A5044296547- Acute Ischemic Stroke Management
- Vasculitis and related conditions
- Diabetes Treatment and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Renal and Vascular Pathologies
- Systemic Lupus Erythematosus Research
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Intracerebral and Subarachnoid Hemorrhage Research
- Lipoproteins and Cardiovascular Health
- Effects of Radiation Exposure
- Head and Neck Cancer Studies
- Intracranial Aneurysms: Treatment and Complications
- Abdominal vascular conditions and treatments
- Rheumatoid Arthritis Research and Therapies
- Cardiac tumors and thrombi
- Drug-Induced Hepatotoxicity and Protection
- Biomedical Research and Pathophysiology
- Stoma care and complications
- Infectious Diseases and Tuberculosis
- Vascular Tumors and Angiosarcomas
- Nephrotoxicity and Medicinal Plants
- Stroke Rehabilitation and Recovery
- Diagnosis and treatment of tuberculosis
- Education Pedagogy and Practices
Administração Regional de Saúde de Lisboa e Vale do Tejo
2024-2025
Hospital de São João
2018-2022
Hospital Pedro Hispano
2022
Hospital Garcia de Orta
2015
Hospital Prof. Dr. Fernando Fonseca
2014
In renal vasculitis, luminal narrowing can reduce blood flow and activate the renin-angiotensin-aldosterone system, causing renovascular hypertension. We present case of a 47-year-old man with previous intestinal tuberculosis episodes lumbar pain, tender erythematous nodules arthralgias. He had grade 3 hypertension, unresponsive to treatment, left ventricular concentric hypertrophy chronic kidney disease. was admitted ICU due hypertensive emergency, acute failure large peri-renal hematoma....
Nontargeted late effects of radiation include an increased risk cardiovascular disease, although this is still debatable in the context low-dose radiation. Tinea capitis patients treated childhood with X rays to induce scalp epilation received a low dose their carotids. To better clarify issue, we evaluated carotid atherosclerosis cohort such 1950–1963 Portugal. A group 454 individuals randomly chosen from previously observed Portuguese tinea and control mainly composed spouses (n = 280)...
Objective: Estimate the prevalence of nonadherence to anti-hypertensive treatment in year prior patients’ admission a Stroke Unit between October 2022 and 2023. Design method: We conducted retrospective non-blinded analysis. Data hypertensive patients admitted level B from 1st 31st 2023 due ischemic stroke, hemorrhagic stroke or transient attack (TIA) was collected. Patients deceased before November were excluded data unavailability. At moment (by local protocol) all questioned if they took...
da Silva
Metformin is the preferred initial pharmacologic agent for treatment of adults with type 2 diabetes mellitus. Although considered safe, it carries a potential life‐threatening risk lactic acidosis. Metformin‐associated acidosis believed to be consequence metformin inhibition mitochondrial respiratory chain, and has mortality ranging between 10–50%. However, its outcome better than other cause similarly severe acid‐base imbalance. In this article, we describe case 72‐year‐old woman mellitus,...
Whipple's disease is a rare multisystemic infectious that can mimic lymphoproliferative disorders and must be considered in the differential diagnosis of febrile syndromes. The authors describe case 55-year-old man who presented to Emergency Department with dyspnoea abdominal pain. He had 2-month history fever, night sweats, asthenia unintentional weight loss. Upon clinical examination he bilateral inguinal lymphadenopathy. Blood tests showed iron-deficit anaemia high C-reactive protein....
Head and Neck Cancer is a prevalent disease in our department requires multidisciplinary approach. The aim of this study was to group statistic data order compare with national international references detect some aspects evaluation surveillance that could be changed or meliorated. We designed retrospective on the head neck cancer patients started their first oncologic treatment during years 2008 2009 (total 111 patients). evaluated gender, age, histopathology, anatomic location tumor stage....
Tuberculosis remains a worldwide public health problem. Cervical tuberculous lymphadenitis (TBL) or scrofula is the most common form of extrapulmonary tuberculosis, affecting cervical lymph nodes. We report case 93-year-old woman presenting with adenopathies 3 months duration. Fine needle aspiration (FNA) biopsy yielded noncaseous granulomatous process, but was negative for Mycobacterium tuberculosis (MT). As had grown, an excisional performed. An extensive study infectious aetiologies...
We present the case of a 75-year-old diabetic female with no history chronic kidney disease, treated metformin, that complained vomiting and abdominal pain in last month; at admission she had acute injury severe lactic acidosis. She evolved quickly to vasoplegic shock, immediately started treatment vasopressors continuous renal replacement therapy (RRT). Lactic acidosis solved hemodynamic status recovered, but dysfunction persisted. After etiologic study was diagnosed multiple myeloma....
Introduction: Parapharyngeal tumors are rare, representing about 0.5% of all head and neck tumors. Most (80%) benign. Primitive correspond to 90% the cases (40% 50% originating from salivary glands 25% 40% with neurogenic origin). They asymptomatic in initial stage. The diagnosis is made when tumor reaches 3 cm, manifesting as an oropharyngeal or cervical mