISTORY -pediatra, I-PAST_MEDICAL_HISTORY -hasta I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -internación I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -hemorragia I-PAST_MEDICAL_HISTORY -intracraneal. I-PAST_MEDICAL_HISTORY -Evolución: B-EXPLORATION -al I-EXPLORATION -ingreso I-EXPLORATION -se I-EXPLORATION -encontró I-EXPLORATION -ictericia I-EXPLORATION -generalizada, I-EXPLORATION -hepatomegalia I-EXPLORATION -y I-EXPLORATION -sopor. I-EXPLORATION -Dentro B-EVOLUTION -de I-EVOLUTION -las I-EVOLUTION -primeras I-EVOLUTION -24 I-EVOLUTION -h I-EVOLUTION -de I-EVOLUTION -internación I-EVOLUTION -presentó I-EVOLUTION -episodio I-EVOLUTION -convulsivo I-EVOLUTION -focal I-EVOLUTION -en I-EVOLUTION -hemicuerpo I-EVOLUTION -derecho; I-EVOLUTION -en B-TREATMENT -la I-TREATMENT -tomografía I-TREATMENT -computada I-TREATMENT -cerebral I-TREATMENT -(TC) I-TREATMENT -se I-TREATMENT -constató I-TREATMENT -hematoma I-TREATMENT -subdural I-TREATMENT -que I-TREATMENT -requirió I-TREATMENT -drenaje I-TREATMENT -quirúrgico I-TREATMENT -y I-TREATMENT -asistencia I-TREATMENT -respiratoria I-TREATMENT -mecánica I-TREATMENT -hasta I-TREATMENT -48 I-TREATMENT -h I-TREATMENT -del I-TREATMENT -postoperatorio. I-TREATMENT -Laboratorio B-EXPLORATION -de I-EXPLORATION -ingreso: I-EXPLORATION -GOT I-EXPLORATION -120 I-EXPLORATION -UI/L, I-EXPLORATION -GPT I-EXPLORATION -180 I-EXPLORATION -UI/L, I-EXPLORATION -FAL I-EXPLORATION -1053 I-EXPLORATION -UI/L, I-EXPLORATION -gammaglutamiltranspeptidasa I-EXPLORATION -1119 I-EXPLORATION -UI/L, I-EXPLORATION -LDH I-EXPLORATION -1262 I-EXPLORATION -UI/L, I-EXPLORATION -bilirrubinemia I-EXPLORATION -total I-EXPLORATION -6 I-EXPLORATION -mg/dl I-EXPLORATION -y I-EXPLORATION -directa I-EXPLORATION -3, I-EXPLORATION -9 I-EXPLORATION -mg/ I-EXPLORATION -dl, I-EXPLORATION -amonio I-EXPLORATION -51, I-EXPLORATION -8 I-EXPLORATION -mcg/dl, I-EXPLORATION -lactacidemia I-EXPLORATION -7 I-EXPLORATION -mmol/L, I-EXPLORATION -tiempo I-EXPLORATION -de I-EXPLORATION -protrombina I-EXPLORATION -59%, I-EXPLORATION -KPTT I-EXPLORATION -100 I-EXPLORATION -segundos I-EXPLORATION -(no I-EXPLORATION -se I-EXPLORATION -le I-EXPLORATION -administró I-EXPLORATION -vitamina I-EXPLORATION -K I-EXPLORATION -ni I-EXPLORATION -plasma I-EXPLORATION -frasco I-EXPLORATION -congelado I-EXPLORATION -previo I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -toma I-EXPLORATION -de I-EXPLORATION -muestra). I-EXPLORATION -Serologías I-EXPLORATION -para I-EXPLORATION -VIH, I-EXPLORATION -sífilis, I-EXPLORATION -toxoplasmosis, I-EXPLORATION -hepatitis I-EXPLORATION -B, I-EXPLORATION -hepatitis I-EXPLORATION -A I-EXPLORATION -y I-EXPLORATION -citomegalovirus I-EXPLORATION -negativas. I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -centellograma I-EXPLORATION -con I-EXPLORATION -HIDA I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -falta I-EXPLORATION -de I-EXPLORATION -captación I-EXPLORATION -de I-EXPLORATION -contraste I-EXPLORATION -intrahepático I-EXPLORATION -y I-EXPLORATION -extrahepático, I-EXPLORATION -sin I-EXPLORATION -pasaje I-EXPLORATION -de I-EXPLORATION -contraste I-EXPLORATION -al I-EXPLORATION -intestino. I-EXPLORATION -Se B-TREATMENT -decidió I-TREATMENT -realizar I-TREATMENT -portoenteroanastomosis I-TREATMENT -por I-TREATMENT -laparoscopia, I-TREATMENT -después I-TREATMENT -de I-TREATMENT -confirmar I-TREATMENT -el I-TREATMENT -diagnóstico I-TREATMENT -de I-TREATMENT -atresia I-TREATMENT -de I-TREATMENT -vías I-TREATMENT -biliares I-TREATMENT -durante I-TREATMENT -la I-TREATMENT -cirugía. I-TREATMENT -A B-EVOLUTION -los I-EVOLUTION -6 I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -vida I-EVOLUTION -presentaba I-EVOLUTION -maduración I-EVOLUTION -neurológica I-EVOLUTION -adecuada I-EVOLUTION -a I-EVOLUTION -la I-EVOLUTION -edad. I-EVOLUTION -Requirió B-TREATMENT -trasplante I-TREATMENT -hepático I-TREATMENT -cerca I-TREATMENT -del I-TREATMENT -año I-TREATMENT -de I-TREATMENT -edad. I-TREATMENT - I-TREATMENT - -Niño B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -30 I-PRESENT_ILLNESS -meses, I-PRESENT_ILLNESS -nacido B-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -término, I-PAST_MEDICAL_HISTORY -cesárea I-PAST_MEDICAL_HISTORY -programada, I-PAST_MEDICAL_HISTORY -embarazo I-PAST_MEDICAL_HISTORY -controlado, I-PAST_MEDICAL_HISTORY -peso I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -talla I-PAST_MEDICAL_HISTORY -acordes I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -edad I-PAST_MEDICAL_HISTORY -gestacional. I-PAST_MEDICAL_HISTORY -Antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -dos I-PAST_MEDICAL_HISTORY -episodios I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -otitis I-PAST_MEDICAL_HISTORY -media, I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -cirugías, I-PAST_MEDICAL_HISTORY -internaciones I-PAST_MEDICAL_HISTORY -previas I-PAST_MEDICAL_HISTORY -ni I-PAST_MEDICAL_HISTORY -alergias. I-PAST_MEDICAL_HISTORY -Inmunizaciones I-PAST_MEDICAL_HISTORY -completas I-PAST_MEDICAL_HISTORY -según I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -calendario I-PAST_MEDICAL_HISTORY -oficial. I-PAST_MEDICAL_HISTORY -Crecimiento I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -desarrollo I-PAST_MEDICAL_HISTORY -normales. I-PAST_MEDICAL_HISTORY -Historia B-FAMILY_HISTORY -familiar I-FAMILY_HISTORY -con I-FAMILY_HISTORY -ambos I-FAMILY_HISTORY -padres I-FAMILY_HISTORY -obesos I-FAMILY_HISTORY -con I-FAMILY_HISTORY -cirugía I-FAMILY_HISTORY -bariátrica I-FAMILY_HISTORY -realizada, I-FAMILY_HISTORY -y I-FAMILY_HISTORY -dos I-FAMILY_HISTORY -hermanas I-FAMILY_HISTORY -mayores I-FAMILY_HISTORY -con I-FAMILY_HISTORY -antecedentes I-FAMILY_HISTORY -de I-FAMILY_HISTORY -asma I-FAMILY_HISTORY -e I-FAMILY_HISTORY -hipotiroidismo, I-FAMILY_HISTORY -respectivamente. I-FAMILY_HISTORY - I-FAMILY_HISTORY -Es B-DERIVED_FROM/TO -derivado I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -nuestro I-DERIVED_FROM/TO -hospital I-DERIVED_FROM/TO -con I-DERIVED_FROM/TO -diagnóstico I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -síndrome I-DERIVED_FROM/TO -ascítico I-DERIVED_FROM/TO -edematoso. I-DERIVED_FROM/TO -Comenzó B-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -semana I-PRESENT_ILLNESS -antes I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -edema I-PRESENT_ILLNESS -palpebral I-PRESENT_ILLNESS -bilateral I-PRESENT_ILLNESS -leve. I-PRESENT_ILLNESS -Dos I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -después, I-PRESENT_ILLNESS -presentó I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -exantema I-PRESENT_ILLNESS -urticariante I-PRESENT_ILLNESS -generalizado I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -todo I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -cuerpo, I-PRESENT_ILLNESS -no I-PRESENT_ILLNESS -pruriginoso, I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -revirtió I-PRESENT_ILLNESS -espontáneamente I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -menos I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -24 I-PRESENT_ILLNESS -horas. I-PRESENT_ILLNESS -A I-PRESENT_ILLNESS -las I-PRESENT_ILLNESS -48 I-PRESENT_ILLNESS -horas, I-PRESENT_ILLNESS -apareció I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -edema I-PRESENT_ILLNESS -bipalpebral I-PRESENT_ILLNESS -más I-PRESENT_ILLNESS -pronunciado, I-PRESENT_ILLNESS -distensión I-PRESENT_ILLNESS -abdominal I-PRESENT_ILLNESS -e I-PRESENT_ILLNESS -irritabilidad. I-PRESENT_ILLNESS -Se I-PRESENT_ILLNESS -consultó I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -pediatra, I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -constató I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -aumento I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -2 I-PRESENT_ILLNESS -kg I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -respecto I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -peso I-PRESENT_ILLNESS -previo I-PRESENT_ILLNESS -(2 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -antes). I-PRESENT_ILLNESS -No B-PAST_MEDICAL_HISTORY -tenía I-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -infecciones. I-PAST_MEDICAL_HISTORY -Fue B-DERIVED_FROM/TO -derivado I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -un I-DERIVED_FROM/TO -médico I-DERIVED_FROM/TO -nefrólogo, I-DERIVED_FROM/TO -quien I-DERIVED_FROM/TO -solicitó I-DERIVED_FROM/TO -estudios I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -laboratorio I-DERIVED_FROM/TO -cuyos I-DERIVED_FROM/TO -resultados I-DERIVED_FROM/TO -mostraron I-DERIVED_FROM/TO -marcada I-DERIVED_FROM/TO -hipoproteinemia I-DERIVED_FROM/TO -e I-DERIVED_FROM/TO -hipoalbuminemia, I-DERIVED_FROM/TO -hipertrigliceridemia, I-DERIVED_FROM/TO -hipocalcemia I-DERIVED_FROM/TO -leve I-DERIVED_FROM/TO -y I-DERIVED_FROM/TO -orina I-DERIVED_FROM/TO -normal. I-DERIVED_FROM/TO -Se I-DERIVED_FROM/TO -trasladó I-DERIVED_FROM/TO -al I-DERIVED_FROM/TO -niño I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -nuestro I-DERIVED_FROM/TO -hospital I-DERIVED_FROM/TO -para I-DERIVED_FROM/TO -su I-DERIVED_FROM/TO -diagnóstico I-DERIVED_FROM/TO -y I-DERIVED_FROM/TO -tratamiento. I-DERIVED_FROM/TO - I-DERIVED_FROM/TO -Examen B-EXPLORATION -físico: I-EXPLORATION -niño I-EXPLORATION -lúcido, I-EXPLORATION -vigil, I-EXPLORATION -orientado, I-EXPLORATION -irritable. I-EXPLORATION -TA I-EXPLORATION -109/78 I-EXPLORATION -mm I-EXPLORATION -Hg, I-EXPLORATION -TAM I-EXPLORATION -92 I-EXPLORATION -mm I-EXPLORATION -Hg, I-EXPLORATION -FC I-EXPLORATION -130 I-EXPLORATION -lpm, I-EXPLORATION -FR I-EXPLORATION -32 I-EXPLORATION -rpm, I-EXPLORATION -temperatura I-EXPLORATION -36, I-EXPLORATION -7°C, I-EXPLORATION -saturación I-EXPLORATION -de I-EXPLORATION -O2 I-EXPLORATION -96% I-EXPLORATION -respirando I-EXPLORATION -aire I-EXPLORATION -ambiente. I-EXPLORATION -Peso I-EXPLORATION -14, I-EXPLORATION -600 I-EXPLORATION -kg, I-EXPLORATION -palidez I-EXPLORATION -generalizada, I-EXPLORATION -facies I-EXPLORATION -abotagada. I-EXPLORATION -Edema I-EXPLORATION -palpebral I-EXPLORATION -bilateral. I-EXPLORATION -Algunos I-EXPLORATION -crepitantes I-EXPLORATION -basales I-EXPLORATION -en I-EXPLORATION -ambos I-EXPLORATION -campos I-EXPLORATION -pulmonares. I-EXPLORATION -Edema I-EXPLORATION -pretibial I-EXPLORATION -bilateral. I-EXPLORATION -Abdomen I-EXPLORATION -globuloso, I-EXPLORATION -distendido, I-EXPLORATION -onda I-EXPLORATION -ascítica I-EXPLORATION -positiva, I-EXPLORATION -sin I-EXPLORATION -hepatoesplenomegalia. I-EXPLORATION -Edema I-EXPLORATION -escrotal I-EXPLORATION -y I-EXPLORATION -suprapúbico. I-EXPLORATION -El I-EXPLORATION -resto I-EXPLORATION -del I-EXPLORATION -examen I-EXPLORATION -no I-EXPLORATION -presentó I-EXPLORATION -particularidades. I-EXPLORATION - I-EXPLORATION -Laboratorio I-EXPLORATION -inicial: I-EXPLORATION -leucocitos: I-EXPLORATION -17 I-EXPLORATION -700/mm3, I-EXPLORATION -fórmula: I-EXPLORATION -27% I-EXPLORATION -neutrófilos, I-EXPLORATION -14% I-EXPLORATION -eosinófilos, I-EXPLORATION -49% I-EXPLORATION -linfocitos, I-EXPLORATION -6% I-EXPLORATION -monocitos I-EXPLORATION -y I-EXPLORATION -4% I-EXPLORATION -linfocitos I-EXPLORATION -atípicos. I-EXPLORATION -Calcio I-EXPLORATION -total I-EXPLORATION -7, I-EXPLORATION -4 I-EXPLORATION -mmol/L I-EXPLORATION -(VN I-EXPLORATION -8, I-EXPLORATION -5-10), I-EXPLORATION -proteínas I-EXPLORATION -totales I-EXPLORATION -3 I-EXPLORATION -g/dl I-EXPLORATION -(VN I-EXPLORATION -6, I-EXPLORATION -6-8, I-EXPLORATION -7), I-EXPLORATION -albúmina I-EXPLORATION -1, I-EXPLORATION -6 I-EXPLORATION -g/dl I-EXPLORATION -(VN I-EXPLORATION -3, I-EXPLORATION -5-3), I-EXPLORATION -IgG I-EXPLORATION -136 I-EXPLORATION -mg/dl I-EXPLORATION -(VN I-EXPLORATION -490-1450), I-EXPLORATION -IgE I-EXPLORATION -140 I-EXPLORATION -UI/ I-EXPLORATION -ml I-EXPLORATION -(VN I-EXPLORATION -hasta I-EXPLORATION -75), I-EXPLORATION -triglicéridos I-EXPLORATION -196 I-EXPLORATION -mg/dl I-EXPLORATION -(N I-EXPLORATION -< I-EXPLORATION -150), I-EXPLORATION -TGO I-EXPLORATION -62 I-EXPLORATION -U/L I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -37), I-EXPLORATION -TGP I-EXPLORATION -43 I-EXPLORATION -U/L I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -41), I-EXPLORATION - I-EXPLORATION -colesterol I-EXPLORATION -total I-EXPLORATION -129 I-EXPLORATION -mg/dl I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -200), I-EXPLORATION -HDL I-EXPLORATION -25 I-EXPLORATION -mg/ I-EXPLORATION -dl I-EXPLORATION -(VN I-EXPLORATION -> I-EXPLORATION -35). I-EXPLORATION -PCR I-EXPLORATION -1, I-EXPLORATION -3mg/dl I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -0, I-EXPLORATION -06). I-EXPLORATION -Orina I-EXPLORATION -normal I-EXPLORATION -sin I-EXPLORATION -proteinuria. I-EXPLORATION -Relación I-EXPLORATION -Prot/Cr I-EXPLORATION -0, I-EXPLORATION -26. I-EXPLORATION -Hormonas I-EXPLORATION -tiroideas I-EXPLORATION -normales I-EXPLORATION -y I-EXPLORATION -anticuerpos I-EXPLORATION -para I-EXPLORATION -enfermedad I-EXPLORATION -celíaca I-EXPLORATION -negativos. I-EXPLORATION -Prueba I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -tuberculina I-EXPLORATION -negativa. I-EXPLORATION - I-EXPLORATION -Al B-EVOLUTION -segundo I-EVOLUTION -día I-EVOLUTION -de I-EVOLUTION -internación, I-EVOLUTION -el I-EVOLUTION -niño I-EVOLUTION -presentó I-EVOLUTION -dos I-EVOLUTION -picos I-EVOLUTION -febriles, I-EVOLUTION -fauces I-EVOLUTION -congestivas, I-EVOLUTION -subcrepitantes I-EVOLUTION -pulmonares I-EVOLUTION -bibasales I-EVOLUTION -leves. I-EVOLUTION -Radiografía B-EXPLORATION -de I-EXPLORATION -tórax I-EXPLORATION -y I-EXPLORATION -ecografía I-EXPLORATION -renal I-EXPLORATION -sin I-EXPLORATION -particularidades. I-EXPLORATION -Ecografía I-EXPLORATION -abdominal I-EXPLORATION -sin I-EXPLORATION -visceromegalia, I-EXPLORATION -con I-EXPLORATION -líquido I-EXPLORATION -ascítico I-EXPLORATION -moderado, I-EXPLORATION -mucosa I-EXPLORATION -gástrica I-EXPLORATION -sin I-EXPLORATION -agrandamiento I-EXPLORATION -ni I-EXPLORATION -hipertrofia I-EXPLORATION -de I-EXPLORATION -pliegues. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -descartó I-EXPLORATION -la I-EXPLORATION -etiología I-EXPLORATION -cardiovascular, I-EXPLORATION -renal I-EXPLORATION -o I-EXPLORATION -hepática I-EXPLORATION -por I-EXPLORATION -la I-EXPLORATION -clínica I-EXPLORATION -y I-EXPLORATION -los I-EXPLORATION -estudios I-EXPLORATION -realizados. I-EXPLORATION - I-EXPLORATION -Ante I-EXPLORATION -la I-EXPLORATION -sospecha I-EXPLORATION -de I-EXPLORATION -gastroenteropatía I-EXPLORATION -perdedora I-EXPLORATION -de I-EXPLORATION -proteínas, I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -endoscopia I-EXPLORATION -esofagogastroduodenal I-EXPLORATION -con I-EXPLORATION -biopsia, I-EXPLORATION -cuyo I-EXPLORATION -informe I-EXPLORATION -reveló: I-EXPLORATION -esófago I-EXPLORATION -con I-EXPLORATION -cambio I-EXPLORATION -mucoso I-EXPLORATION -a I-EXPLORATION -23 I-EXPLORATION -cm, I-EXPLORATION -mucosa I-EXPLORATION -pálida I-EXPLORATION -y I-EXPLORATION -muy I-EXPLORATION -edematosa; I-EXPLORATION -estómago I-EXPLORATION -con I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -pliegues I-EXPLORATION -engrosados, I-EXPLORATION -seudopólipos I-EXPLORATION -y I-EXPLORATION -erosiones I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -mucosa. I-EXPLORATION -Duodeno I-EXPLORATION -con I-EXPLORATION -pliegues I-EXPLORATION -engrosados I-EXPLORATION -y I-EXPLORATION -mucosa I-EXPLORATION -edematosa. I-EXPLORATION -El I-EXPLORATION -informe I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -biopsia I-EXPLORATION -correspondió I-EXPLORATION -a I-EXPLORATION -esofagitis, I-EXPLORATION -gastritis I-EXPLORATION -y I-EXPLORATION -duodenitis I-EXPLORATION -crónica I-EXPLORATION -leve I-EXPLORATION -a I-EXPLORATION -moderada I-EXPLORATION -con I-EXPLORATION -frecuentes I-EXPLORATION -eosinófilos. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -depuración I-EXPLORATION -de I-EXPLORATION -α1-antitripsina I-EXPLORATION -por I-EXPLORATION -la I-EXPLORATION -falta I-EXPLORATION -de I-EXPLORATION -accesibilidad I-EXPLORATION -al I-EXPLORATION -método. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -solicitó I-EXPLORATION -en I-EXPLORATION -sangre, I-EXPLORATION -IgM-IgG I-EXPLORATION -para I-EXPLORATION -CMV: I-EXPLORATION -positivo; I-EXPLORATION -antígeno I-EXPLORATION -temprano: I-EXPLORATION -reactivo; I-EXPLORATION -PCR: I-EXPLORATION -2075 I-EXPLORATION -copias I-EXPLORATION -(no I-EXPLORATION -reactivo I-EXPLORATION -< I-EXPLORATION -750 I-EXPLORATION -copias). I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -analizó I-EXPLORATION -material I-EXPLORATION -de I-EXPLORATION -biopsia I-EXPLORATION -para I-EXPLORATION -la I-EXPLORATION -detección I-EXPLORATION -del I-EXPLORATION -virus. I-EXPLORATION - I-EXPLORATION -El B-TREATMENT -paciente I-TREATMENT -fue I-TREATMENT -sometido I-TREATMENT -a I-TREATMENT -una I-TREATMENT -dieta I-TREATMENT -hiperproteica I-TREATMENT -y I-TREATMENT -gastroprotectora. I-TREATMENT -Recibió I-TREATMENT -una I-TREATMENT -infusión I-TREATMENT -intravenosa I-TREATMENT -de I-TREATMENT -albúmina I-TREATMENT -(25% I-TREATMENT -1 I-TREATMENT -g/ I-TREATMENT -kg, I-TREATMENT -una I-TREATMENT -dosis), I-TREATMENT -omeprazol I-TREATMENT -20 I-TREATMENT -mg/día I-TREATMENT -por I-TREATMENT -vía I-TREATMENT -intravenosa I-TREATMENT -y I-TREATMENT -espironolactona I-TREATMENT -3 I-TREATMENT -mg/kg/día I-TREATMENT -por I-TREATMENT -vía I-TREATMENT -oral. I-TREATMENT -Al I-TREATMENT -no I-TREATMENT -mejorar I-TREATMENT -clínicamente, I-TREATMENT -a I-TREATMENT -los I-TREATMENT -6 I-TREATMENT -días I-TREATMENT -se I-TREATMENT -comenzó I-TREATMENT -la I-TREATMENT -administración I-TREATMENT -de I-TREATMENT -ganciclovir I-TREATMENT -por I-TREATMENT -vía I-TREATMENT -intravenosa I-TREATMENT -(5 I-TREATMENT -mg/kg I-TREATMENT -cada I-TREATMENT -12 I-TREATMENT -horas). I-TREATMENT -A I-TREATMENT -las I-TREATMENT -48 I-TREATMENT -horas I-TREATMENT -se I-TREATMENT -rotó I-TREATMENT -a I-TREATMENT -valganciclovir I-TREATMENT -oral I-TREATMENT -(400 I-TREATMENT -mg/día) I-TREATMENT -por I-TREATMENT -la I-TREATMENT -imposibilidad I-TREATMENT -de I-TREATMENT -mantener I-TREATMENT -la I-TREATMENT -venoclisis. I-TREATMENT - I-TREATMENT -A B-EVOLUTION -los I-EVOLUTION -10 I-EVOLUTION -días I-EVOLUTION -de I-EVOLUTION -internación, I-EVOLUTION -dada I-EVOLUTION -la I-EVOLUTION -buena I-EVOLUTION -evolución, I-EVOLUTION -se I-EVOLUTION -le I-EVOLUTION -otorgó I-EVOLUTION -el I-EVOLUTION -alta I-EVOLUTION -hospitalaria. I-EVOLUTION -Laboratorio B-EXPLORATION -al I-EXPLORATION -alta: I-EXPLORATION -proteínas I-EXPLORATION -totales I-EXPLORATION -4, I-EXPLORATION -6 I-EXPLORATION -g/ I-EXPLORATION -dl I-EXPLORATION -(VN I-EXPLORATION -6, I-EXPLORATION -6-8, I-EXPLORATION -7), I-EXPLORATION -albúmina I-EXPLORATION -2, I-EXPLORATION -6 I-EXPLORATION -g/dl I-EXPLORATION -(VN I-EXPLORATION -3, I-EXPLORATION -5-5), I-EXPLORATION -triglicéridos I-EXPLORATION -254 I-EXPLORATION -mg/dl I-EXPLORATION -(VN I-EXPLORATION -< I-EXPLORATION -150). I-EXPLORATION -Carga I-EXPLORATION -viral I-EXPLORATION -para I-EXPLORATION -CMV I-EXPLORATION -< I-EXPLORATION -750 I-EXPLORATION -copias. I-EXPLORATION -Se B-TREATMENT -indicó I-TREATMENT -continuar I-TREATMENT -con I-TREATMENT -dieta I-TREATMENT -hiperproteica, I-TREATMENT -protectores I-TREATMENT -gástricos I-TREATMENT -y I-TREATMENT -valganciclovir I-TREATMENT -por I-TREATMENT -vía I-TREATMENT -oral I-TREATMENT -hasta I-TREATMENT -completar I-TREATMENT -6 I-TREATMENT -semanas I-TREATMENT -de I-TREATMENT -tratamiento. I-TREATMENT -Cuatro B-EXPLORATION -meses I-EXPLORATION -después, I-EXPLORATION -se I-EXPLORATION -repitió I-EXPLORATION -la I-EXPLORATION -endoscopia I-EXPLORATION -esofagogastroduodenal, I-EXPLORATION -cuyo I-EXPLORATION -resultado I-EXPLORATION -fue I-EXPLORATION -normal. I-EXPLORATION - I-EXPLORATION - -Niña B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -lesión I-PRESENT_ILLNESS -eritematosa I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -antifaz, I-PRESENT_ILLNESS -pequeñas I-PRESENT_ILLNESS -placas I-PRESENT_ILLNESS -redondeadas, I-PRESENT_ILLNESS -ligeramente I-PRESENT_ILLNESS -atróficas I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -región I-PRESENT_ILLNESS -temporooccipital I-PRESENT_ILLNESS -bilateral I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -cuello I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -finas I-PRESENT_ILLNESS -telangiectasias I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -su I-PRESENT_ILLNESS -superficie. I-PRESENT_ILLNESS -En I-PRESENT_ILLNESS -región I-PRESENT_ILLNESS -genital, I-PRESENT_ILLNESS -lesión I-PRESENT_ILLNESS -eritematosa, I-PRESENT_ILLNESS -atrófica, I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -bordes I-PRESENT_ILLNESS -definidos I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -2 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -Madre B-FAMILY_HISTORY -con I-FAMILY_HISTORY -alopecia I-FAMILY_HISTORY -cicatrizal, I-FAMILY_HISTORY -ojo I-FAMILY_HISTORY -seco, I-FAMILY_HISTORY -boca I-FAMILY_HISTORY -seca I-FAMILY_HISTORY -y I-FAMILY_HISTORY -anemia, I-FAMILY_HISTORY -sin I-FAMILY_HISTORY -diagnóstico I-FAMILY_HISTORY -de I-FAMILY_HISTORY -su I-FAMILY_HISTORY -enfermedad I-FAMILY_HISTORY -al I-FAMILY_HISTORY -momento I-FAMILY_HISTORY -de I-FAMILY_HISTORY -la I-FAMILY_HISTORY -consulta. I-FAMILY_HISTORY - I-FAMILY_HISTORY -Exámenes B-EXPLORATION -complementarios: I-EXPLORATION -Hb I-EXPLORATION -11, I-EXPLORATION -2g/dl, I-EXPLORATION -Hto I-EXPLORATION -33%, I-EXPLORATION -TGO I-EXPLORATION -265 I-EXPLORATION -UI/L, I-EXPLORATION -TGP I-EXPLORATION -212 I-EXPLORATION -UI/L, I-EXPLORATION -FAL I-EXPLORATION -927 I-EXPLORATION -UI/L, I-EXPLORATION -C3 I-EXPLORATION -54 I-EXPLORATION -mg/dl, I-EXPLORATION -C4 I-EXPLORATION -2 I-EXPLORATION -mg/dl, I-EXPLORATION -FAN I-EXPLORATION -+ I-EXPLORATION -1/1000 I-EXPLORATION -patrón I-EXPLORATION -moteado I-EXPLORATION -grueso I-EXPLORATION -y I-EXPLORATION -anti I-EXPLORATION -La I-EXPLORATION -positivo I-EXPLORATION -(paciente), I-EXPLORATION -FAN I-EXPLORATION -+ I-EXPLORATION -1/2000 I-EXPLORATION -patrón I-EXPLORATION -homogéneo I-EXPLORATION -y I-EXPLORATION -anti I-EXPLORATION -La I-EXPLORATION -y I-EXPLORATION -anti I-EXPLORATION -Ro I-EXPLORATION -positivos I-EXPLORATION -(madre) I-EXPLORATION - I-EXPLORATION -Estudio I-EXPLORATION -histopatológico: I-EXPLORATION -capa I-EXPLORATION -córnea I-EXPLORATION -engrosada, I-EXPLORATION -epidermis I-EXPLORATION -adelgazada, I-EXPLORATION -intensa I-EXPLORATION -vacuolización I-EXPLORATION -de I-EXPLORATION -queratinocitos I-EXPLORATION -basales, I-EXPLORATION -en I-EXPLORATION -dermis I-EXPLORATION -infiltrado I-EXPLORATION -mononuclear I-EXPLORATION -difuso. I-EXPLORATION -Membrana I-EXPLORATION -basal I-EXPLORATION -engrosada. I-EXPLORATION -IFD I-EXPLORATION -negativa. I-EXPLORATION - I-EXPLORATION -Valoración I-EXPLORATION -cardiológica I-EXPLORATION -normal. I-EXPLORATION - I-EXPLORATION -Tratamiento: B-TREATMENT -Hidrocortisona I-TREATMENT -1% I-TREATMENT -tópico, I-TREATMENT -Pimecrolimus I-TREATMENT -1%. I-TREATMENT -Desaparición B-EVOLUTION -de I-EVOLUTION -las I-EVOLUTION -lesiones I-EVOLUTION -eritematosas I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -15 I-EVOLUTION -días I-EVOLUTION -y I-EVOLUTION -persistencia I-EVOLUTION -de I-EVOLUTION -lesiones I-EVOLUTION -atróficas I-EVOLUTION -con I-EVOLUTION -puntillado I-EVOLUTION -petequial I-EVOLUTION -en I-EVOLUTION -cuero I-EVOLUTION -cabelludo, I-EVOLUTION -normalizando I-EVOLUTION -las I-EVOLUTION -enzimas I-EVOLUTION -hepáticas I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -10 I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -vida. I-EVOLUTION - I-EVOLUTION -Luego, I-EVOLUTION -a I-EVOLUTION -la I-EVOLUTION -madre I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -paciente I-EVOLUTION -se I-EVOLUTION -le I-EVOLUTION -realizó I-EVOLUTION -diagnóstico I-EVOLUTION -de I-EVOLUTION -Síndrome I-EVOLUTION -(Sme.) I-EVOLUTION -de I-EVOLUTION -Sjögren. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -77 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -acude I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -urgencias I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -ambos I-PRESENT_ILLNESS -ojos I-PRESENT_ILLNESS -(AO), I-PRESENT_ILLNESS -sin I-PRESENT_ILLNESS -pérdida I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -agudeza I-PRESENT_ILLNESS -visual I-PRESENT_ILLNESS -(AV). I-PRESENT_ILLNESS -Asimismo, I-PRESENT_ILLNESS -comenta I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -lleva I-PRESENT_ILLNESS -unos I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -notando I-PRESENT_ILLNESS -molestias I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -manera I-PRESENT_ILLNESS -alterna I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -uno I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -otro I-PRESENT_ILLNESS -ojo. I-PRESENT_ILLNESS - B-FAMILY_HISTORY -No I-FAMILY_HISTORY -presenta I-FAMILY_HISTORY -antecedentes I-FAMILY_HISTORY -familiares I-FAMILY_HISTORY -de I-FAMILY_HISTORY -interés I-FAMILY_HISTORY -y B-PAST_MEDICAL_HISTORY -entre I-PAST_MEDICAL_HISTORY -los I-PAST_MEDICAL_HISTORY -personales I-PAST_MEDICAL_HISTORY -destaca I-PAST_MEDICAL_HISTORY -una I-PAST_MEDICAL_HISTORY -cardiopatía I-PAST_MEDICAL_HISTORY -isquémica I-PAST_MEDICAL_HISTORY -hace I-PAST_MEDICAL_HISTORY -3 I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -tratamiento I-PAST_MEDICAL_HISTORY -con: I-PAST_MEDICAL_HISTORY -Pravastatina I-PAST_MEDICAL_HISTORY -10 I-PAST_MEDICAL_HISTORY -mg/24 I-PAST_MEDICAL_HISTORY -horas, I-PAST_MEDICAL_HISTORY -Atenolol I-PAST_MEDICAL_HISTORY -50 I-PAST_MEDICAL_HISTORY -mg/12 I-PAST_MEDICAL_HISTORY -horas, I-PAST_MEDICAL_HISTORY -Ranipril I-PAST_MEDICAL_HISTORY -2, I-PAST_MEDICAL_HISTORY -5 I-PAST_MEDICAL_HISTORY -mg/12 I-PAST_MEDICAL_HISTORY -horas, I-PAST_MEDICAL_HISTORY -Acido I-PAST_MEDICAL_HISTORY -acetilsalicílico I-PAST_MEDICAL_HISTORY -100 I-PAST_MEDICAL_HISTORY -mg/24 I-PAST_MEDICAL_HISTORY -horas I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -Lorazepam I-PAST_MEDICAL_HISTORY -1 I-PAST_MEDICAL_HISTORY -mg/24 I-PAST_MEDICAL_HISTORY -horas. I-PAST_MEDICAL_HISTORY - I-PAST_MEDICAL_HISTORY -Como B-PRESENT_ILLNESS -antecedente I-PRESENT_ILLNESS -personal I-PRESENT_ILLNESS -más I-PRESENT_ILLNESS -próximo, I-PRESENT_ILLNESS -señalar I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -dos I-PRESENT_ILLNESS -semanas I-PRESENT_ILLNESS -antes I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -empezar I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -problemas I-PRESENT_ILLNESS -oculares I-PRESENT_ILLNESS -había I-PRESENT_ILLNESS -sido I-PRESENT_ILLNESS -ingresada I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -medicina I-PRESENT_ILLNESS -interna I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -diagnóstico I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -Neumonía I-PRESENT_ILLNESS -neumocócica I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -lóbulo I-PRESENT_ILLNESS -superior I-PRESENT_ILLNESS -derecho I-PRESENT_ILLNESS -tratada I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -Moxifloxacino I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -dosis I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -400 I-PRESENT_ILLNESS -mg/24 I-PRESENT_ILLNESS -horas I-PRESENT_ILLNESS -durante I-PRESENT_ILLNESS -10 I-PRESENT_ILLNESS -días, I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -buena I-PRESENT_ILLNESS -respuesta. I-PRESENT_ILLNESS -Tras I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -alta I-PRESENT_ILLNESS -hospitalaria, I-PRESENT_ILLNESS -ya I-PRESENT_ILLNESS -sin I-PRESENT_ILLNESS -tratamiento I-PRESENT_ILLNESS -antibiótico, I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -paciente I-PRESENT_ILLNESS -comienza I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -referir I-PRESENT_ILLNESS -molestias I-PRESENT_ILLNESS -oculares I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -manera I-PRESENT_ILLNESS -alterna I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -AO. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -En B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica I-EXPLORATION -se I-EXPLORATION -objetiva I-EXPLORATION -una I-EXPLORATION -AV I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -derecho I-EXPLORATION -(OD) I-EXPLORATION -de I-EXPLORATION -0, I-EXPLORATION -6 I-EXPLORATION -que I-EXPLORATION -mejora I-EXPLORATION -a I-EXPLORATION -0, I-EXPLORATION -8 I-EXPLORATION -con I-EXPLORATION -corrección I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -ojo I-EXPLORATION -izquierdo I-EXPLORATION -(OI) I-EXPLORATION -de I-EXPLORATION -0, I-EXPLORATION -3 I-EXPLORATION -que I-EXPLORATION -mejora I-EXPLORATION -a I-EXPLORATION -0, I-EXPLORATION -6 I-EXPLORATION -con I-EXPLORATION -corrección. I-EXPLORATION - I-EXPLORATION -En I-EXPLORATION -el I-EXPLORATION -segmento I-EXPLORATION -anterior I-EXPLORATION -destaca I-EXPLORATION -una I-EXPLORATION -reacción I-EXPLORATION -inflamatoria I-EXPLORATION -en I-EXPLORATION -cámara I-EXPLORATION -anterior I-EXPLORATION -de I-EXPLORATION -AO I-EXPLORATION -(Fenómeno I-EXPLORATION -de I-EXPLORATION -tyndall I-EXPLORATION -de I-EXPLORATION -células I-EXPLORATION -+1 I-EXPLORATION -y I-EXPLORATION -proteínas I-EXPLORATION -+1), I-EXPLORATION -y I-EXPLORATION -una I-EXPLORATION -fuerte I-EXPLORATION -dispersión I-EXPLORATION -de I-EXPLORATION -pigmento I-EXPLORATION -(+/++) I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -deposita I-EXPLORATION -en I-EXPLORATION -todas I-EXPLORATION -las I-EXPLORATION -estructuras: I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -endotelio I-EXPLORATION -corneal I-EXPLORATION -de I-EXPLORATION -forma I-EXPLORATION -difusa, I-EXPLORATION -sobre I-EXPLORATION -el I-EXPLORATION -iris, I-EXPLORATION -sinequias I-EXPLORATION -posteriores I-EXPLORATION -y I-EXPLORATION -malla I-EXPLORATION -trabecular. I-EXPLORATION - I-EXPLORATION -La I-EXPLORATION -tensión I-EXPLORATION -ocular I-EXPLORATION -era I-EXPLORATION -de I-EXPLORATION -9 I-EXPLORATION -mm I-EXPLORATION -Hg I-EXPLORATION -en I-EXPLORATION -OD I-EXPLORATION -y I-EXPLORATION -8 I-EXPLORATION -mmHg I-EXPLORATION -en I-EXPLORATION -OI. I-EXPLORATION -El I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo, I-EXPLORATION -bajo I-EXPLORATION -midriasis I-EXPLORATION -farmacológica, I-EXPLORATION -era I-EXPLORATION -normal, I-EXPLORATION -y I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -apreció I-EXPLORATION -reacción I-EXPLORATION -inflamatoria I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -cámara I-EXPLORATION -vítrea. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -historia I-EXPLORATION -clínica, I-EXPLORATION -dentro I-EXPLORATION -del I-EXPLORATION -protocolo I-EXPLORATION -de I-EXPLORATION -uveítis I-EXPLORATION -seguido I-EXPLORATION -en I-EXPLORATION -nuestro I-EXPLORATION -departamento, I-EXPLORATION -que I-EXPLORATION -incluyó I-EXPLORATION -una I-EXPLORATION -anamnesis I-EXPLORATION -por I-EXPLORATION -aparatos I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -solicitud I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -exploraciones I-EXPLORATION -complementarias I-EXPLORATION -dirigidas, I-EXPLORATION -sistemático I-EXPLORATION -de I-EXPLORATION -sangre, I-EXPLORATION -bioquímica, I-EXPLORATION -VDRL, I-EXPLORATION -FTA-abs I-EXPLORATION -y I-EXPLORATION -placa I-EXPLORATION -de I-EXPLORATION -tórax. I-EXPLORATION - I-EXPLORATION -Se B-TREATMENT -inició I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -midriáticos I-TREATMENT -y I-TREATMENT -corticoides I-TREATMENT -tópicos I-TREATMENT -cediendo B-EXPLORATION -el I-EXPLORATION -cuadro I-EXPLORATION -en I-EXPLORATION -pocos I-EXPLORATION -días, I-EXPLORATION -manteniéndose, I-EXPLORATION -en I-EXPLORATION -las I-EXPLORATION -sucesivas I-EXPLORATION -revisiones, I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -pigmento I-EXPLORATION -en I-EXPLORATION -numerosas I-EXPLORATION -estructuras I-EXPLORATION -del I-EXPLORATION -segmento I-EXPLORATION -anterior I-EXPLORATION -y I-EXPLORATION -manteniendo I-EXPLORATION -una I-EXPLORATION -presión I-EXPLORATION -intraocular I-EXPLORATION -de I-EXPLORATION -14 I-EXPLORATION -mmHg I-EXPLORATION -en I-EXPLORATION -AO. I-EXPLORATION - I-EXPLORATION -Las I-EXPLORATION -exploraciones I-EXPLORATION -complementarias I-EXPLORATION -realizadas I-EXPLORATION -no I-EXPLORATION -detectaron I-EXPLORATION -ninguna I-EXPLORATION -alteración I-EXPLORATION -significativa. I-EXPLORATION - I-EXPLORATION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -18 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -sin B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -personales I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -interés, I-PAST_MEDICAL_HISTORY -que B-PRESENT_ILLNESS -acudió I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -urgencias I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -cefalea I-PRESENT_ILLNESS -holocraneal I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -fiebre I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -vómitos. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -A B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -neurológica I-EXPLORATION -presentaba I-EXPLORATION -hipoestesia I-EXPLORATION -de I-EXPLORATION -miembro I-EXPLORATION -superior I-EXPLORATION -derecho I-EXPLORATION -y I-EXPLORATION -dudosa I-EXPLORATION -rigidez I-EXPLORATION -de I-EXPLORATION -nuca, I-EXPLORATION -sin I-EXPLORATION -otros I-EXPLORATION -signos I-EXPLORATION -meníngeos. I-EXPLORATION - I-EXPLORATION -La I-EXPLORATION -tomografía I-EXPLORATION -axial I-EXPLORATION -computarizada I-EXPLORATION -(TAC) I-EXPLORATION -cerebral I-EXPLORATION -era I-EXPLORATION -normal, I-EXPLORATION -el I-EXPLORATION -análisis I-EXPLORATION -del I-EXPLORATION -líquido I-EXPLORATION -cefalorraquídeo I-EXPLORATION -(LCR) I-EXPLORATION -mostró I-EXPLORATION -hiperproteinorraquia, I-EXPLORATION -hipoglucorraquia I-EXPLORATION -y I-EXPLORATION -pleocitosis I-EXPLORATION -(98% I-EXPLORATION -linfocitos). I-EXPLORATION -Ante B-TREATMENT -la I-TREATMENT -sospecha I-TREATMENT -de I-TREATMENT -meningitis I-TREATMENT -vírica I-TREATMENT -o I-TREATMENT -bacteriana I-TREATMENT -decapitada, I-TREATMENT -se I-TREATMENT -instauró I-TREATMENT -tratamiento I-TREATMENT -intravenoso I-TREATMENT -con I-TREATMENT -aciclovir, I-TREATMENT -ceftriaxona I-TREATMENT -y I-TREATMENT -ampicilina. I-TREATMENT - I-TREATMENT -A B-EVOLUTION -los I-EVOLUTION -3 I-EVOLUTION -días I-EVOLUTION -presentó I-EVOLUTION -disminución I-EVOLUTION -de I-EVOLUTION -conciencia, I-EVOLUTION -midriasis I-EVOLUTION -arreactiva I-EVOLUTION -bilateral I-EVOLUTION -y I-EVOLUTION -parálisis I-EVOLUTION -bilateral I-EVOLUTION -de I-EVOLUTION -los I-EVOLUTION -pares I-EVOLUTION -craneales I-EVOLUTION -III, I-EVOLUTION -IV, I-EVOLUTION -VI, I-EVOLUTION -VII, I-EVOLUTION -IX I-EVOLUTION -y I-EVOLUTION -X. I-EVOLUTION -La B-EXPLORATION -resonancia I-EXPLORATION -magnética I-EXPLORATION -nuclear I-EXPLORATION -(RMN) I-EXPLORATION -mostró I-EXPLORATION -realce I-EXPLORATION -lepto I-EXPLORATION -y I-EXPLORATION -paquimeníngeo I-EXPLORATION -e I-EXPLORATION -hidrocefalia I-EXPLORATION -tetraventricular. I-EXPLORATION -A B-TREATMENT -pesar I-TREATMENT -de I-TREATMENT -los I-TREATMENT -resultados I-TREATMENT -microbiológicos I-TREATMENT -no I-TREATMENT -concluyentes I-TREATMENT -(hemocultivos, I-TREATMENT -Mantoux, I-TREATMENT -Tinción I-TREATMENT -tinta I-TREATMENT -china I-TREATMENT -y I-TREATMENT -Ziehl I-TREATMENT -de I-TREATMENT -LCR: I-TREATMENT -todos I-TREATMENT -negativos), I-TREATMENT -y I-TREATMENT -ante I-TREATMENT -la I-TREATMENT -sospecha I-TREATMENT -de I-TREATMENT -leptomeningitis I-TREATMENT -tuberculosa I-TREATMENT -se I-TREATMENT -modificó I-TREATMENT -el I-TREATMENT -tratamiento, I-TREATMENT -pautándose I-TREATMENT -inicialmente I-TREATMENT -isoniacida I-TREATMENT -600 I-TREATMENT -mg/día I-TREATMENT -(más I-TREATMENT -vitamina I-TREATMENT -B6), I-TREATMENT -etambutol I-TREATMENT -22 I-TREATMENT -mg/kg/día I-TREATMENT -y I-TREATMENT -rifampicina I-TREATMENT -600 I-TREATMENT -mg/día; I-TREATMENT -a I-TREATMENT -las I-TREATMENT -48 I-TREATMENT -horas I-TREATMENT -se I-TREATMENT -suspendió I-TREATMENT -el I-TREATMENT -etambutol I-TREATMENT -y I-TREATMENT -se I-TREATMENT -añadió I-TREATMENT -pirazinamida I-TREATMENT -1, I-TREATMENT -5 I-TREATMENT -g/día, I-TREATMENT -estreptomicina I-TREATMENT -1g/día I-TREATMENT -y I-TREATMENT -dexametasona I-TREATMENT -24 I-TREATMENT -mg/día I-TREATMENT -sustituyendo I-TREATMENT -la I-TREATMENT -ampicilina I-TREATMENT -por I-TREATMENT -cotrimoxazol. I-TREATMENT - I-TREATMENT -A B-EVOLUTION -los I-EVOLUTION -12 I-EVOLUTION -días I-EVOLUTION -la I-EVOLUTION -agudeza I-EVOLUTION -visual I-EVOLUTION -(AV) I-EVOLUTION -bajó I-EVOLUTION -a I-EVOLUTION -amaurosis I-EVOLUTION -bilateral I-EVOLUTION -con I-EVOLUTION -alucinaciones I-EVOLUTION -visuales. I-EVOLUTION -La B-EXPLORATION -funduscopia I-EXPLORATION -era I-EXPLORATION -normal. I-EXPLORATION -Los I-EXPLORATION -potenciales I-EXPLORATION -visuales I-EXPLORATION -evocados I-EXPLORATION -(PEV) I-EXPLORATION -mostraron I-EXPLORATION -una I-EXPLORATION -onda I-EXPLORATION -P100 I-EXPLORATION -muy I-EXPLORATION -degradada I-EXPLORATION -con I-EXPLORATION -latencia I-EXPLORATION -muy I-EXPLORATION -aumentada, I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -estimulación I-EXPLORATION -mono I-EXPLORATION -y I-EXPLORATION -binocular. I-EXPLORATION - I-EXPLORATION -El I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -meningitis I-EXPLORATION -tuberculosa I-EXPLORATION -se I-EXPLORATION -confirmó I-EXPLORATION -mediante I-EXPLORATION -cultivo I-EXPLORATION -del I-EXPLORATION -LCR I-EXPLORATION -en I-EXPLORATION -medio I-EXPLORATION -Lowestein. I-EXPLORATION - I-EXPLORATION -Durante B-TREATMENT -6 I-TREATMENT -meses I-TREATMENT -se I-TREATMENT -mantuvo I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -tuberculostático I-TREATMENT -(rifampicina I-TREATMENT -y I-TREATMENT -piridoxina) I-TREATMENT -y I-TREATMENT -dexametasona. I-TREATMENT - I-TREATMENT -La B-EVOLUTION -AV I-EVOLUTION -mejoró I-EVOLUTION -lentamente I-EVOLUTION -y B-EXPLORATION -al I-EXPLORATION -año I-EXPLORATION -presenta I-EXPLORATION -la I-EXPLORATION -siguiente I-EXPLORATION -exploración: I-EXPLORATION -AV I-EXPLORATION -bilateral: I-EXPLORATION -1/1, I-EXPLORATION -leve I-EXPLORATION -midriasis I-EXPLORATION -reactiva, I-EXPLORATION -sin I-EXPLORATION -restricciones I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -motilidad I-EXPLORATION -ocular I-EXPLORATION -extrínseca I-EXPLORATION -y I-EXPLORATION -el I-EXPLORATION -nervio I-EXPLORATION -óptico I-EXPLORATION -presenta I-EXPLORATION -una I-EXPLORATION -leve I-EXPLORATION -palidez I-EXPLORATION -papilar I-EXPLORATION -sin I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -excavación. I-EXPLORATION - I-EXPLORATION -La I-EXPLORATION -perimetría I-EXPLORATION -computarizada I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -derecho I-EXPLORATION -muestra I-EXPLORATION -una I-EXPLORATION -reducción I-EXPLORATION -concéntrica I-EXPLORATION -con I-EXPLORATION -respeto I-EXPLORATION -de I-EXPLORATION -los I-EXPLORATION -10º I-EXPLORATION -centrales, I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -izquierdo I-EXPLORATION -una I-EXPLORATION -reducción I-EXPLORATION -concéntrica I-EXPLORATION -en I-EXPLORATION -hemicampo I-EXPLORATION -temporal I-EXPLORATION -y I-EXPLORATION -parte I-EXPLORATION -del I-EXPLORATION -nasal. I-EXPLORATION -Los I-EXPLORATION -PVE I-EXPLORATION -demuestran I-EXPLORATION -una I-EXPLORATION -notable I-EXPLORATION -mejoría I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -onda I-EXPLORATION -P100 I-EXPLORATION -en I-EXPLORATION -voltaje, I-EXPLORATION -latencia I-EXPLORATION -y I-EXPLORATION -morfología. I-EXPLORATION - I-EXPLORATION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -78 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -afáquica B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -ambos I-PAST_MEDICAL_HISTORY -ojos I-PAST_MEDICAL_HISTORY -tras I-PAST_MEDICAL_HISTORY -haber I-PAST_MEDICAL_HISTORY -sido I-PAST_MEDICAL_HISTORY -intervenida I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -cataratas I-PAST_MEDICAL_HISTORY -veinte I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -antes, I-PAST_MEDICAL_HISTORY -que B-PRESENT_ILLNESS -desarrolló I-PRESENT_ILLNESS -un I-PRESENT_ILLNESS -glaucoma I-PRESENT_ILLNESS -secundario I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -ojo I-PRESENT_ILLNESS -derecho I-PRESENT_ILLNESS -(OD). I-PRESENT_ILLNESS -Ante B-TREATMENT -la I-TREATMENT -falta I-TREATMENT -de I-TREATMENT -control I-TREATMENT -de I-TREATMENT -su I-TREATMENT -presión I-TREATMENT -intraocular I-TREATMENT -con I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -médico, I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -la I-TREATMENT -implantación I-TREATMENT -de I-TREATMENT -un I-TREATMENT -dispositivo I-TREATMENT -de I-TREATMENT -drenaje I-TREATMENT -valvulado I-TREATMENT -de I-TREATMENT -Ahmed, I-TREATMENT -con I-TREATMENT -parche I-TREATMENT -de I-TREATMENT -esclera I-TREATMENT -recubriendo I-TREATMENT -el I-TREATMENT -trayecto I-TREATMENT -extraocular I-TREATMENT -del I-TREATMENT -tubo I-TREATMENT -y I-TREATMENT -el I-TREATMENT -extremo I-TREATMENT -del I-TREATMENT -mismo I-TREATMENT -localizado I-TREATMENT -en I-TREATMENT -cámara I-TREATMENT -anterior. I-TREATMENT -El B-EVOLUTION -postoperatorio I-EVOLUTION -evolucionó I-EVOLUTION -favorablemente. I-EVOLUTION -La I-EVOLUTION -agudeza I-EVOLUTION -visual I-EVOLUTION -(AV) I-EVOLUTION -postoperatoria I-EVOLUTION -era I-EVOLUTION -de I-EVOLUTION -0, I-EVOLUTION -5 I-EVOLUTION -en I-EVOLUTION -OD I-EVOLUTION -y I-EVOLUTION -0, I-EVOLUTION -2 I-EVOLUTION -en I-EVOLUTION -ojo I-EVOLUTION -izquierdo I-EVOLUTION -(OI). I-EVOLUTION -La B-TREATMENT -presión I-TREATMENT -intraocular I-TREATMENT -en I-TREATMENT -OD I-TREATMENT -era I-TREATMENT -de I-TREATMENT -12 I-TREATMENT -mmHg I-TREATMENT -en I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -tartrato I-TREATMENT -de I-TREATMENT -brimonidina I-TREATMENT -0, I-TREATMENT -2%. I-TREATMENT -El I-TREATMENT -cuerpo I-TREATMENT -valvular I-TREATMENT -estaba I-TREATMENT -situado I-TREATMENT -en I-TREATMENT -el I-TREATMENT -cuadrante I-TREATMENT -temporal I-TREATMENT -superior I-TREATMENT -y I-TREATMENT -la I-TREATMENT -ampolla I-TREATMENT -era I-TREATMENT -amplia I-TREATMENT -y I-TREATMENT -de I-TREATMENT -paredes I-TREATMENT -finas. I-TREATMENT -El I-TREATMENT -tubo I-TREATMENT -quedaba I-TREATMENT -situado I-TREATMENT -en I-TREATMENT -cámara I-TREATMENT -anterior I-TREATMENT -y I-TREATMENT -libre I-TREATMENT -de I-TREATMENT -vítreo. I-TREATMENT -Acudió B-EVOLUTION -a I-EVOLUTION -urgencias I-EVOLUTION -nueve I-EVOLUTION -meses I-EVOLUTION -tras I-EVOLUTION -la I-EVOLUTION -cirugía I-EVOLUTION -siendo I-EVOLUTION -diagnosticada I-EVOLUTION -de I-EVOLUTION -conjuntivitis I-EVOLUTION -aguda I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -OD, I-EVOLUTION -se B-TREATMENT -instauró I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -medidas I-TREATMENT -higiénicas I-TREATMENT -y I-TREATMENT -colirio I-TREATMENT -de I-TREATMENT -tobramicina I-TREATMENT -1 I-TREATMENT -gota/8 I-TREATMENT -horas I-TREATMENT -(Tobrex I-TREATMENT -solución I-TREATMENT -Gotas I-TREATMENT -oft. I-TREATMENT -0, I-TREATMENT -3%; I-TREATMENT -Alcon I-TREATMENT -Cusi; I-TREATMENT -Barcelona; I-TREATMENT -España) I-TREATMENT -y I-TREATMENT -lágrimas I-TREATMENT -artificiales I-TREATMENT -a I-TREATMENT -demanda. I-TREATMENT -Cuatro B-EVOLUTION -días I-EVOLUTION -más I-EVOLUTION -tarde I-EVOLUTION -acudió I-EVOLUTION -a I-EVOLUTION -revisión I-EVOLUTION -presentando I-EVOLUTION -una I-EVOLUTION -AV I-EVOLUTION -de I-EVOLUTION -movimiento I-EVOLUTION -de I-EVOLUTION -manos. I-EVOLUTION -En B-EXPLORATION -la I-EXPLORATION -biomicroscopía I-EXPLORATION -presentaba I-EXPLORATION -hiperemia I-EXPLORATION -3-4 I-EXPLORATION -+, I-EXPLORATION -blebitis, I-EXPLORATION -no I-EXPLORATION -seidel, I-EXPLORATION -edema I-EXPLORATION -corneal I-EXPLORATION -difuso I-EXPLORATION -de I-EXPLORATION -3+, I-EXPLORATION -tyndall I-EXPLORATION -4+, I-EXPLORATION -plastrón I-EXPLORATION -de I-EXPLORATION -fibrina I-EXPLORATION -en I-EXPLORATION -cámara I-EXPLORATION -anterior, I-EXPLORATION -no I-EXPLORATION -hipopion I-EXPLORATION -y I-EXPLORATION -PIO I-EXPLORATION -de I-EXPLORATION -35 I-EXPLORATION -mm I-EXPLORATION -Hg. I-EXPLORATION -La I-EXPLORATION -conjuntiva I-EXPLORATION -que I-EXPLORATION -recubría I-EXPLORATION -el I-EXPLORATION -tubo I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -cápsula I-EXPLORATION -filtrante I-EXPLORATION -parecía I-EXPLORATION -íntegra. I-EXPLORATION -El I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -visualizaba I-EXPLORATION -por I-EXPLORATION -opacidad I-EXPLORATION -de I-EXPLORATION -medios. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -ecografía I-EXPLORATION -aparecían I-EXPLORATION -ecos I-EXPLORATION -de I-EXPLORATION -baja I-EXPLORATION -densidad, I-EXPLORATION -sin I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -desprendimiento I-EXPLORATION -de I-EXPLORATION -retina. I-EXPLORATION -Ante B-TREATMENT -el I-TREATMENT -diagnóstico I-TREATMENT -de I-TREATMENT -una I-TREATMENT -endoftalmitis I-TREATMENT -aguda I-TREATMENT -tardía, I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -iniciar I-TREATMENT -el I-TREATMENT -protocolo I-TREATMENT -existente I-TREATMENT -en I-TREATMENT -el I-TREATMENT -hospital, I-TREATMENT -con I-TREATMENT -la I-TREATMENT -obtención I-TREATMENT -de I-TREATMENT -muestras I-TREATMENT -de I-TREATMENT -humor I-TREATMENT -acuoso I-TREATMENT -y I-TREATMENT -vítreo, I-TREATMENT -y I-TREATMENT -tratamiento I-TREATMENT -intravenoso I-TREATMENT -a I-TREATMENT -base I-TREATMENT -de I-TREATMENT -ceftazidima I-TREATMENT -1 I-TREATMENT -gramo/8 I-TREATMENT -horas I-TREATMENT -y I-TREATMENT -vancomicina I-TREATMENT -1 I-TREATMENT -gramo/12 I-TREATMENT -horas, I-TREATMENT -inyección I-TREATMENT -intravítrea I-TREATMENT -de I-TREATMENT -ceftazidima I-TREATMENT -2, I-TREATMENT -25 I-TREATMENT -mg/0, I-TREATMENT -1 I-TREATMENT -ml I-TREATMENT -y I-TREATMENT -vancomicina I-TREATMENT -1 I-TREATMENT -mg/0, I-TREATMENT -1 I-TREATMENT -ml I-TREATMENT -y I-TREATMENT -colirio I-TREATMENT -tópico I-TREATMENT -reforzado I-TREATMENT -50 I-TREATMENT -mg/ml I-TREATMENT -de I-TREATMENT -vancomicina I-TREATMENT -y I-TREATMENT -ceftazidima I-TREATMENT -cada I-TREATMENT -hora. I-TREATMENT -A B-EXPLORATION -las I-EXPLORATION -48 I-EXPLORATION -horas I-EXPLORATION -el I-EXPLORATION -resultado I-EXPLORATION -del I-EXPLORATION -cultivo I-EXPLORATION -fue I-EXPLORATION -Haemophilus I-EXPLORATION -influenzae I-EXPLORATION -resistente I-EXPLORATION -a I-EXPLORATION -vancomicina I-EXPLORATION -y I-EXPLORATION -sensible I-EXPLORATION -a I-EXPLORATION -betalactámicos, I-EXPLORATION -quinolonas, I-EXPLORATION -rifamicina, I-EXPLORATION -aminoglicósidos I-EXPLORATION -y I-EXPLORATION -tetraciclinas I-EXPLORATION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -suspendió I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -vancomicina I-TREATMENT -y I-TREATMENT -se I-TREATMENT -añadió I-TREATMENT -una I-TREATMENT -quinolona I-TREATMENT -intravenosa I-TREATMENT -y I-TREATMENT -tópica, I-TREATMENT -además I-TREATMENT -de I-TREATMENT -una I-TREATMENT -nueva I-TREATMENT -inyección I-TREATMENT -intravítrea I-TREATMENT -de I-TREATMENT -ceftazidima I-TREATMENT -y I-TREATMENT -decadrán. I-TREATMENT -A I-TREATMENT -las I-TREATMENT -72 I-TREATMENT -horas, I-TREATMENT -y I-TREATMENT -ante I-TREATMENT -la I-TREATMENT -mala I-TREATMENT -evolución, I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -la I-TREATMENT -retirada I-TREATMENT -del I-TREATMENT -dispositivo I-TREATMENT -de I-TREATMENT -drenaje, I-TREATMENT -lavado I-TREATMENT -de I-TREATMENT -la I-TREATMENT -cámara I-TREATMENT -anterior, I-TREATMENT -e I-TREATMENT -inyección I-TREATMENT -de I-TREATMENT -ceftazidima I-TREATMENT -subconjuntival I-TREATMENT -e I-TREATMENT -intravítrea. I-TREATMENT -La I-TREATMENT -mala I-TREATMENT -visualización I-TREATMENT -desestimó I-TREATMENT -la I-TREATMENT -práctica I-TREATMENT -de I-TREATMENT -vitrectomía. I-TREATMENT -A I-TREATMENT -los I-TREATMENT -cuatro I-TREATMENT -días, I-TREATMENT -la I-TREATMENT -AV I-TREATMENT -era I-TREATMENT -de I-TREATMENT -no I-TREATMENT -percepción I-TREATMENT -de I-TREATMENT -luz I-TREATMENT -por I-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -eviscerar. I-TREATMENT - I-TREATMENT - -Varón B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -36 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -edad, I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedente I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -ser I-PAST_MEDICAL_HISTORY -bebedor I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -350 I-PAST_MEDICAL_HISTORY -gr/alcohol/día, I-PAST_MEDICAL_HISTORY -fumador I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -1 I-PAST_MEDICAL_HISTORY -cajetilla/día, I-PAST_MEDICAL_HISTORY -ExUDVP I-PAST_MEDICAL_HISTORY -(heroína I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -cocaína), I-PAST_MEDICAL_HISTORY -VHB I-PAST_MEDICAL_HISTORY -+, I-PAST_MEDICAL_HISTORY -VHC I-PAST_MEDICAL_HISTORY -+, I-PAST_MEDICAL_HISTORY -VIH I-PAST_MEDICAL_HISTORY --, I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -hepatitis I-PAST_MEDICAL_HISTORY -crónica I-PAST_MEDICAL_HISTORY -multifactorial I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -estadio I-PAST_MEDICAL_HISTORY -A I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -Child I-PAST_MEDICAL_HISTORY -sin I-PAST_MEDICAL_HISTORY -datos I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -hipertensión I-PAST_MEDICAL_HISTORY -portal. I-PAST_MEDICAL_HISTORY -Acude B-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -urgencias I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -nuestro I-PRESENT_ILLNESS -hospital I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -pérdida I-PRESENT_ILLNESS -brusca I-PRESENT_ILLNESS -e I-PRESENT_ILLNESS -importante I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -AV I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -varias I-PRESENT_ILLNESS -horas I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -El B-EXPLORATION -estudio I-EXPLORATION -oftalmológico I-EXPLORATION -mostraba I-EXPLORATION -una I-EXPLORATION -AV I-EXPLORATION -de I-EXPLORATION -movimiento I-EXPLORATION -de I-EXPLORATION -manos I-EXPLORATION -en I-EXPLORATION -ambos I-EXPLORATION -ojos I-EXPLORATION -(AO), I-EXPLORATION -con I-EXPLORATION -un I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -con I-EXPLORATION -infiltrados I-EXPLORATION -en I-EXPLORATION -polo I-EXPLORATION -posterior I-EXPLORATION -y I-EXPLORATION -desprendimiento I-EXPLORATION -seroso I-EXPLORATION -macular. I-EXPLORATION -El I-EXPLORATION -resto I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica I-EXPLORATION -era I-EXPLORATION -normal. I-EXPLORATION -Además I-EXPLORATION -presentaba I-EXPLORATION -fiebre I-EXPLORATION -de I-EXPLORATION -38, I-EXPLORATION -4ºC I-EXPLORATION -y I-EXPLORATION -discreto I-EXPLORATION -dolor I-EXPLORATION -abdominal I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -palpación I-EXPLORATION -con I-EXPLORATION -hepatomegalia I-EXPLORATION -de I-EXPLORATION -dos I-EXPLORATION -traveses I-EXPLORATION -de I-EXPLORATION -dedo. I-EXPLORATION - I-EXPLORATION -Ante B-DERIVED_FROM/TO -la I-DERIVED_FROM/TO -sospecha I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -una I-DERIVED_FROM/TO -pancreatitis I-DERIVED_FROM/TO -aguda I-DERIVED_FROM/TO -es I-DERIVED_FROM/TO -derivado I-DERIVED_FROM/TO -al I-DERIVED_FROM/TO -Servicio I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -Medicina I-DERIVED_FROM/TO -Interna, I-DERIVED_FROM/TO -que B-EXPLORATION -confirmada I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -tras I-EXPLORATION -los I-EXPLORATION -estudios I-EXPLORATION -de I-EXPLORATION -laboratorio: I-EXPLORATION -Leucocitos I-EXPLORATION -12, I-EXPLORATION -4 I-EXPLORATION -(4, I-EXPLORATION -8-10, I-EXPLORATION -8 I-EXPLORATION -x103 I-EXPLORATION -ul); I-EXPLORATION -Neutrófilos I-EXPLORATION -88% I-EXPLORATION -(42,2-75,2); I-EXPLORATION -Volumen I-EXPLORATION -Corpuscular I-EXPLORATION -Medio I-EXPLORATION -111 I-EXPLORATION -fl I-EXPLORATION -(85,9-95,9); I-EXPLORATION -Bilirrubina I-EXPLORATION -total I-EXPLORATION -8, I-EXPLORATION -23 I-EXPLORATION -mg/dl I-EXPLORATION -(0,2-1,0); I-EXPLORATION -Amilasa I-EXPLORATION -1.523 I-EXPLORATION -u/l I-EXPLORATION -(55-201); I-EXPLORATION -GOT I-EXPLORATION -200 I-EXPLORATION -u/l I-EXPLORATION -(5-45); I-EXPLORATION -GPT I-EXPLORATION -227 I-EXPLORATION -u/l I-EXPLORATION -(5-45); I-EXPLORATION -GGT I-EXPLORATION -1.346 I-EXPLORATION -u/l I-EXPLORATION -(3-52); I-EXPLORATION -Fosfatasa I-EXPLORATION -Alcalina I-EXPLORATION -1.159 I-EXPLORATION -u/l I-EXPLORATION -(98-295); I-EXPLORATION -Fibrinógeno I-EXPLORATION -157 I-EXPLORATION -mg/dl I-EXPLORATION -(200-400) I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -imagen I-EXPLORATION -[tomografía I-EXPLORATION -axial I-EXPLORATION -computerizada I-EXPLORATION -(TAC) I-EXPLORATION -y I-EXPLORATION -ecografía I-EXPLORATION -abdominales I-EXPLORATION -que I-EXPLORATION -muestran I-EXPLORATION -hepatopatía I-EXPLORATION -grasa I-EXPLORATION -y I-EXPLORATION -infiltración I-EXPLORATION -del I-EXPLORATION -tejido I-EXPLORATION -peripancreático, I-EXPLORATION -especialmente I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -altura I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -cola I-EXPLORATION -del I-EXPLORATION -páncreas, I-EXPLORATION -donde I-EXPLORATION -la I-EXPLORATION -infiltración I-EXPLORATION -continúa I-EXPLORATION -por I-EXPLORATION -el I-EXPLORATION -espacio I-EXPLORATION -pararrenal I-EXPLORATION -anterior I-EXPLORATION -izquierdo]. I-EXPLORATION -La I-EXPLORATION -angiografía I-EXPLORATION -fluoresceínica I-EXPLORATION -mostraba I-EXPLORATION -inicialmente I-EXPLORATION -áreas I-EXPLORATION -de I-EXPLORATION -no I-EXPLORATION -perfusión I-EXPLORATION -capilar, I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -correspondían I-EXPLORATION -con I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -los I-EXPLORATION -exudados, I-EXPLORATION -seguidas I-EXPLORATION -de I-EXPLORATION -difusión I-EXPLORATION -en I-EXPLORATION -tiempos I-EXPLORATION -tardíos I-EXPLORATION -y I-EXPLORATION -efectos I-EXPLORATION -pantalla I-EXPLORATION -provocados I-EXPLORATION -por I-EXPLORATION -las I-EXPLORATION -hemorragias I-EXPLORATION -retinianas. I-EXPLORATION -La B-TREATMENT -resolución I-TREATMENT -del I-TREATMENT -cuadro I-TREATMENT -digestivo I-TREATMENT -fue I-TREATMENT -favorable I-TREATMENT -con I-TREATMENT -tratamiento I-TREATMENT -médico I-TREATMENT -mediante I-TREATMENT -sueroterapia, I-TREATMENT -dieta I-TREATMENT -absoluta I-TREATMENT -y I-TREATMENT -antibioticoterapia, I-TREATMENT -con B-EVOLUTION -rápida I-EVOLUTION -mejoría I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -sintomatología I-EVOLUTION -clínica I-EVOLUTION -e I-EVOLUTION -importante I-EVOLUTION -mejoría I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -analítica I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -dos I-EVOLUTION -semanas, I-EVOLUTION -aunque B-EXPLORATION -un I-EXPLORATION -mes I-EXPLORATION -después I-EXPLORATION -presenta I-EXPLORATION -una I-EXPLORATION -encefalopatía I-EXPLORATION -de I-EXPLORATION -Wernicke I-EXPLORATION -con I-EXPLORATION -una I-EXPLORATION -TAC I-EXPLORATION -craneal I-EXPLORATION -normal. I-EXPLORATION - I-EXPLORATION -A B-EVOLUTION -los I-EVOLUTION -dos I-EVOLUTION -meses I-EVOLUTION -el I-EVOLUTION -paciente I-EVOLUTION -había I-EVOLUTION -recuperado I-EVOLUTION -una I-EVOLUTION -AV I-EVOLUTION -de I-EVOLUTION -1 I-EVOLUTION -en I-EVOLUTION -AO I-EVOLUTION -y I-EVOLUTION -el I-EVOLUTION -estudio I-EVOLUTION -de I-EVOLUTION -fondo I-EVOLUTION -de I-EVOLUTION -ojo I-EVOLUTION -solo I-EVOLUTION -mostraba I-EVOLUTION -algún I-EVOLUTION -pigmento I-EVOLUTION -residual. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -58 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -acude I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -urgencia I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -nuestras I-PRESENT_ILLNESS -consultas I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -dolor I-PRESENT_ILLNESS -ocular I-PRESENT_ILLNESS -unilateral I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -unas I-PRESENT_ILLNESS -horas I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -acompañado I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -cierto I-PRESENT_ILLNESS -grado I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -disminución I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -agudeza I-PRESENT_ILLNESS -visual. I-PRESENT_ILLNESS -A B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -presenta I-EXPLORATION -inyección I-EXPLORATION -ciliar, I-EXPLORATION -midriasis I-EXPLORATION -media I-EXPLORATION -arreactiva I-EXPLORATION -y I-EXPLORATION -una I-EXPLORATION -presión I-EXPLORATION -intraocular I-EXPLORATION -de I-EXPLORATION -53 I-EXPLORATION -mm I-EXPLORATION -Hg. I-EXPLORATION -Ante B-EVOLUTION -este I-EVOLUTION -cuadro I-EVOLUTION -se I-EVOLUTION -establece I-EVOLUTION -el I-EVOLUTION -diagnóstico I-EVOLUTION -presuntivo I-EVOLUTION -de I-EVOLUTION -ataque I-EVOLUTION -agudo I-EVOLUTION -de I-EVOLUTION -glaucoma I-EVOLUTION -de I-EVOLUTION -ángulo I-EVOLUTION -estrecho I-EVOLUTION -y I-EVOLUTION -se I-EVOLUTION -procede I-EVOLUTION -a I-EVOLUTION -la I-EVOLUTION -toma I-EVOLUTION -de I-EVOLUTION -imágenes I-EVOLUTION -mediante I-EVOLUTION -BMU I-EVOLUTION -y I-EVOLUTION -OCT. I-EVOLUTION -El B-EXPLORATION -OCT I-EXPLORATION -muestra I-EXPLORATION -un I-EXPLORATION -cierre I-EXPLORATION -angular I-EXPLORATION -con I-EXPLORATION -contacto I-EXPLORATION -entre I-EXPLORATION -la I-EXPLORATION -malla I-EXPLORATION -trabecular I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -zona I-EXPLORATION -más I-EXPLORATION -periférica I-EXPLORATION -del I-EXPLORATION -iris I-EXPLORATION -en I-EXPLORATION -los I-EXPLORATION -cuatro I-EXPLORATION -cuadrantes. I-EXPLORATION -De I-EXPLORATION -igual I-EXPLORATION -forma I-EXPLORATION -la I-EXPLORATION -BMU I-EXPLORATION -muestra I-EXPLORATION -una I-EXPLORATION -disposición I-EXPLORATION -similar I-EXPLORATION -del I-EXPLORATION -ángulo I-EXPLORATION -en I-EXPLORATION -los I-EXPLORATION -360º. I-EXPLORATION -Se B-TREATMENT -instaura I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -médico I-TREATMENT -correspondiente I-TREATMENT -para I-TREATMENT -posteriormente I-TREATMENT -realizar I-TREATMENT -unas I-TREATMENT -iridotomías I-TREATMENT -bilaterales I-TREATMENT -con I-TREATMENT -láser I-TREATMENT -YAG. I-TREATMENT -Tras B-EXPLORATION -las I-EXPLORATION -iridotomías I-EXPLORATION -se I-EXPLORATION -realiza I-EXPLORATION -un I-EXPLORATION -OCT I-EXPLORATION -de I-EXPLORATION -cámara I-EXPLORATION -anterior I-EXPLORATION -que I-EXPLORATION -nos I-EXPLORATION -muestra I-EXPLORATION -como I-EXPLORATION -la I-EXPLORATION -iridotomía I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -ojo I-EXPLORATION -del I-EXPLORATION -ataque I-EXPLORATION -agudo I-EXPLORATION -de I-EXPLORATION -glaucoma I-EXPLORATION -no I-EXPLORATION -es I-EXPLORATION -permeable, I-EXPLORATION -siendo B-TREATMENT -necesario I-TREATMENT -retratar I-TREATMENT -la I-TREATMENT -zona I-TREATMENT -con I-TREATMENT -nuevos I-TREATMENT -impactos. I-TREATMENT -Tras B-EVOLUTION -este I-EVOLUTION -segundo I-EVOLUTION -tratamiento I-EVOLUTION -se I-EVOLUTION -realiza I-EVOLUTION -un I-EVOLUTION -nuevo I-EVOLUTION -OCT I-EVOLUTION -que, I-EVOLUTION -esta I-EVOLUTION -vez I-EVOLUTION -sí, I-EVOLUTION -muestra I-EVOLUTION -permeabilidad I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -iridotomía, I-EVOLUTION -apertura I-EVOLUTION -del I-EVOLUTION -ángulo I-EVOLUTION -y I-EVOLUTION -profundización I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -cámara I-EVOLUTION -anterior. I-EVOLUTION - I-EVOLUTION - -Una B-PRESENT_ILLNESS -mujer I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -25 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -edad I-PRESENT_ILLNESS -fue B-DERIVED_FROM/TO -remitida I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -nuestro I-DERIVED_FROM/TO -servicio I-DERIVED_FROM/TO -para I-DERIVED_FROM/TO -confirmar I-DERIVED_FROM/TO -la I-DERIVED_FROM/TO -presencia I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -un I-DERIVED_FROM/TO -síndrome I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -Susac, I-DERIVED_FROM/TO -debido I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -una I-DERIVED_FROM/TO -pérdida I-DERIVED_FROM/TO -visual I-DERIVED_FROM/TO -bilateral. I-DERIVED_FROM/TO -La B-PAST_MEDICAL_HISTORY -paciente I-PAST_MEDICAL_HISTORY -tenía I-PAST_MEDICAL_HISTORY -una I-PAST_MEDICAL_HISTORY -historia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -alteraciones I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -equilibrio, I-PAST_MEDICAL_HISTORY -ataxia, I-PAST_MEDICAL_HISTORY -incontinencia I-PAST_MEDICAL_HISTORY -fecal I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -urinaria, I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -pérdida I-PAST_MEDICAL_HISTORY -auditiva I-PAST_MEDICAL_HISTORY -izquierda I-PAST_MEDICAL_HISTORY -desde I-PAST_MEDICAL_HISTORY -hacía I-PAST_MEDICAL_HISTORY -cuatro I-PAST_MEDICAL_HISTORY -años, I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -estaba I-PAST_MEDICAL_HISTORY -recibiendo I-PAST_MEDICAL_HISTORY -corticoides, I-PAST_MEDICAL_HISTORY -nimodipino I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -anticoagulantes. I-PAST_MEDICAL_HISTORY -En B-EXPLORATION -el I-EXPLORATION -examen I-EXPLORATION -neurológico I-EXPLORATION -se I-EXPLORATION -apreciaba I-EXPLORATION -una I-EXPLORATION -paraparesia I-EXPLORATION -espástica, I-EXPLORATION -hiperreflexia I-EXPLORATION -tendinosa I-EXPLORATION -y I-EXPLORATION -disfunción I-EXPLORATION -genitourinaria. I-EXPLORATION -La I-EXPLORATION -analítica I-EXPLORATION -sanguínea I-EXPLORATION -que I-EXPLORATION -incluía I-EXPLORATION -hemograma, I-EXPLORATION -bioquímica I-EXPLORATION -general, I-EXPLORATION -velocidad I-EXPLORATION -de I-EXPLORATION -sedimentación I-EXPLORATION -globular, I-EXPLORATION -enzima I-EXPLORATION -conversor I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -angiotensina I-EXPLORATION -y I-EXPLORATION -coagulación I-EXPLORATION -resultaba I-EXPLORATION -sin I-EXPLORATION -alteraciones. I-EXPLORATION -La I-EXPLORATION -serología I-EXPLORATION -de I-EXPLORATION -lúes, I-EXPLORATION -virus I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -inmunodeficiencia I-EXPLORATION -humana, I-EXPLORATION -herpes I-EXPLORATION -simple, I-EXPLORATION -hepatitis I-EXPLORATION -B I-EXPLORATION -y I-EXPLORATION -C, I-EXPLORATION -proteína I-EXPLORATION -C I-EXPLORATION -reactiva, I-EXPLORATION -factor I-EXPLORATION -reumatoide, I-EXPLORATION -anticoagulante I-EXPLORATION -lúpico, I-EXPLORATION -anticuerpos I-EXPLORATION -antinucleares, I-EXPLORATION -anticardiolipina, I-EXPLORATION -y I-EXPLORATION -antifosfolípido I-EXPLORATION -fue I-EXPLORATION -negativa. I-EXPLORATION -La I-EXPLORATION -radiografía I-EXPLORATION -de I-EXPLORATION -tórax, I-EXPLORATION -electrocardiograma, I-EXPLORATION -ecocardiografía I-EXPLORATION -y I-EXPLORATION -tomografía I-EXPLORATION -axial I-EXPLORATION -computerizada I-EXPLORATION -craneal I-EXPLORATION -no I-EXPLORATION -presentaban I-EXPLORATION -alteraciones. I-EXPLORATION -El I-EXPLORATION -líquido I-EXPLORATION -cefalorraquídeo I-EXPLORATION -(LCR) I-EXPLORATION -era I-EXPLORATION -de I-EXPLORATION -aspecto I-EXPLORATION -claro I-EXPLORATION -y I-EXPLORATION -con I-EXPLORATION -presión I-EXPLORATION -de I-EXPLORATION -apertura I-EXPLORATION -normal, I-EXPLORATION -con I-EXPLORATION -ligero I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -proteínas, I-EXPLORATION -y I-EXPLORATION -resto I-EXPLORATION -de I-EXPLORATION -fórmula I-EXPLORATION -normal. I-EXPLORATION -La I-EXPLORATION -serología I-EXPLORATION -en I-EXPLORATION -LCR I-EXPLORATION -para I-EXPLORATION -borrelia, I-EXPLORATION -virus I-EXPLORATION -de I-EXPLORATION -Epstein-Barr, I-EXPLORATION -citomegalovirus I-EXPLORATION -y I-EXPLORATION -lúes, I-EXPLORATION -además I-EXPLORATION -de I-EXPLORATION -los I-EXPLORATION -cultivos I-EXPLORATION -habituales I-EXPLORATION -resultaron I-EXPLORATION -negativos. I-EXPLORATION -La I-EXPLORATION -detección I-EXPLORATION -de I-EXPLORATION -bandas I-EXPLORATION -oligoclonales I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -mismo I-EXPLORATION -también I-EXPLORATION -resultó I-EXPLORATION -negativa. I-EXPLORATION -La I-EXPLORATION -Resonancia I-EXPLORATION -Magnética I-EXPLORATION -Nuclear I-EXPLORATION -(RMN) I-EXPLORATION -cerebral I-EXPLORATION -mostraba I-EXPLORATION -múltiples I-EXPLORATION -áreas I-EXPLORATION -focales I-EXPLORATION -de I-EXPLORATION -hiperintensidad I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -sustancia I-EXPLORATION -blanca I-EXPLORATION -periventricular I-EXPLORATION -y I-EXPLORATION -pericallosa, I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -las I-EXPLORATION -regiones I-EXPLORATION -del I-EXPLORATION -centro I-EXPLORATION -semioval. I-EXPLORATION -Los I-EXPLORATION -tests I-EXPLORATION -audiométricos I-EXPLORATION -estándares I-EXPLORATION -revelaron I-EXPLORATION -pérdida I-EXPLORATION -auditiva I-EXPLORATION -neurosensorial, I-EXPLORATION -asimétrica, I-EXPLORATION -de I-EXPLORATION -predominio I-EXPLORATION -izquierdo, I-EXPLORATION -para I-EXPLORATION -las I-EXPLORATION -bajas I-EXPLORATION -frecuencias. I-EXPLORATION -A I-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica, I-EXPLORATION -su I-EXPLORATION -agudeza I-EXPLORATION -visual I-EXPLORATION -era I-EXPLORATION -de I-EXPLORATION -20/25 I-EXPLORATION -en I-EXPLORATION -ambos I-EXPLORATION -ojos. I-EXPLORATION -La I-EXPLORATION -campimetría I-EXPLORATION -de I-EXPLORATION -Goldmann I-EXPLORATION -(Haag-Streit, I-EXPLORATION -Berna, I-EXPLORATION -Suiza) I-EXPLORATION -mostró I-EXPLORATION -una I-EXPLORATION -cuadrantanopsia I-EXPLORATION -inferior I-EXPLORATION -bitemporal. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -biomicroscopía I-EXPLORATION -del I-EXPLORATION -segmento I-EXPLORATION -anterior I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -apreciaban I-EXPLORATION -hallazgos I-EXPLORATION -destacables. I-EXPLORATION -El I-EXPLORATION -examen I-EXPLORATION -funduscópico I-EXPLORATION -reveló I-EXPLORATION -una I-EXPLORATION -microangiopatía I-EXPLORATION -retiniana I-EXPLORATION -periférica, I-EXPLORATION -apreciándose I-EXPLORATION -amputación I-EXPLORATION -de I-EXPLORATION -vasos I-EXPLORATION -con I-EXPLORATION -cúmulos I-EXPLORATION -de I-EXPLORATION -microaneurismas I-EXPLORATION -en I-EXPLORATION -ambos I-EXPLORATION -ojos. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -observaron I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -inflamación I-EXPLORATION -o I-EXPLORATION -células I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -vítreo, I-EXPLORATION -ni I-EXPLORATION -envainamiento I-EXPLORATION -de I-EXPLORATION -los I-EXPLORATION -vasos I-EXPLORATION -retinianos. I-EXPLORATION -La I-EXPLORATION -angiografía I-EXPLORATION -fluoresceínica I-EXPLORATION -(AGF) I-EXPLORATION -demostró I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -isquemia I-EXPLORATION -en I-EXPLORATION -las I-EXPLORATION -áreas I-EXPLORATION -correspondientes I-EXPLORATION -a I-EXPLORATION -las I-EXPLORATION -oclusiones I-EXPLORATION -arteriolares. I-EXPLORATION -El I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -síndrome I-EXPLORATION -de I-EXPLORATION -Susac I-EXPLORATION -se I-EXPLORATION -basó I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -asociación I-EXPLORATION -de I-EXPLORATION -encefalopatía I-EXPLORATION -con I-EXPLORATION -hallazgos I-EXPLORATION -típicos I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -RMN, I-EXPLORATION -microangiopatía I-EXPLORATION -retiniana I-EXPLORATION -y I-EXPLORATION -pérdida I-EXPLORATION -auditiva I-EXPLORATION -neurosensorial. I-EXPLORATION - I-EXPLORATION -Debido B-TREATMENT -a I-TREATMENT -la I-TREATMENT -evidente I-TREATMENT -isquemia I-TREATMENT -retiniana I-TREATMENT -periférica I-TREATMENT -apreciada I-TREATMENT -en I-TREATMENT -la I-TREATMENT -AGF, I-TREATMENT -se I-TREATMENT -le I-TREATMENT -realizó I-TREATMENT -fotocoagulación I-TREATMENT -retiniana I-TREATMENT -con I-TREATMENT -láser I-TREATMENT -en I-TREATMENT -las I-TREATMENT -áreas I-TREATMENT -isquémicas I-TREATMENT -de I-TREATMENT -forma I-TREATMENT -profiláctica, I-TREATMENT -manteniéndose I-TREATMENT -estable I-TREATMENT -el I-TREATMENT -cuadro I-TREATMENT -visual I-TREATMENT -desde I-TREATMENT -entonces. I-TREATMENT -Al B-EVOLUTION -cabo I-EVOLUTION -de I-EVOLUTION -dos I-EVOLUTION -años I-EVOLUTION -no I-EVOLUTION -ha I-EVOLUTION -habido I-EVOLUTION -variaciones I-EVOLUTION -significativas I-EVOLUTION -tanto I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -estado I-EVOLUTION -neurológico I-EVOLUTION -como I-EVOLUTION -auditivo. I-EVOLUTION - I-EVOLUTION - -Varón, B-PRESENT_ILLNESS -hijo B-PAST_MEDICAL_HISTORY -único, I-PAST_MEDICAL_HISTORY -nacido I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -cuarenta I-PAST_MEDICAL_HISTORY -semanas I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -gestación I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -cesárea. I-PAST_MEDICAL_HISTORY -Como B-FAMILY_HISTORY -antecedentes I-FAMILY_HISTORY -familiares I-FAMILY_HISTORY -destacar I-FAMILY_HISTORY -que I-FAMILY_HISTORY -su I-FAMILY_HISTORY -madre I-FAMILY_HISTORY -presentaba I-FAMILY_HISTORY -diabetes I-FAMILY_HISTORY -mellitus I-FAMILY_HISTORY -no I-FAMILY_HISTORY -insulinodependiente I-FAMILY_HISTORY -desde I-FAMILY_HISTORY -los I-FAMILY_HISTORY -17 I-FAMILY_HISTORY -años I-FAMILY_HISTORY -y I-FAMILY_HISTORY -no I-FAMILY_HISTORY -existir I-FAMILY_HISTORY -consaguinidad I-FAMILY_HISTORY -entre I-FAMILY_HISTORY -los I-FAMILY_HISTORY -padres. I-FAMILY_HISTORY - I-FAMILY_HISTORY -A B-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -cuatro I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -vida, I-PRESENT_ILLNESS -sufre I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -parada I-PRESENT_ILLNESS -cardiorrespiratoria, I-PRESENT_ILLNESS -(diagnosticado I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -cardiomiopatía I-PRESENT_ILLNESS -dilatada) I-PRESENT_ILLNESS -(1). I-PRESENT_ILLNESS -Durante B-EVOLUTION -su I-EVOLUTION -ingreso I-EVOLUTION -hospitalario I-EVOLUTION -comienza I-EVOLUTION -con I-EVOLUTION -fotofobia I-EVOLUTION -y I-EVOLUTION -nistagmus I-EVOLUTION -intermitente, I-EVOLUTION -y B-EXPLORATION -se I-EXPLORATION -recomienda I-EXPLORATION -revisión I-EXPLORATION -oftalmológica I-EXPLORATION -en I-EXPLORATION -su I-EXPLORATION -lugar I-EXPLORATION -de I-EXPLORATION -origen. I-EXPLORATION - I-EXPLORATION -El I-EXPLORATION -niño I-EXPLORATION -presenta I-EXPLORATION -un I-EXPLORATION -retraso I-EXPLORATION -psicomotor I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -solicita I-EXPLORATION -una I-EXPLORATION -Resonancia I-EXPLORATION -Magnética I-EXPLORATION -Nuclear I-EXPLORATION -(RMN) I-EXPLORATION -y B-TREATMENT -comienza I-TREATMENT -desde I-TREATMENT -el I-TREATMENT -año I-TREATMENT -de I-TREATMENT -vida I-TREATMENT -con I-TREATMENT -tratamiento I-TREATMENT -de I-TREATMENT -estimulación I-TREATMENT -precoz, I-TREATMENT -consiguiendo I-TREATMENT -en I-TREATMENT -ocho I-TREATMENT -meses I-TREATMENT -los I-TREATMENT -objetivos I-TREATMENT -propuestos. I-TREATMENT -En B-EXPLORATION -la I-EXPLORATION -RMN I-EXPLORATION -se I-EXPLORATION -observan I-EXPLORATION -pequeñas I-EXPLORATION -áreas I-EXPLORATION -de I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -señal I-EXPLORATION -en I-EXPLORATION -T2 I-EXPLORATION -y I-EXPLORATION -FLAIR I-EXPLORATION -en I-EXPLORATION -las I-EXPLORATION -regiones I-EXPLORATION -periatriales I-EXPLORATION -y I-EXPLORATION -sustancia I-EXPLORATION -blanca I-EXPLORATION -temporal. I-EXPLORATION - I-EXPLORATION -A B-DERIVED_FROM/TO -los I-DERIVED_FROM/TO -dos I-DERIVED_FROM/TO -años I-DERIVED_FROM/TO -es I-DERIVED_FROM/TO -remitido I-DERIVED_FROM/TO -a I-DERIVED_FROM/TO -nuestro I-DERIVED_FROM/TO -Hospital I-DERIVED_FROM/TO -para I-DERIVED_FROM/TO -estudio I-DERIVED_FROM/TO -ecográfico I-DERIVED_FROM/TO -y I-DERIVED_FROM/TO -oftalmológico. I-DERIVED_FROM/TO -Se B-EXPLORATION -solicita I-EXPLORATION -un I-EXPLORATION -ERG I-EXPLORATION -que I-EXPLORATION -muestra I-EXPLORATION -ausencia I-EXPLORATION -de I-EXPLORATION -respuestas, I-EXPLORATION -y I-EXPLORATION -Potenciales I-EXPLORATION -Evocados I-EXPLORATION -Visuales I-EXPLORATION -(PEV) I-EXPLORATION -normales. I-EXPLORATION -Oftalmoscópicamente I-EXPLORATION -muestra I-EXPLORATION -nistagmus I-EXPLORATION -con I-EXPLORATION -fotofobia I-EXPLORATION -intensa. I-EXPLORATION -El I-EXPLORATION -segmento I-EXPLORATION -anterior I-EXPLORATION -y I-EXPLORATION -el I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -son I-EXPLORATION -normales. I-EXPLORATION - I-EXPLORATION -Como I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -clínico I-EXPLORATION -es I-EXPLORATION -sugestivo I-EXPLORATION -de I-EXPLORATION -Síndrome I-EXPLORATION -de I-EXPLORATION -Alström, I-EXPLORATION -se I-EXPLORATION -solicita I-EXPLORATION -un I-EXPLORATION -estudio I-EXPLORATION -genético I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -que I-EXPLORATION -tras I-EXPLORATION -analizar I-EXPLORATION -los I-EXPLORATION -exones I-EXPLORATION -10, I-EXPLORATION -16 I-EXPLORATION -y I-EXPLORATION -un I-EXPLORATION -segmento I-EXPLORATION -del I-EXPLORATION -exón I-EXPLORATION -8 I-EXPLORATION -del I-EXPLORATION -gen I-EXPLORATION -ALMS-1 I-EXPLORATION -(3) I-EXPLORATION -donde I-EXPLORATION -se I-EXPLORATION -encuentran I-EXPLORATION -las I-EXPLORATION -mutaciones I-EXPLORATION -descritas I-EXPLORATION -hasta I-EXPLORATION -el I-EXPLORATION -momento, I-EXPLORATION -amplificado I-EXPLORATION -por I-EXPLORATION -PCR I-EXPLORATION -y I-EXPLORATION -secuenciación I-EXPLORATION -automatizada, I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -detectan I-EXPLORATION -mutaciones, I-EXPLORATION -sin I-EXPLORATION -embargo, I-EXPLORATION -estos I-EXPLORATION -resultados I-EXPLORATION -no I-EXPLORATION -excluyen I-EXPLORATION -el I-EXPLORATION -diagnóstico. I-EXPLORATION - I-EXPLORATION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -28 I-PRESENT_ILLNESS -años, I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -«Síndrome I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -múltiples I-PAST_MEDICAL_HISTORY -puntos I-PAST_MEDICAL_HISTORY -blancos I-PAST_MEDICAL_HISTORY -evanescentes» I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -ambos I-PAST_MEDICAL_HISTORY -ojos I-PAST_MEDICAL_HISTORY -hace I-PAST_MEDICAL_HISTORY -7 I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -buena I-PAST_MEDICAL_HISTORY -respuesta I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -corticoterapia I-PAST_MEDICAL_HISTORY -oral. I-PAST_MEDICAL_HISTORY -Acude B-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -urgencias I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -nuestro I-PRESENT_ILLNESS -hospital I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -disminución I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -agudeza I-PRESENT_ILLNESS -visual I-PRESENT_ILLNESS -bilateral I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -cefalea I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -15 I-PRESENT_ILLNESS -días I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución. I-PRESENT_ILLNESS -A B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica I-EXPLORATION -presenta I-EXPLORATION -una I-EXPLORATION -agudeza I-EXPLORATION -visual I-EXPLORATION -de I-EXPLORATION -3/10 I-EXPLORATION -con I-EXPLORATION -reacción I-EXPLORATION -inflamatoria I-EXPLORATION -en I-EXPLORATION -cámara I-EXPLORATION -anterior I-EXPLORATION -y I-EXPLORATION -desprendimiento I-EXPLORATION -de I-EXPLORATION -retina I-EXPLORATION -exudativo I-EXPLORATION -bilateral. I-EXPLORATION -Se B-TREATMENT -inicia I-TREATMENT -tratamiento I-TREATMENT -corticoideo I-TREATMENT -oral I-TREATMENT -a I-TREATMENT -altas I-TREATMENT -dosis I-TREATMENT -(80 I-TREATMENT -mg I-TREATMENT -de I-TREATMENT -prednisona), I-TREATMENT -constatándose I-TREATMENT -una I-TREATMENT -buena I-TREATMENT -respuesta I-TREATMENT -inicial. I-TREATMENT -Al B-EVOLUTION -mes I-EVOLUTION -del I-EVOLUTION -tratamiento I-EVOLUTION -se I-EVOLUTION -observa I-EVOLUTION -una I-EVOLUTION -recidiva I-EVOLUTION -del I-EVOLUTION -desprendimiento I-EVOLUTION -de I-EVOLUTION -retina I-EVOLUTION -foveal I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -ojo I-EVOLUTION -izquierdo, I-EVOLUTION -por I-EVOLUTION -lo I-EVOLUTION -que I-EVOLUTION -se I-EVOLUTION -asocia I-EVOLUTION -a I-EVOLUTION -su I-EVOLUTION -tratamiento I-EVOLUTION -CyA I-EVOLUTION -(dosis I-EVOLUTION -inicial I-EVOLUTION -de I-EVOLUTION -4 I-EVOLUTION -mg/kg/día). I-EVOLUTION -Tras I-EVOLUTION -nueve I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -seguimiento, I-EVOLUTION -presenta I-EVOLUTION -una I-EVOLUTION -agudeza I-EVOLUTION -visual I-EVOLUTION -de I-EVOLUTION -unidad I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -ojo I-EVOLUTION -derecho I-EVOLUTION -y I-EVOLUTION -de I-EVOLUTION -8/10 I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -ojo I-EVOLUTION -izquierdo I-EVOLUTION -con I-EVOLUTION -movilización I-EVOLUTION -pigmentaria I-EVOLUTION -en I-EVOLUTION -cuatro I-EVOLUTION -cuadrantes I-EVOLUTION -y I-EVOLUTION -fibrosis I-EVOLUTION -subretiniana. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -67 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -remitida B-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -otro I-DERIVED_FROM/TO -centro I-DERIVED_FROM/TO -para I-DERIVED_FROM/TO -tratamiento I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -carcinoma I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -células I-DERIVED_FROM/TO -sebáceas I-DERIVED_FROM/TO -de I-DERIVED_FROM/TO -ojo I-DERIVED_FROM/TO -derecho I-DERIVED_FROM/TO -intervenido I-DERIVED_FROM/TO -en I-DERIVED_FROM/TO -seis I-DERIVED_FROM/TO -ocasiones. I-DERIVED_FROM/TO -Debutó B-PRESENT_ILLNESS -como I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -lesión I-PRESENT_ILLNESS -pediculada I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -conjuntiva I-PRESENT_ILLNESS -tarsal I-PRESENT_ILLNESS -superior. I-PRESENT_ILLNESS -La B-EXPLORATION -biopsia I-EXPLORATION -realizada I-EXPLORATION -se I-EXPLORATION -informó I-EXPLORATION -como I-EXPLORATION -carcinoma I-EXPLORATION -sebáceo. I-EXPLORATION -Se B-TREATMENT -hicieron I-TREATMENT -varias I-TREATMENT -ampliaciones I-TREATMENT -de I-TREATMENT -márgenes I-TREATMENT -quirúrgicos I-TREATMENT -de I-TREATMENT -lamela I-TREATMENT -posterior I-TREATMENT -de I-TREATMENT -párpado I-TREATMENT -superior I-TREATMENT -derecho, I-TREATMENT -hasta I-TREATMENT -encontrar I-TREATMENT -límites I-TREATMENT -libre I-TREATMENT -de I-TREATMENT -tumor. I-TREATMENT -Las B-EXPLORATION -piezas I-EXPLORATION -se I-EXPLORATION -informaron I-EXPLORATION -como I-EXPLORATION -carcinoma I-EXPLORATION -sebáceo I-EXPLORATION -con I-EXPLORATION -diseminación I-EXPLORATION -pagetoide. I-EXPLORATION - I-EXPLORATION -La B-EVOLUTION -paciente I-EVOLUTION -refería I-EVOLUTION -inflamación I-EVOLUTION -crónica I-EVOLUTION -palpebral I-EVOLUTION -y I-EVOLUTION -conjuntival. I-EVOLUTION -A B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -destacaba I-EXPLORATION -leve I-EXPLORATION -engrosamiento I-EXPLORATION -de I-EXPLORATION -tercio I-EXPLORATION -externo I-EXPLORATION -del I-EXPLORATION -borde I-EXPLORATION -libre I-EXPLORATION -de I-EXPLORATION -párpado I-EXPLORATION -superior I-EXPLORATION -derecho. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -biomicroscopía I-EXPLORATION -presentaba: I-EXPLORATION -conjuntiva I-EXPLORATION -bulbar I-EXPLORATION -superior I-EXPLORATION -irregular I-EXPLORATION -y I-EXPLORATION -muy I-EXPLORATION -eritematosa, I-EXPLORATION -área I-EXPLORATION -de I-EXPLORATION -6 I-EXPLORATION -mm I-EXPLORATION -de I-EXPLORATION -amplitud I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -observaba I-EXPLORATION -una I-EXPLORATION -desestructuración I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -arquitectura I-EXPLORATION -limbar, I-EXPLORATION -con I-EXPLORATION -infiltración I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -empalizadas I-EXPLORATION -de I-EXPLORATION -Vogt I-EXPLORATION -por I-EXPLORATION -cordones I-EXPLORATION -amarillentos I-EXPLORATION -de I-EXPLORATION -aspecto I-EXPLORATION -sebáceo I-EXPLORATION -y I-EXPLORATION -conjuntivalización I-EXPLORATION -del I-EXPLORATION -epitelio I-EXPLORATION -corneal I-EXPLORATION -superior, I-EXPLORATION -acortamiento I-EXPLORATION -de I-EXPLORATION -fórnix I-EXPLORATION -superior I-EXPLORATION -y I-EXPLORATION -simbléfaron I-EXPLORATION -en I-EXPLORATION -zona I-EXPLORATION -del I-EXPLORATION -canto I-EXPLORATION -externo. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -observó I-EXPLORATION -afectación I-EXPLORATION -ganglionar I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -palpación. I-EXPLORATION -La I-EXPLORATION -TC I-EXPLORATION -de I-EXPLORATION -cráneo, I-EXPLORATION -abdomen I-EXPLORATION -y I-EXPLORATION -tórax I-EXPLORATION -era I-EXPLORATION -normal. I-EXPLORATION -La I-EXPLORATION -gammagrafía I-EXPLORATION -ósea I-EXPLORATION -era I-EXPLORATION -normal. I-EXPLORATION - I-EXPLORATION -Se B-TREATMENT -realizó I-TREATMENT -blefarectomía I-TREATMENT -en I-TREATMENT -cuña I-TREATMENT -de I-TREATMENT -la I-TREATMENT -zona I-TREATMENT -engrosada I-TREATMENT -del I-TREATMENT -párpado I-TREATMENT -superior I-TREATMENT -derecho I-TREATMENT -y I-TREATMENT -mapeo I-TREATMENT -de I-TREATMENT -biopsias I-TREATMENT -conjuntivales. I-TREATMENT -La B-EXPLORATION -pieza I-EXPLORATION -principal I-EXPLORATION -se I-EXPLORATION -informó I-EXPLORATION -como I-EXPLORATION -carcinoma I-EXPLORATION -sebáceo. I-EXPLORATION -Las I-EXPLORATION -muestras I-EXPLORATION -conjuntivales I-EXPLORATION -estaban I-EXPLORATION -libres I-EXPLORATION -de I-EXPLORATION -tumor. I-EXPLORATION - I-EXPLORATION -Ampliamos B-TREATMENT -la I-TREATMENT -blefarectomía I-TREATMENT -y I-TREATMENT -esperamos I-TREATMENT -a I-TREATMENT -poder I-TREATMENT -instaurar I-TREATMENT -tratamiento I-TREATMENT -de I-TREATMENT -la I-TREATMENT -superficie I-TREATMENT -ocular I-TREATMENT -con I-TREATMENT -colirio I-TREATMENT -de I-TREATMENT -mitomicina I-TREATMENT -C. I-TREATMENT -No B-EVOLUTION -se I-EVOLUTION -pudo I-EVOLUTION -seguir I-EVOLUTION -la I-EVOLUTION -evolución I-EVOLUTION -del I-EVOLUTION -caso I-EVOLUTION -ya I-EVOLUTION -que I-EVOLUTION -la I-EVOLUTION -paciente I-EVOLUTION -decidió I-EVOLUTION -seguir I-EVOLUTION -con I-EVOLUTION -el I-EVOLUTION -tratamiento I-EVOLUTION -en I-EVOLUTION -su I-EVOLUTION -ciudad I-EVOLUTION -de I-EVOLUTION -residencia. I-EVOLUTION - I-EVOLUTION - -Un B-PRESENT_ILLNESS -varón I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -58 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -acudió I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -Urgencias I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -diplopía I-PRESENT_ILLNESS -binocular I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -instauración I-PRESENT_ILLNESS -subaguda I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -menos I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -atribuida I-PRESENT_ILLNESS -inicialmente I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -efectos I-PRESENT_ILLNESS -secundarios I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -quimioterapia. I-PRESENT_ILLNESS -El B-PAST_MEDICAL_HISTORY -paciente I-PAST_MEDICAL_HISTORY -había I-PAST_MEDICAL_HISTORY -sido I-PAST_MEDICAL_HISTORY -tratado I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -ciclos I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -carboxiplatino/taxol I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -radioterapia I-PAST_MEDICAL_HISTORY -concomitante I-PAST_MEDICAL_HISTORY -por I-PAST_MEDICAL_HISTORY -un I-PAST_MEDICAL_HISTORY -carcinoma I-PAST_MEDICAL_HISTORY -pulmonar I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -células I-PAST_MEDICAL_HISTORY -grandes I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -estadio I-PAST_MEDICAL_HISTORY -T2N3M0 I-PAST_MEDICAL_HISTORY -diagnosticado I-PAST_MEDICAL_HISTORY -hacía I-PAST_MEDICAL_HISTORY -7 I-PAST_MEDICAL_HISTORY -meses. I-PAST_MEDICAL_HISTORY -En B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica, I-EXPLORATION -la I-EXPLORATION -AV I-EXPLORATION -mejor I-EXPLORATION -corregida I-EXPLORATION -era I-EXPLORATION -de I-EXPLORATION -0, I-EXPLORATION -9 I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -derecho I-EXPLORATION -(OD) I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -0, I-EXPLORATION -8 I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -izquierdo I-EXPLORATION -(OI). I-EXPLORATION -Ambas I-EXPLORATION -pupilas I-EXPLORATION -estaban I-EXPLORATION -en I-EXPLORATION -midriasis I-EXPLORATION -media I-EXPLORATION -con I-EXPLORATION -escasa I-EXPLORATION -reactividad I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -luz I-EXPLORATION -y I-EXPLORATION -convergencia. I-EXPLORATION -Respecto I-EXPLORATION -a I-EXPLORATION -la I-EXPLORATION -motilidad I-EXPLORATION -ocular I-EXPLORATION -extrínseca, I-EXPLORATION -se I-EXPLORATION -objetivaba I-EXPLORATION -una I-EXPLORATION -exotropía I-EXPLORATION -de I-EXPLORATION --50 I-EXPLORATION -dp I-EXPLORATION -(dioptrías I-EXPLORATION -prismátricas) I-EXPLORATION -con I-EXPLORATION -dominancia I-EXPLORATION -OD I-EXPLORATION -pero I-EXPLORATION -con I-EXPLORATION -capacidad I-EXPLORATION -de I-EXPLORATION -fijación I-EXPLORATION -alternante. I-EXPLORATION -En I-EXPLORATION -el I-EXPLORATION -OD I-EXPLORATION -se I-EXPLORATION -observaba I-EXPLORATION -una I-EXPLORATION -limitación I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -supraducciones I-EXPLORATION -(+++) I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -aducción I-EXPLORATION -(++) I-EXPLORATION -pero I-EXPLORATION -con I-EXPLORATION -conservación I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -abducción. I-EXPLORATION -El I-EXPLORATION -OI I-EXPLORATION -presentaba I-EXPLORATION -un I-EXPLORATION -ptosis I-EXPLORATION -palpebral I-EXPLORATION -casi I-EXPLORATION -total I-EXPLORATION -y I-EXPLORATION -una I-EXPLORATION -severa I-EXPLORATION -limitación I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -supraducciones I-EXPLORATION -(+++), I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -aducción I-EXPLORATION -(++) I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -infraducciones I-EXPLORATION -(+++) I-EXPLORATION -con I-EXPLORATION -conservación I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -abducción. I-EXPLORATION -La I-EXPLORATION -biomicroscopía I-EXPLORATION -del I-EXPLORATION -segmento I-EXPLORATION -anterior I-EXPLORATION -era I-EXPLORATION -normal I-EXPLORATION -así I-EXPLORATION -como I-EXPLORATION -la I-EXPLORATION -tensión I-EXPLORATION -ocular I-EXPLORATION -de I-EXPLORATION -ambos I-EXPLORATION -ojos I-EXPLORATION -(AO). I-EXPLORATION -En I-EXPLORATION -el I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -tampoco I-EXPLORATION -se I-EXPLORATION -hallaron I-EXPLORATION -alteraciones I-EXPLORATION -patológicas. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -neurológica I-EXPLORATION -el I-EXPLORATION -paciente I-EXPLORATION -no I-EXPLORATION -mostraba I-EXPLORATION -ninguna I-EXPLORATION -alteración I-EXPLORATION -clínica. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -le I-EXPLORATION -realizó I-EXPLORATION -una I-EXPLORATION -resonancia I-EXPLORATION -magnética I-EXPLORATION -(RM) I-EXPLORATION -cerebral I-EXPLORATION -que I-EXPLORATION -evidenció I-EXPLORATION -la I-EXPLORATION -existencia I-EXPLORATION -una I-EXPLORATION -lesión I-EXPLORATION -solitaria I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -región I-EXPLORATION -posterior I-EXPLORATION -del I-EXPLORATION -suelo I-EXPLORATION -del I-EXPLORATION -III I-EXPLORATION -ventrículo. I-EXPLORATION -Dicha I-EXPLORATION -lesión I-EXPLORATION -tenía I-EXPLORATION -un I-EXPLORATION -aspecto I-EXPLORATION -anular I-EXPLORATION -hiperintenso, I-EXPLORATION -con I-EXPLORATION -una I-EXPLORATION -porción I-EXPLORATION -central I-EXPLORATION -hipointensa I-EXPLORATION -sugestiva I-EXPLORATION -de I-EXPLORATION -necrosis, I-EXPLORATION -y I-EXPLORATION -afectaba I-EXPLORATION -bilateralmente I-EXPLORATION -a I-EXPLORATION -los I-EXPLORATION -núcleos I-EXPLORATION -y I-EXPLORATION -fascículos I-EXPLORATION -del I-EXPLORATION -III I-EXPLORATION -nervio I-EXPLORATION -craneal I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -mesencéfalo I-EXPLORATION -central. I-EXPLORATION - I-EXPLORATION - -Mujer B-PRESENT_ILLNESS -hispana I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -33 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -edad, I-PRESENT_ILLNESS -sin B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -interés, I-PAST_MEDICAL_HISTORY -que B-PRESENT_ILLNESS -queja I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -disminución I-PRESENT_ILLNESS -progresiva I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -visión I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -ojo I-PRESENT_ILLNESS -izquierdo I-PRESENT_ILLNESS -(OI). I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -En B-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -destaca I-EXPLORATION -una I-EXPLORATION -agudeza I-EXPLORATION -visual I-EXPLORATION -(AV) I-EXPLORATION -de I-EXPLORATION -0, I-EXPLORATION -05 I-EXPLORATION -en I-EXPLORATION -OI. I-EXPLORATION -En I-EXPLORATION -el I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -(FO) I-EXPLORATION -del I-EXPLORATION -OI I-EXPLORATION -se I-EXPLORATION -observa I-EXPLORATION -una I-EXPLORATION -masa I-EXPLORATION -papilar I-EXPLORATION -elevada, I-EXPLORATION -polipoidea, I-EXPLORATION -intensamente I-EXPLORATION -pigmentada I-EXPLORATION -así I-EXPLORATION -como I-EXPLORATION -ristras I-EXPLORATION -de I-EXPLORATION -pigmento I-EXPLORATION -móvil I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -cavidad I-EXPLORATION -vítrea. I-EXPLORATION -El I-EXPLORATION -resto I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -oftalmológica I-EXPLORATION -es I-EXPLORATION -normal. I-EXPLORATION - I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -angiofluoresceingrafía I-EXPLORATION -(AFG) I-EXPLORATION -se I-EXPLORATION -apreció I-EXPLORATION -un I-EXPLORATION -efecto I-EXPLORATION -pantalla. I-EXPLORATION - I-EXPLORATION -La I-EXPLORATION -ecografía I-EXPLORATION -mostró I-EXPLORATION -una I-EXPLORATION -lesión I-EXPLORATION -sólida. I-EXPLORATION -En I-EXPLORATION -modo I-EXPLORATION -A I-EXPLORATION -se I-EXPLORATION -observó I-EXPLORATION -una I-EXPLORATION -reflectividad I-EXPLORATION -interna I-EXPLORATION -muy I-EXPLORATION -elevada I-EXPLORATION -sin I-EXPLORATION -movimiento I-EXPLORATION -vascular I-EXPLORATION -espontáneo. I-EXPLORATION - I-EXPLORATION -En I-EXPLORATION -aquel I-EXPLORATION -momento I-EXPLORATION -fueron I-EXPLORATION -consultados I-EXPLORATION -varios I-EXPLORATION -expertos. I-EXPLORATION -Unos I-EXPLORATION -se I-EXPLORATION -inclinaron I-EXPLORATION -por I-EXPLORATION -un I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -melanoma I-EXPLORATION -maligno I-EXPLORATION -y I-EXPLORATION -otros I-EXPLORATION -por I-EXPLORATION -melanocitoma. I-EXPLORATION - I-EXPLORATION -La B-TREATMENT -decisión I-TREATMENT -adoptada I-TREATMENT -fue I-TREATMENT -seguir I-TREATMENT -observando I-TREATMENT -a I-TREATMENT -la I-TREATMENT -paciente. I-TREATMENT -A B-EVOLUTION -lo I-EVOLUTION -largo I-EVOLUTION -de I-EVOLUTION -diecinueve I-EVOLUTION -años I-EVOLUTION -la I-EVOLUTION -lesión I-EVOLUTION -aumentó I-EVOLUTION -paulatinamente I-EVOLUTION -de I-EVOLUTION -tamaño I-EVOLUTION -sin I-EVOLUTION -cambios I-EVOLUTION -rápidos I-EVOLUTION -en I-EVOLUTION -su I-EVOLUTION -configuración I-EVOLUTION -por I-EVOLUTION -lo I-EVOLUTION -que I-EVOLUTION -el I-EVOLUTION -diagnóstico I-EVOLUTION -de I-EVOLUTION -melanocitoma I-EVOLUTION -seguía I-EVOLUTION -siendo I-EVOLUTION -el I-EVOLUTION -más I-EVOLUTION -apropiado. I-EVOLUTION -La I-EVOLUTION -paciente I-EVOLUTION -acabó I-EVOLUTION -por I-EVOLUTION -perder I-EVOLUTION -completamente I-EVOLUTION -la I-EVOLUTION -visión I-EVOLUTION -del I-EVOLUTION -OI I-EVOLUTION -y I-EVOLUTION -la I-EVOLUTION -funduscopia I-EVOLUTION -llegó I-EVOLUTION -a I-EVOLUTION -ser I-EVOLUTION -impracticable, I-EVOLUTION -al I-EVOLUTION -principio I-EVOLUTION -a I-EVOLUTION -causa I-EVOLUTION -del I-EVOLUTION -pigmento I-EVOLUTION -vítreo I-EVOLUTION -y I-EVOLUTION -posteriormente I-EVOLUTION -por I-EVOLUTION -una I-EVOLUTION -catarata. I-EVOLUTION - I-EVOLUTION -A I-EVOLUTION -los I-EVOLUTION -19 I-EVOLUTION -años I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -primera I-EVOLUTION -visita I-EVOLUTION -la I-EVOLUTION -paciente I-EVOLUTION -empezó I-EVOLUTION -a I-EVOLUTION -aquejar I-EVOLUTION -intenso I-EVOLUTION -dolor I-EVOLUTION -debido I-EVOLUTION -a I-EVOLUTION -un I-EVOLUTION -glaucoma I-EVOLUTION -agudo I-EVOLUTION -con I-EVOLUTION -inflamación I-EVOLUTION -en I-EVOLUTION -cámara I-EVOLUTION -anterior I-EVOLUTION -y I-EVOLUTION -seclusión I-EVOLUTION -pupilar I-EVOLUTION -sin I-EVOLUTION -rubeosis I-EVOLUTION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -la I-TREATMENT -enucleación. I-TREATMENT - I-TREATMENT -En B-EXPLORATION -el I-EXPLORATION -examen I-EXPLORATION -anatomopatológico I-EXPLORATION -del I-EXPLORATION -globo I-EXPLORATION -ocular I-EXPLORATION -: I-EXPLORATION -el I-EXPLORATION -ángulo I-EXPLORATION -camerular I-EXPLORATION -está I-EXPLORATION -abierto, I-EXPLORATION -contiene I-EXPLORATION -abundantes I-EXPLORATION -macrófagos I-EXPLORATION -llenos I-EXPLORATION -de I-EXPLORATION -pigmento I-EXPLORATION -que I-EXPLORATION -infiltran I-EXPLORATION -la I-EXPLORATION -malla I-EXPLORATION -trabecular, I-EXPLORATION -rodean I-EXPLORATION -el I-EXPLORATION -canal I-EXPLORATION -de I-EXPLORATION -Schlemm, I-EXPLORATION -tapizan I-EXPLORATION -la I-EXPLORATION -superficie I-EXPLORATION -anterior I-EXPLORATION -del I-EXPLORATION -iris, I-EXPLORATION -y I-EXPLORATION -aparecen I-EXPLORATION -sobre I-EXPLORATION -la I-EXPLORATION -cápsula I-EXPLORATION -posterior I-EXPLORATION -del I-EXPLORATION -cristalino, I-EXPLORATION -entre I-EXPLORATION -los I-EXPLORATION -procesos I-EXPLORATION -ciliares I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -vítreo I-EXPLORATION -anterior. I-EXPLORATION -El I-EXPLORATION -cristalino I-EXPLORATION -es I-EXPLORATION -cataratoso. I-EXPLORATION -Emergiendo I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -cabeza I-EXPLORATION -del I-EXPLORATION -nervio I-EXPLORATION -óptico I-EXPLORATION -y I-EXPLORATION -extendiéndose I-EXPLORATION -por I-EXPLORATION -la I-EXPLORATION -retina I-EXPLORATION -yuxtapapilar I-EXPLORATION -se I-EXPLORATION -aprecia I-EXPLORATION -un I-EXPLORATION -tumor I-EXPLORATION -densamente I-EXPLORATION -pigmentado I-EXPLORATION -compuesto I-EXPLORATION -por I-EXPLORATION -células I-EXPLORATION -grandes I-EXPLORATION -poliédricas I-EXPLORATION -con I-EXPLORATION -citoplasma I-EXPLORATION -abundante I-EXPLORATION -y I-EXPLORATION -núcleos I-EXPLORATION -picnóticos I-EXPLORATION -pequeños. I-EXPLORATION -La I-EXPLORATION -mayoría I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -células I-EXPLORATION -son I-EXPLORATION -anucleoladas I-EXPLORATION -pero I-EXPLORATION -unas I-EXPLORATION -pocas I-EXPLORATION -tienen I-EXPLORATION -nucléolos I-EXPLORATION -pequeños. I-EXPLORATION -El I-EXPLORATION -tumor I-EXPLORATION -muestra I-EXPLORATION -focos I-EXPLORATION -de I-EXPLORATION -necrosis I-EXPLORATION -en I-EXPLORATION -su I-EXPLORATION -superficie, I-EXPLORATION -con I-EXPLORATION -siembra I-EXPLORATION -de I-EXPLORATION -macrófagos I-EXPLORATION -llenos I-EXPLORATION -de I-EXPLORATION -pigmento I-EXPLORATION -sobre I-EXPLORATION -la I-EXPLORATION -membrana I-EXPLORATION -limitante I-EXPLORATION -interna I-EXPLORATION -y I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -vítreo. I-EXPLORATION -En I-EXPLORATION -algunas I-EXPLORATION -áreas I-EXPLORATION -se I-EXPLORATION -observan I-EXPLORATION -células I-EXPLORATION -fusiformes I-EXPLORATION -intensamente I-EXPLORATION -pigmentadas. I-EXPLORATION -Las I-EXPLORATION -células I-EXPLORATION -pigmentadas I-EXPLORATION -en I-EXPLORATION -muchas I-EXPLORATION -áreas I-EXPLORATION -se I-EXPLORATION -extienden I-EXPLORATION -a I-EXPLORATION -lo I-EXPLORATION -largo I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -membrana I-EXPLORATION -limitante I-EXPLORATION -interna I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -retina I-EXPLORATION -llegando I-EXPLORATION -hasta I-EXPLORATION -la I-EXPLORATION -ora I-EXPLORATION -serrata. I-EXPLORATION -Las I-EXPLORATION -preparaciones I-EXPLORATION -decoloradas I-EXPLORATION -del I-EXPLORATION -tumor I-EXPLORATION -muestran I-EXPLORATION -características I-EXPLORATION -citológicas I-EXPLORATION -benignas I-EXPLORATION -propias I-EXPLORATION -de I-EXPLORATION -las I-EXPLORATION -células I-EXPLORATION -del I-EXPLORATION -melanocitoma. I-EXPLORATION -El I-EXPLORATION -tumor I-EXPLORATION -no I-EXPLORATION -revela I-EXPLORATION -actividad I-EXPLORATION -mitótica, I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -observa I-EXPLORATION -evidencia I-EXPLORATION -de I-EXPLORATION -melanoma I-EXPLORATION -maligno I-EXPLORATION -ni I-EXPLORATION -de I-EXPLORATION -extensión I-EXPLORATION -extraocular. I-EXPLORATION - I-EXPLORATION - -Varón B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -70 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -remitido I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -disminución I-PRESENT_ILLNESS -progresiva I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -visión I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -ojo I-PRESENT_ILLNESS -derecho I-PRESENT_ILLNESS -(OD) I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -escotoma I-PRESENT_ILLNESS -central I-PRESENT_ILLNESS -relativo, I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -6 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución. I-PRESENT_ILLNESS -Sin B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -oftalmológicos I-PAST_MEDICAL_HISTORY -personales I-PAST_MEDICAL_HISTORY -ni I-PAST_MEDICAL_HISTORY -familiares I-PAST_MEDICAL_HISTORY -conocidos. I-PAST_MEDICAL_HISTORY -Diabetes I-PAST_MEDICAL_HISTORY -mellitus I-PAST_MEDICAL_HISTORY -tipo I-PAST_MEDICAL_HISTORY -2, I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -tres I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -evolución, I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -buen I-PAST_MEDICAL_HISTORY -control I-PAST_MEDICAL_HISTORY -metabólico, I-PAST_MEDICAL_HISTORY -e I-PAST_MEDICAL_HISTORY -hipertensión I-PAST_MEDICAL_HISTORY -arterial I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -tratamiento. I-PAST_MEDICAL_HISTORY - I-PAST_MEDICAL_HISTORY -La B-EXPLORATION -mejor I-EXPLORATION -agudeza I-EXPLORATION -visual I-EXPLORATION -con I-EXPLORATION -corrección I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -exploración I-EXPLORATION -inicial I-EXPLORATION -era I-EXPLORATION -de I-EXPLORATION -4/10 I-EXPLORATION -en I-EXPLORATION -OD I-EXPLORATION -(+1, I-EXPLORATION -75; I-EXPLORATION --1.00×95o) I-EXPLORATION -y I-EXPLORATION -8/10 I-EXPLORATION -en I-EXPLORATION -ojo I-EXPLORATION -izquierdo I-EXPLORATION -(OI) I-EXPLORATION -(+1, I-EXPLORATION -75; I-EXPLORATION --1, I-EXPLORATION -50×85o). I-EXPLORATION -La I-EXPLORATION -biomicroscopia I-EXPLORATION -del I-EXPLORATION -polo I-EXPLORATION -anterior I-EXPLORATION -era I-EXPLORATION -normal. I-EXPLORATION -En I-EXPLORATION -el I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -se I-EXPLORATION -observaba I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -lesión I-EXPLORATION -amarillenta, I-EXPLORATION -sobreelevada I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -área I-EXPLORATION -macular I-EXPLORATION -del I-EXPLORATION -OD I-EXPLORATION -y I-EXPLORATION -alteración I-EXPLORATION -pigmentaria I-EXPLORATION -macular I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -OI. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -encontraron I-EXPLORATION -signos I-EXPLORATION -de I-EXPLORATION -retinopatía I-EXPLORATION -diabética I-EXPLORATION -en I-EXPLORATION -ninguno I-EXPLORATION -de I-EXPLORATION -los I-EXPLORATION -ojos. I-EXPLORATION -La I-EXPLORATION -tomografía I-EXPLORATION -de I-EXPLORATION -coherencia I-EXPLORATION -óptica I-EXPLORATION -(OCT) I-EXPLORATION -mostraba, I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -área I-EXPLORATION -macular I-EXPLORATION -del I-EXPLORATION -OD, I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -masa I-EXPLORATION -de I-EXPLORATION -reflectividad I-EXPLORATION -media, I-EXPLORATION -por I-EXPLORATION -encima I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -banda I-EXPLORATION -del I-EXPLORATION -epitelio I-EXPLORATION -pigmentario, I-EXPLORATION -con I-EXPLORATION -levantamiento I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -retina I-EXPLORATION -neurosensorial, I-EXPLORATION -sin I-EXPLORATION -evidencia I-EXPLORATION -de I-EXPLORATION -fluido I-EXPLORATION -intrarretiniano I-EXPLORATION -ni I-EXPLORATION -subretiniano. I-EXPLORATION -En I-EXPLORATION -la I-EXPLORATION -angiografía I-EXPLORATION -fluoresceínica I-EXPLORATION -(AGF) I-EXPLORATION -podía I-EXPLORATION -comprobarse I-EXPLORATION -la I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -lesión I-EXPLORATION -hiperfluorescente I-EXPLORATION -con I-EXPLORATION -centro I-EXPLORATION -de I-EXPLORATION -hipofluorescencia, I-EXPLORATION -que I-EXPLORATION -aumentaba I-EXPLORATION -de I-EXPLORATION -intensidad I-EXPLORATION -en I-EXPLORATION -fases I-EXPLORATION -tardías I-EXPLORATION -pero I-EXPLORATION -sin I-EXPLORATION -difusión I-EXPLORATION -del I-EXPLORATION -contraste, I-EXPLORATION -que I-EXPLORATION -confirmaría I-EXPLORATION -el I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -DFVA. I-EXPLORATION -Las I-EXPLORATION -pruebas I-EXPLORATION -electrofisiológicas, I-EXPLORATION -tanto I-EXPLORATION -el I-EXPLORATION -electrorretinograma I-EXPLORATION -como I-EXPLORATION -el I-EXPLORATION -electrooculograma, I-EXPLORATION -fueron I-EXPLORATION -normales. I-EXPLORATION - I-EXPLORATION -A I-EXPLORATION -partir I-EXPLORATION -de I-EXPLORATION -ese I-EXPLORATION -momento I-EXPLORATION -se I-EXPLORATION -establecieron I-EXPLORATION -controles I-EXPLORATION -oftalmológicos I-EXPLORATION -periódicos, I-EXPLORATION -en I-EXPLORATION -los I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -evidenció I-EXPLORATION -la I-EXPLORATION -regresión I-EXPLORATION -progresiva I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -lesión I-EXPLORATION -viteliforme I-EXPLORATION -y I-EXPLORATION -la I-EXPLORATION -evolución I-EXPLORATION -hacia I-EXPLORATION -la I-EXPLORATION -atrofia I-EXPLORATION -del I-EXPLORATION -epitelio I-EXPLORATION -pigmentario I-EXPLORATION -macular I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -OD. I-EXPLORATION -La I-EXPLORATION -visión I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -OI I-EXPLORATION -se I-EXPLORATION -mantuvo I-EXPLORATION -estable I-EXPLORATION -(7/10), I-EXPLORATION -a I-EXPLORATION -pesar I-EXPLORATION -de I-EXPLORATION -que I-EXPLORATION -las I-EXPLORATION -alteraciones I-EXPLORATION -pigmentarias I-EXPLORATION -maculares I-EXPLORATION -eran I-EXPLORATION -cada I-EXPLORATION -vez I-EXPLORATION -más I-EXPLORATION -evidentes. I-EXPLORATION - I-EXPLORATION -Dos B-EVOLUTION -años I-EVOLUTION -y I-EVOLUTION -medio I-EVOLUTION -después I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -primera I-EVOLUTION -visita, I-EVOLUTION -el I-EVOLUTION -paciente I-EVOLUTION -consulta I-EVOLUTION -por I-EVOLUTION -disminución I-EVOLUTION -brusca I-EVOLUTION -de I-EVOLUTION -visión I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -OI I-EVOLUTION -(2/10), I-EVOLUTION -coincidiendo I-EVOLUTION -con I-EVOLUTION -la I-EVOLUTION -aparición I-EVOLUTION -de I-EVOLUTION -un I-EVOLUTION -desprendimiento I-EVOLUTION -macular I-EVOLUTION -serohemorrágico I-EVOLUTION -en I-EVOLUTION -dicho I-EVOLUTION -ojo. I-EVOLUTION -La B-EXPLORATION -OCT I-EXPLORATION -mostraba I-EXPLORATION -un I-EXPLORATION -importante I-EXPLORATION -levantamiento I-EXPLORATION -macular I-EXPLORATION -con I-EXPLORATION -desprendimiento I-EXPLORATION -del I-EXPLORATION -epitelio I-EXPLORATION -pigmentario, I-EXPLORATION -quistes I-EXPLORATION -intrarretinianos I-EXPLORATION -y I-EXPLORATION -presencia I-EXPLORATION -de I-EXPLORATION -líquido I-EXPLORATION -subretiniano I-EXPLORATION -(LSR) I-EXPLORATION -en I-EXPLORATION -los I-EXPLORATION -bordes I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -lesión. I-EXPLORATION -Mediante I-EXPLORATION -AGF I-EXPLORATION -se I-EXPLORATION -comprobó I-EXPLORATION -la I-EXPLORATION -existencia I-EXPLORATION -de I-EXPLORATION -una I-EXPLORATION -membrana I-EXPLORATION -neovascular I-EXPLORATION -oculta I-EXPLORATION -con I-EXPLORATION -difusión I-EXPLORATION -tardía I-EXPLORATION -del I-EXPLORATION -colorante. I-EXPLORATION -En B-TREATMENT -este I-TREATMENT -momento I-TREATMENT -se I-TREATMENT -decidió I-TREATMENT -realizar I-TREATMENT -tratamiento I-TREATMENT -en I-TREATMENT -el I-TREATMENT -OI I-TREATMENT -con I-TREATMENT -ranibizumab I-TREATMENT -intravítreo, I-TREATMENT -a I-TREATMENT -la I-TREATMENT -dosis I-TREATMENT -habitualmente I-TREATMENT -utilizada I-TREATMENT -para I-TREATMENT -el I-TREATMENT -tratamiento I-TREATMENT -de I-TREATMENT -la I-TREATMENT -degeneración I-TREATMENT -macular I-TREATMENT -exudativa I-TREATMENT -(0,5mg/0,05ml). I-TREATMENT - I-TREATMENT -A B-EVOLUTION -las I-EVOLUTION -4 I-EVOLUTION -semanas I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -inyección I-EVOLUTION -la I-EVOLUTION -agudeza I-EVOLUTION -visual I-EVOLUTION -había I-EVOLUTION -mejorado I-EVOLUTION -a I-EVOLUTION -3/10 I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -OI, I-EVOLUTION -con I-EVOLUTION -reabsorción I-EVOLUTION -prácticamente I-EVOLUTION -completa I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -hemorragia I-EVOLUTION -macular, I-EVOLUTION -apreciándose I-EVOLUTION -una I-EVOLUTION -mínima I-EVOLUTION -cantidad I-EVOLUTION -de I-EVOLUTION -LSR I-EVOLUTION -en I-EVOLUTION -la I-EVOLUTION -tomografía. I-EVOLUTION -Tras I-EVOLUTION -8 I-EVOLUTION -semanas, I-EVOLUTION -la I-EVOLUTION -AV I-EVOLUTION -era I-EVOLUTION -de I-EVOLUTION -4/10, I-EVOLUTION -comprobándose I-EVOLUTION -en I-EVOLUTION -la I-EVOLUTION -OCT I-EVOLUTION -una I-EVOLUTION -disminución I-EVOLUTION -importante I-EVOLUTION -del I-EVOLUTION -grosor I-EVOLUTION -macular I-EVOLUTION -central I-EVOLUTION -con I-EVOLUTION -mínima I-EVOLUTION -fibrosis I-EVOLUTION -subretiniana. I-EVOLUTION -En I-EVOLUTION -el I-EVOLUTION -control I-EVOLUTION -de I-EVOLUTION -los I-EVOLUTION -3 I-EVOLUTION -meses, I-EVOLUTION -la I-EVOLUTION -visión I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -OI I-EVOLUTION -había I-EVOLUTION -descendido I-EVOLUTION -(2/10), I-EVOLUTION -evidenciándose I-EVOLUTION -en I-EVOLUTION -la I-EVOLUTION -OCT I-EVOLUTION -un I-EVOLUTION -aumento I-EVOLUTION -del I-EVOLUTION -espesor I-EVOLUTION -macular I-EVOLUTION -superior I-EVOLUTION -a I-EVOLUTION -100micras, I-EVOLUTION -con I-EVOLUTION -presencia I-EVOLUTION -de I-EVOLUTION -líquido I-EVOLUTION -subretiniano, I-EVOLUTION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -decide I-TREATMENT -realizar I-TREATMENT -segunda I-TREATMENT -inyección I-TREATMENT -de I-TREATMENT -ranibizumab. I-TREATMENT -La B-EVOLUTION -respuesta I-EVOLUTION -a I-EVOLUTION -esta I-EVOLUTION -segunda I-EVOLUTION -inyección I-EVOLUTION -fue I-EVOLUTION -favorable, I-EVOLUTION -y I-EVOLUTION -a I-EVOLUTION -las I-EVOLUTION -12 I-EVOLUTION -semanas I-EVOLUTION -se I-EVOLUTION -pudo I-EVOLUTION -comprobar I-EVOLUTION -la I-EVOLUTION -reabsorción I-EVOLUTION -completa I-EVOLUTION -del I-EVOLUTION -fluido I-EVOLUTION -subretiniano, I-EVOLUTION -quedando I-EVOLUTION -una I-EVOLUTION -mínima I-EVOLUTION -fibrosis I-EVOLUTION -subretiniana I-EVOLUTION -como I-EVOLUTION -resultado I-EVOLUTION -del I-EVOLUTION -cierre I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -membrana I-EVOLUTION -neovascular. I-EVOLUTION - I-EVOLUTION -Doce I-EVOLUTION -meses I-EVOLUTION -después I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -última I-EVOLUTION -inyección I-EVOLUTION -la I-EVOLUTION -agudeza I-EVOLUTION -visual I-EVOLUTION -se I-EVOLUTION -mantiene I-EVOLUTION -estable I-EVOLUTION -en I-EVOLUTION -el I-EVOLUTION -OI I-EVOLUTION -(6/10), I-EVOLUTION -sin I-EVOLUTION -signos I-EVOLUTION -de I-EVOLUTION -reactivación I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -membrana I-EVOLUTION -y I-EVOLUTION -sin I-EVOLUTION -complicaciones I-EVOLUTION -derivadas I-EVOLUTION -del I-EVOLUTION -tratamiento I-EVOLUTION -intravítreo. I-EVOLUTION - I-EVOLUTION - -Embarazada B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -40 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -multípara B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -tres, I-PAST_MEDICAL_HISTORY -serología I-PAST_MEDICAL_HISTORY -VIH I-PAST_MEDICAL_HISTORY -negativo, I-PAST_MEDICAL_HISTORY -cursó I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -sífilis I-PAST_MEDICAL_HISTORY -latente I-PAST_MEDICAL_HISTORY -precoz I-PAST_MEDICAL_HISTORY -diagnosticada I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -la I-PAST_MEDICAL_HISTORY -semana I-PAST_MEDICAL_HISTORY -28 I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -embarazo I-PAST_MEDICAL_HISTORY -(VDRL I-PAST_MEDICAL_HISTORY -no I-PAST_MEDICAL_HISTORY -reactivo I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -12 I-PAST_MEDICAL_HISTORY -semanas I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -gestación, I-PAST_MEDICAL_HISTORY -VDRL I-PAST_MEDICAL_HISTORY -1: I-PAST_MEDICAL_HISTORY -128 I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -28 I-PAST_MEDICAL_HISTORY -semanas I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -VDRL I-PAST_MEDICAL_HISTORY -1: I-PAST_MEDICAL_HISTORY -32 I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -las I-PAST_MEDICAL_HISTORY -31 I-PAST_MEDICAL_HISTORY -semanas, I-PAST_MEDICAL_HISTORY -MHA-TP I-PAST_MEDICAL_HISTORY -(microhemagglutination-Treponema I-PAST_MEDICAL_HISTORY -pallidum I-PAST_MEDICAL_HISTORY -test) I-PAST_MEDICAL_HISTORY -positivo. I-PAST_MEDICAL_HISTORY -Tratada I-PAST_MEDICAL_HISTORY -junto I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -su I-PAST_MEDICAL_HISTORY -pareja I-PAST_MEDICAL_HISTORY -3 I-PAST_MEDICAL_HISTORY -semanas I-PAST_MEDICAL_HISTORY -antes I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -inicio I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -trabajo I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -parto. I-PAST_MEDICAL_HISTORY -Sin I-PAST_MEDICAL_HISTORY -historia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -sífilis I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -embarazos I-PAST_MEDICAL_HISTORY -previos I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -pareja I-PAST_MEDICAL_HISTORY -estable I-PAST_MEDICAL_HISTORY -hace I-PAST_MEDICAL_HISTORY -más I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -2 I-PAST_MEDICAL_HISTORY -años. I-PAST_MEDICAL_HISTORY -Ingresó B-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -Servicio I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -Urgencia I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -rotura I-PRESENT_ILLNESS -prematura I-PRESENT_ILLNESS -ovular I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -30 I-PRESENT_ILLNESS -h I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -administrándose B-TREATMENT -corticoides I-TREATMENT -y I-TREATMENT -6 I-TREATMENT -dosis I-TREATMENT -de I-TREATMENT -ampicilina. I-TREATMENT -Se B-EXPLORATION -realizó I-EXPLORATION -RPR I-EXPLORATION -en I-EXPLORATION -parto I-EXPLORATION -que I-EXPLORATION -resultó I-EXPLORATION -no I-EXPLORATION -reactivo I-EXPLORATION -(no I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -VDRL). I-EXPLORATION - I-EXPLORATION -Nació B-EVOLUTION -RN I-EVOLUTION -por I-EVOLUTION -parto I-EVOLUTION -vaginal I-EVOLUTION -de I-EVOLUTION -34 I-EVOLUTION -semanas, I-EVOLUTION -pequeño I-EVOLUTION -para I-EVOLUTION -la I-EVOLUTION -edad I-EVOLUTION -gestacional I-EVOLUTION -(PEG) I-EVOLUTION -peso I-EVOLUTION -de I-EVOLUTION -1.920 I-EVOLUTION -g, I-EVOLUTION -con I-EVOLUTION -cianosis I-EVOLUTION -generalizada, I-EVOLUTION -sin I-EVOLUTION -esfuerzo I-EVOLUTION -respiratorio, I-EVOLUTION -APGAR I-EVOLUTION -6-8, I-EVOLUTION -requiriendo B-TREATMENT -ventilación I-TREATMENT -a I-TREATMENT -presión I-TREATMENT -positiva. I-TREATMENT -Cursó I-TREATMENT -con I-TREATMENT -enfermedad I-TREATMENT -de I-TREATMENT -membrana I-TREATMENT -hialina I-TREATMENT -(EMH) I-TREATMENT -administrándose I-TREATMENT -surfactante, I-TREATMENT -sin I-TREATMENT -embargo, I-TREATMENT -por I-TREATMENT -compromiso I-TREATMENT -respiratorio I-TREATMENT -progresivo I-TREATMENT -debió I-TREATMENT -conectarse I-TREATMENT -a I-TREATMENT -ventilación I-TREATMENT -mecánica. I-TREATMENT -Evolucionó B-EVOLUTION -grave I-EVOLUTION -con I-EVOLUTION -altos I-EVOLUTION -requerimientos I-EVOLUTION -de I-EVOLUTION -oxígeno, I-EVOLUTION -con I-EVOLUTION -deterioro I-EVOLUTION -del I-EVOLUTION -estado I-EVOLUTION -general, I-EVOLUTION -se I-EVOLUTION -agregó I-EVOLUTION -ictericia I-EVOLUTION -generalizada, I-EVOLUTION -petequias I-EVOLUTION -múltiples, I-EVOLUTION -sangrado I-EVOLUTION -en I-EVOLUTION -sitios I-EVOLUTION -de I-EVOLUTION -punción I-EVOLUTION -e I-EVOLUTION -hipertensión I-EVOLUTION -pulmonar I-EVOLUTION -por B-TREATMENT -lo I-TREATMENT -que I-TREATMENT -debió I-TREATMENT -iniciarse I-TREATMENT -drogas I-TREATMENT -vasoactivas. I-TREATMENT -Al B-EXPLORATION -examen I-EXPLORATION -físico I-EXPLORATION -destacaba: I-EXPLORATION -abdomen I-EXPLORATION -globuloso, I-EXPLORATION -hepato-esplenomegalia I-EXPLORATION -(ambos I-EXPLORATION -en I-EXPLORATION -3 I-EXPLORATION -cm I-EXPLORATION -bajo I-EXPLORATION -reborde I-EXPLORATION -costal), I-EXPLORATION -petequias, I-EXPLORATION -edema I-EXPLORATION -de I-EXPLORATION -pared I-EXPLORATION -abdominal I-EXPLORATION -y I-EXPLORATION -extremidades, I-EXPLORATION -y I-EXPLORATION -descamación I-EXPLORATION -palmo-plantar. I-EXPLORATION -Inició B-TREATMENT -tratamiento I-TREATMENT -con I-TREATMENT -penicilina I-TREATMENT -sódica I-TREATMENT -y I-TREATMENT -gentamicina I-TREATMENT -i.v. I-TREATMENT -por I-TREATMENT -sospecha I-TREATMENT -de I-TREATMENT -sepsis I-TREATMENT -precoz. I-TREATMENT - I-TREATMENT -Se B-EXPLORATION -recibió I-EXPLORATION -resultado I-EXPLORATION -del I-EXPLORATION -VDRL I-EXPLORATION -en I-EXPLORATION -sangre I-EXPLORATION -del I-EXPLORATION -RN I-EXPLORATION -1: I-EXPLORATION -64, I-EXPLORATION -no I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -punción I-EXPLORATION -lumbar I-EXPLORATION -(PL) I-EXPLORATION -en I-EXPLORATION -ese I-EXPLORATION -momento I-EXPLORATION -por I-EXPLORATION -gravedad I-EXPLORATION -y I-EXPLORATION -trombocitopenia I-EXPLORATION -marcada. I-EXPLORATION -Los I-EXPLORATION -exámenes I-EXPLORATION -de I-EXPLORATION -laboratorio I-EXPLORATION -iniciales I-EXPLORATION -se I-EXPLORATION -muestran I-EXPLORATION -en I-EXPLORATION -la I-EXPLORATION -tabla I-EXPLORATION -1. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -asumió I-EXPLORATION -diagnóstico I-EXPLORATION -probable I-EXPLORATION -de I-EXPLORATION -sífilis I-EXPLORATION -congénita I-EXPLORATION -y I-EXPLORATION -sepsis I-EXPLORATION -precoz, I-EXPLORATION -se I-EXPLORATION -decidió I-EXPLORATION -completar I-EXPLORATION -estudio I-EXPLORATION -para I-EXPLORATION -pesquisa I-EXPLORATION -de I-EXPLORATION -daño I-EXPLORATION -multisistémico. I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -ecocardiografía, I-EXPLORATION -ecografía I-EXPLORATION -abdominal I-EXPLORATION -y I-EXPLORATION -ecografía I-EXPLORATION -cerebral I-EXPLORATION -que I-EXPLORATION -resultaron I-EXPLORATION -normales. I-EXPLORATION -Los I-EXPLORATION -hemocultivos I-EXPLORATION -fueron I-EXPLORATION -negativos. I-EXPLORATION -Completó B-EVOLUTION -tratamiento I-EVOLUTION -antibiótico I-EVOLUTION -con I-EVOLUTION -7 I-EVOLUTION -días I-EVOLUTION -de I-EVOLUTION -gentamicina I-EVOLUTION -iv I-EVOLUTION -y I-EVOLUTION -14 I-EVOLUTION -de I-EVOLUTION -penicilina I-EVOLUTION -sódica I-EVOLUTION -iv., I-EVOLUTION -lográndose I-EVOLUTION -disminuir I-EVOLUTION -progresivamente I-EVOLUTION -las I-EVOLUTION -drogas I-EVOLUTION -vasoactivas I-EVOLUTION -hasta I-EVOLUTION -su I-EVOLUTION -suspensión. I-EVOLUTION - I-EVOLUTION -En B-EXPLORATION -contexto I-EXPLORATION -de I-EXPLORATION -transaminasas I-EXPLORATION -elevadas I-EXPLORATION -y I-EXPLORATION -hepatomegalia I-EXPLORATION -se I-EXPLORATION -completó I-EXPLORATION -estudio I-EXPLORATION -con I-EXPLORATION -serología I-EXPLORATION -para I-EXPLORATION -Hepatitis I-EXPLORATION -B I-EXPLORATION -y I-EXPLORATION -C I-EXPLORATION -que I-EXPLORATION -resultaron I-EXPLORATION -negativas. I-EXPLORATION -No I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -estudio I-EXPLORATION -de I-EXPLORATION -citomegalovirus I-EXPLORATION -(CMV). I-EXPLORATION -Se I-EXPLORATION -logró I-EXPLORATION -realizar I-EXPLORATION -PL I-EXPLORATION -a I-EXPLORATION -los I-EXPLORATION -28 I-EXPLORATION -días I-EXPLORATION -de I-EXPLORATION -vida, I-EXPLORATION -resultando I-EXPLORATION -citoquímico I-EXPLORATION -de I-EXPLORATION -líquido I-EXPLORATION -cefalorraquídeo I-EXPLORATION -(LCR) I-EXPLORATION -normal I-EXPLORATION -y I-EXPLORATION -VDRL I-EXPLORATION -no I-EXPLORATION -reactivo, I-EXPLORATION -con I-EXPLORATION -VDRL I-EXPLORATION -en I-EXPLORATION -sangre I-EXPLORATION -de I-EXPLORATION -1: I-EXPLORATION -32. I-EXPLORATION -Radiografía I-EXPLORATION -de I-EXPLORATION -huesos I-EXPLORATION -largos I-EXPLORATION -y I-EXPLORATION -fondo I-EXPLORATION -de I-EXPLORATION -ojo I-EXPLORATION -no I-EXPLORATION -mostraron I-EXPLORATION -alteraciones. I-EXPLORATION -Durante B-EVOLUTION -el I-EVOLUTION -primer I-EVOLUTION -mes I-EVOLUTION -de I-EVOLUTION -hospitalización I-EVOLUTION -evolucionó I-EVOLUTION -favorablemente I-EVOLUTION -del I-EVOLUTION -punto I-EVOLUTION -de I-EVOLUTION -vista I-EVOLUTION -clínico, I-EVOLUTION -con I-EVOLUTION -mejoría I-EVOLUTION -de I-EVOLUTION -pruebas I-EVOLUTION -hepáticas I-EVOLUTION -pero I-EVOLUTION -con I-EVOLUTION -mal I-EVOLUTION -incremento I-EVOLUTION -ponderal. I-EVOLUTION - I-EVOLUTION - -Adolescente B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -16 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -procedente B-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -zona I-PAST_MEDICAL_HISTORY -rural I-PAST_MEDICAL_HISTORY -lejana, I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -altura I-PAST_MEDICAL_HISTORY -superior I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -2.500 I-PAST_MEDICAL_HISTORY -m I-PAST_MEDICAL_HISTORY -sobre I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -nivel I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -mar, I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -el I-PAST_MEDICAL_HISTORY -Departamento I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -Nariño-Colombia, I-PAST_MEDICAL_HISTORY -con B-PRESENT_ILLNESS -cuadro I-PRESENT_ILLNESS -clínico I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -3 I-PRESENT_ILLNESS -meses I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -evolución I-PRESENT_ILLNESS -consistente I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -aparición I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -masa I-PRESENT_ILLNESS -abdominal I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -hipocondrio I-PRESENT_ILLNESS -izquierdo. I-PRESENT_ILLNESS -El B-EXPLORATION -paciente I-EXPLORATION -nunca I-EXPLORATION -antes I-EXPLORATION -había I-EXPLORATION -tenido I-EXPLORATION -contacto I-EXPLORATION -con I-EXPLORATION -un I-EXPLORATION -servicio I-EXPLORATION -de I-EXPLORATION -salud. I-EXPLORATION - I-EXPLORATION -Ingresó I-EXPLORATION -al I-EXPLORATION -Hospital I-EXPLORATION -con I-EXPLORATION -disnea I-EXPLORATION -de I-EXPLORATION -pequeños I-EXPLORATION -esfuerzos, I-EXPLORATION -cianosis I-EXPLORATION -peribucal, I-EXPLORATION -conjuntivas I-EXPLORATION -hipercrómicas I-EXPLORATION -y I-EXPLORATION -soplo I-EXPLORATION -holosistólico I-EXPLORATION -en I-EXPLORATION -todos I-EXPLORATION -los I-EXPLORATION -focos I-EXPLORATION -grado I-EXPLORATION -IV/VI, I-EXPLORATION -de I-EXPLORATION -predominio I-EXPLORATION -tricuspídeo, I-EXPLORATION -con I-EXPLORATION -reforzamiento I-EXPLORATION -de I-EXPLORATION -segundo I-EXPLORATION -ruido. I-EXPLORATION -En I-EXPLORATION -abdomen, I-EXPLORATION -masa I-EXPLORATION -no I-EXPLORATION -móvil, I-EXPLORATION -con I-EXPLORATION -bordes I-EXPLORATION -definidos, I-EXPLORATION -con I-EXPLORATION -diámetro I-EXPLORATION -de I-EXPLORATION -14 I-EXPLORATION -x I-EXPLORATION -15 I-EXPLORATION -cm, I-EXPLORATION -indolora, I-EXPLORATION -localizada I-EXPLORATION -en I-EXPLORATION -dorso I-EXPLORATION -izquierdo I-EXPLORATION -llegando I-EXPLORATION -hasta I-EXPLORATION -hipogastrio. I-EXPLORATION -Dedos I-EXPLORATION -en I-EXPLORATION -palillo I-EXPLORATION -de I-EXPLORATION -tambor I-EXPLORATION -y I-EXPLORATION -extremidades I-EXPLORATION -inferiores I-EXPLORATION -con I-EXPLORATION -edema I-EXPLORATION -grado I-EXPLORATION -I. I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -decidió I-EXPLORATION -hospitalizar I-EXPLORATION -para I-EXPLORATION -estudio I-EXPLORATION -de I-EXPLORATION -la I-EXPLORATION -masa I-EXPLORATION -abdominal, I-EXPLORATION -diagnóstico I-EXPLORATION -y I-EXPLORATION -compensación I-EXPLORATION -de I-EXPLORATION -patología I-EXPLORATION -cardiovascular. I-EXPLORATION - I-EXPLORATION -El I-EXPLORATION -hemograma I-EXPLORATION -de I-EXPLORATION -ingreso I-EXPLORATION -mostró I-EXPLORATION -marcado I-EXPLORATION -aumento I-EXPLORATION -de I-EXPLORATION -glóbulos I-EXPLORATION -rojos I-EXPLORATION -(9.320.000/mm3), I-EXPLORATION -hemoglobina I-EXPLORATION -de I-EXPLORATION -19, I-EXPLORATION -9 I-EXPLORATION -g/dL, I-EXPLORATION -hematocrito I-EXPLORATION -de I-EXPLORATION -66%, I-EXPLORATION -glóbulos I-EXPLORATION -blancos I-EXPLORATION -3.500/mm3, I-EXPLORATION -plaquetas I-EXPLORATION -48.000/mm3, I-EXPLORATION -ácido I-EXPLORATION -úrico I-EXPLORATION -10, I-EXPLORATION -5 I-EXPLORATION -mg/dL. I-EXPLORATION - I-EXPLORATION -El I-EXPLORATION -ecocardiograma I-EXPLORATION -reportó I-EXPLORATION -dilatación I-EXPLORATION -severa I-EXPLORATION -de I-EXPLORATION -cavidades I-EXPLORATION -derechas, I-EXPLORATION -insuficiencia I-EXPLORATION -tricuspídea I-EXPLORATION -e I-EXPLORATION -hipertensión I-EXPLORATION -pulmonar I-EXPLORATION -(HTP) I-EXPLORATION -severa I-EXPLORATION -a I-EXPLORATION -nivel I-EXPLORATION -suprasistémico, I-EXPLORATION -(presión I-EXPLORATION -sistólica I-EXPLORATION -arterial I-EXPLORATION -pulmonar- I-EXPLORATION -PSAP: I-EXPLORATION -115 I-EXPLORATION -mmHg). I-EXPLORATION - I-EXPLORATION -Se I-EXPLORATION -realizó I-EXPLORATION -tomografía I-EXPLORATION -computarizada I-EXPLORATION -(TC) I-EXPLORATION -de I-EXPLORATION -abdomen I-EXPLORATION -con I-EXPLORATION -medio I-EXPLORATION -de I-EXPLORATION -contraste I-EXPLORATION -endovenoso, I-EXPLORATION -que I-EXPLORATION -mostró I-EXPLORATION -grandes I-EXPLORATION -masa I-EXPLORATION -tumoral I-EXPLORATION -intrarrenales I-EXPLORATION -bilaterales, I-EXPLORATION -de I-EXPLORATION -mayor I-EXPLORATION -tamaño I-EXPLORATION -gran I-EXPLORATION -tamaño I-EXPLORATION -y I-EXPLORATION -de I-EXPLORATION -crecimiento I-EXPLORATION -exofítico I-EXPLORATION -a I-EXPLORATION -izquierda I-EXPLORATION -y I-EXPLORATION -con I-EXPLORATION -marcado I-EXPLORATION -adelgazamiento I-EXPLORATION -del I-EXPLORATION -parénquima I-EXPLORATION -en I-EXPLORATION -ambos I-EXPLORATION -riñones. I-EXPLORATION -El I-EXPLORATION -examen I-EXPLORATION -mostró I-EXPLORATION -además I-EXPLORATION -adenopatías I-EXPLORATION -retroperitoneales I-EXPLORATION -múltiples I-EXPLORATION -y I-EXPLORATION -lesiones I-EXPLORATION -osteolíticas I-EXPLORATION -vertebrales. I-EXPLORATION -La I-EXPLORATION -TC I-EXPLORATION -de I-EXPLORATION -tórax I-EXPLORATION -no I-EXPLORATION -mostró I-EXPLORATION -alteraciones I-EXPLORATION -en I-EXPLORATION -el I-EXPLORATION -parénquima I-EXPLORATION -pulmonar. I-EXPLORATION - I-EXPLORATION -Por B-TREATMENT -sospecha I-TREATMENT -de I-TREATMENT -HTP I-TREATMENT -severa I-TREATMENT -con I-TREATMENT -signos I-TREATMENT -clínicos I-TREATMENT -de I-TREATMENT -hipoxia I-TREATMENT -crónica, I-TREATMENT -se I-TREATMENT -le I-TREATMENT -administró I-TREATMENT -sildenafil I-TREATMENT -y I-TREATMENT -oxígeno I-TREATMENT -como I-TREATMENT -vasodilatadores I-TREATMENT -pulmonares, I-TREATMENT -furosemida I-TREATMENT -para I-TREATMENT -manejo I-TREATMENT -de I-TREATMENT -su I-TREATMENT -sobrecarga I-TREATMENT -hídrica I-TREATMENT -y I-TREATMENT -alopurinol I-TREATMENT -como I-TREATMENT -tratamiento I-TREATMENT -de I-TREATMENT -hiperuricemia I-TREATMENT -para I-TREATMENT -prevenir I-TREATMENT -lesión I-TREATMENT -renal. I-TREATMENT - I-TREATMENT -La B-EXPLORATION -biopsia I-EXPLORATION -de I-EXPLORATION -médula I-EXPLORATION -ósea I-EXPLORATION -reportó I-EXPLORATION -hiperplasia I-EXPLORATION -eritroide I-EXPLORATION -sin I-EXPLORATION -evidencia I-EXPLORATION -de I-EXPLORATION -infiltración, I-EXPLORATION -por I-EXPLORATION -lo I-EXPLORATION -que I-EXPLORATION -se I-EXPLORATION -descartó I-EXPLORATION -linfoma. I-EXPLORATION -Por I-EXPLORATION -riesgo I-EXPLORATION -anestésico, I-EXPLORATION -secundario I-EXPLORATION -a I-EXPLORATION -HTP, I-EXPLORATION -se I-EXPLORATION -realizó I-EXPLORATION -biopsia I-EXPLORATION -renal I-EXPLORATION -con I-EXPLORATION -Trucut I-EXPLORATION -guiada I-EXPLORATION -por I-EXPLORATION -Ecografía, I-EXPLORATION -cuyo I-EXPLORATION -reporte I-EXPLORATION -de I-EXPLORATION -patología I-EXPLORATION -confirmó I-EXPLORATION -diagnóstico I-EXPLORATION -de I-EXPLORATION -HEM. I-EXPLORATION - I-EXPLORATION -Se B-EVOLUTION -ha I-EVOLUTION -realizado I-EVOLUTION -seguimiento I-EVOLUTION -durante I-EVOLUTION -8 I-EVOLUTION -meses, I-EVOLUTION -sin I-EVOLUTION -cambios I-EVOLUTION -significativos I-EVOLUTION -en I-EVOLUTION -su I-EVOLUTION -evolución. I-EVOLUTION - I-EVOLUTION - -Paciente B-PRESENT_ILLNESS -femenino I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -6 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -edad I-PRESENT_ILLNESS -con B-PAST_MEDICAL_HISTORY -antecedentes I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -epilepsia I-PAST_MEDICAL_HISTORY -secundaria I-PAST_MEDICAL_HISTORY -a I-PAST_MEDICAL_HISTORY -extensa I-PAST_MEDICAL_HISTORY -alteración I-PAST_MEDICAL_HISTORY -del I-PAST_MEDICAL_HISTORY -desarrollo I-PAST_MEDICAL_HISTORY -cortical I-PAST_MEDICAL_HISTORY -hemisférico I-PAST_MEDICAL_HISTORY -derecho. I-PAST_MEDICAL_HISTORY -Presentó B-PRESENT_ILLNESS -estatus I-PRESENT_ILLNESS -epiléptico I-PRESENT_ILLNESS -refractario I-PRESENT_ILLNESS -que B-TREATMENT -re I-TREATMENT -quirió I-TREATMENT -ingreso I-TREATMENT -a I-TREATMENT -Unidad I-TREATMENT -de I-TREATMENT -Cuidados I-TREATMENT -Intensivos I-TREATMENT -para I-TREATMENT -soporte I-TREATMENT -vital I-TREATMENT -y I-TREATMENT -tratamiento, I-TREATMENT -el I-TREATMENT -que I-TREATMENT -incluyó I-TREATMENT -como I-TREATMENT -terapia I-TREATMENT -de I-TREATMENT -tercera I-TREATMENT -línea I-TREATMENT -infusión I-TREATMENT -intravenosa I-TREATMENT -continua I-TREATMENT -de I-TREATMENT -propofol I-TREATMENT -en I-TREATMENT -dosis I-TREATMENT -progresivas I-TREATMENT -hasta I-TREATMENT -alcanzar I-TREATMENT -una I-TREATMENT -tasa I-TREATMENT -10 I-TREATMENT -mg/kg/h. I-TREATMENT -Cursó B-EVOLUTION -con I-EVOLUTION -compromiso I-EVOLUTION -hemodinámico I-EVOLUTION -y I-EVOLUTION -a I-EVOLUTION -las I-EVOLUTION -24 I-EVOLUTION -h I-EVOLUTION -de I-EVOLUTION -iniciado I-EVOLUTION -el I-EVOLUTION -tratamiento I-EVOLUTION -se I-EVOLUTION -observó I-EVOLUTION -alza I-EVOLUTION -de I-EVOLUTION -la I-EVOLUTION -creatinifosfokinasa I-EVOLUTION -(CK), I-EVOLUTION -acidosis I-EVOLUTION -metabólica I-EVOLUTION -y I-EVOLUTION -lactacidemia I-EVOLUTION -elevada, I-EVOLUTION -y B-TREATMENT -luego I-TREATMENT -de I-TREATMENT -descartar I-TREATMENT -otras I-TREATMENT -causas I-TREATMENT -se I-TREATMENT -planteó I-TREATMENT -el I-TREATMENT -dianóstico I-TREATMENT -de I-TREATMENT -SIP I-TREATMENT -por I-TREATMENT -lo I-TREATMENT -que I-TREATMENT -se I-TREATMENT -suspendió I-TREATMENT -la I-TREATMENT -droga, I-TREATMENT -logrando B-EVOLUTION -esta I-EVOLUTION -bilización I-EVOLUTION -hemodinámica I-EVOLUTION -a I-EVOLUTION -las I-EVOLUTION -24 I-EVOLUTION -h. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -58 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -que B-PAST_MEDICAL_HISTORY -presentaba I-PAST_MEDICAL_HISTORY -como I-PAST_MEDICAL_HISTORY -enfermedad I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -base I-PAST_MEDICAL_HISTORY -leucemia I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -4 I-PAST_MEDICAL_HISTORY -años I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -evolución, I-PAST_MEDICAL_HISTORY -que I-PAST_MEDICAL_HISTORY -precisaba I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -transfusiones I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -derivados I-PAST_MEDICAL_HISTORY -hemáticos I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -cierta I-PAST_MEDICAL_HISTORY -frecuencia. I-PAST_MEDICAL_HISTORY -Tras B-PRESENT_ILLNESS -presentar I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -síndrome I-PRESENT_ILLNESS -constitucional I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -últimos I-PRESENT_ILLNESS -meses, I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -le I-PRESENT_ILLNESS -había I-PRESENT_ILLNESS -detectado I-PRESENT_ILLNESS -una I-PRESENT_ILLNESS -masa I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -pared I-PRESENT_ILLNESS -costal I-PRESENT_ILLNESS -derecha I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -4 I-PRESENT_ILLNESS -cm I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -diámetro, I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -fue I-PRESENT_ILLNESS -diagnosticada I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -múcor. I-PRESENT_ILLNESS - I-PRESENT_ILLNESS -Planteamos B-TREATMENT -intervención I-TREATMENT -quirúrgica I-TREATMENT -para I-TREATMENT -resecar I-TREATMENT -la I-TREATMENT -lesión I-TREATMENT -con I-TREATMENT -3 I-TREATMENT -cm I-TREATMENT -de I-TREATMENT -margen. I-TREATMENT -Al I-TREATMENT -estar I-TREATMENT -situada I-TREATMENT -en I-TREATMENT -la I-TREATMENT -proximidad I-TREATMENT -de I-TREATMENT -la I-TREATMENT -línea I-TREATMENT -axilar I-TREATMENT -anterior, I-TREATMENT -llevamos I-TREATMENT -a I-TREATMENT -cabo I-TREATMENT -la I-TREATMENT -reconstrucción I-TREATMENT -con I-TREATMENT -un I-TREATMENT -colgajo I-TREATMENT -de I-TREATMENT -músculo I-TREATMENT -dorsal I-TREATMENT -ancho I-TREATMENT -con I-TREATMENT -isla I-TREATMENT -de I-TREATMENT -piel I-TREATMENT -desepidermizada I-TREATMENT -de I-TREATMENT -8 I-TREATMENT -por I-TREATMENT -12 I-TREATMENT -cm I-TREATMENT -; I-TREATMENT -se I-TREATMENT -anclaron I-TREATMENT -puntos I-TREATMENT -de I-TREATMENT -sutura I-TREATMENT -desde I-TREATMENT -los I-TREATMENT -bordes I-TREATMENT -costales I-TREATMENT -hasta I-TREATMENT -la I-TREATMENT -dermis I-TREATMENT -del I-TREATMENT -colgajo, I-TREATMENT -para I-TREATMENT -así I-TREATMENT -dar I-TREATMENT -continuidad I-TREATMENT -a I-TREATMENT -la I-TREATMENT -propia I-TREATMENT -pared I-TREATMENT -costal. I-TREATMENT -La B-EVOLUTION -paciente I-EVOLUTION -recibió I-EVOLUTION -el I-EVOLUTION -alta I-EVOLUTION -hospitalaria I-EVOLUTION -una I-EVOLUTION -semana I-EVOLUTION -más I-EVOLUTION -tarde, I-EVOLUTION -sin I-EVOLUTION -problemas I-EVOLUTION -ventilatorios I-EVOLUTION -ni I-EVOLUTION -respiración I-EVOLUTION -paradójica. I-EVOLUTION -No I-EVOLUTION -han I-EVOLUTION -aparecido I-EVOLUTION -recidivas I-EVOLUTION -ni I-EVOLUTION -complicaciones I-EVOLUTION -tras I-EVOLUTION -24 I-EVOLUTION -meses I-EVOLUTION -de I-EVOLUTION -seguimiento I-EVOLUTION -postoperatorio. I-EVOLUTION - I-EVOLUTION - -Mujer B-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -25 I-PRESENT_ILLNESS -años I-PRESENT_ILLNESS -diagnosticada B-PAST_MEDICAL_HISTORY -clínicamente I-PAST_MEDICAL_HISTORY -de I-PAST_MEDICAL_HISTORY -miocardiopatía I-PAST_MEDICAL_HISTORY -hipertrófica I-PAST_MEDICAL_HISTORY -obstructiva I-PAST_MEDICAL_HISTORY -en I-PAST_MEDICAL_HISTORY -tratamiento I-PAST_MEDICAL_HISTORY -farmacológico I-PAST_MEDICAL_HISTORY -con I-PAST_MEDICAL_HISTORY -antiarrítmicos I-PAST_MEDICAL_HISTORY -(Amiodarona) I-PAST_MEDICAL_HISTORY -y I-PAST_MEDICAL_HISTORY -betabloqueantes I-PAST_MEDICAL_HISTORY -(Propanolol). I-PAST_MEDICAL_HISTORY -La B-FAMILY_HISTORY -madre I-FAMILY_HISTORY -había I-FAMILY_HISTORY -fallecido I-FAMILY_HISTORY -súbitamente I-FAMILY_HISTORY -a I-FAMILY_HISTORY -los I-FAMILY_HISTORY -48 I-FAMILY_HISTORY -años I-FAMILY_HISTORY -por I-FAMILY_HISTORY -la I-FAMILY_HISTORY -misma I-FAMILY_HISTORY -enfermedad. I-FAMILY_HISTORY -Una B-PRESENT_ILLNESS -noche I-PRESENT_ILLNESS -salió I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -cenar I-PRESENT_ILLNESS -con I-PRESENT_ILLNESS -los I-PRESENT_ILLNESS -compañeros I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -trabajo I-PRESENT_ILLNESS -regresando I-PRESENT_ILLNESS -al I-PRESENT_ILLNESS -domicilio I-PRESENT_ILLNESS -sobre I-PRESENT_ILLNESS -las I-PRESENT_ILLNESS -4 I-PRESENT_ILLNESS -horas I-PRESENT_ILLNESS -de I-PRESENT_ILLNESS -la I-PRESENT_ILLNESS -madrugada. I-PRESENT_ILLNESS -No I-PRESENT_ILLNESS -manifestó I-PRESENT_ILLNESS -ninguna I-PRESENT_ILLNESS -sintomatología I-PRESENT_ILLNESS -y I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -acostó I-PRESENT_ILLNESS -en I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -sofá I-PRESENT_ILLNESS -del I-PRESENT_ILLNESS -salón. I-PRESENT_ILLNESS -Poco I-PRESENT_ILLNESS -después I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -perro I-PRESENT_ILLNESS -comenzó I-PRESENT_ILLNESS -a I-PRESENT_ILLNESS -ladrar I-PRESENT_ILLNESS -por I-PRESENT_ILLNESS -lo I-PRESENT_ILLNESS -que I-PRESENT_ILLNESS -el I-PRESENT_ILLNESS -padre I-PRESENT_ILLNESS -se I-PRESENT_ILLNESS -levantó I-PRESENT_ILLNESS -encontrándola I-PRESENT_ILLNESS -inconsciente. I-PRESENT_ILLNESS -Se B-EVOLUTION -avisó I-EVOLUTION -a I-EVOLUTION -los I-EVOLUTION -servicios I-EVOLUTION -de I-EVOLUTION -emergencia I-EVOLUTION -061 I-EVOLUTION -que I-EVOLUTION -se I-EVOLUTION -limitaron I-EVOLUTION -a I-EVOLUTION -constatar I-EVOLUTION -el I-EVOLUTION -fallecimiento. I-EVOLUTION - I-EVOLUTION \ No newline at end of file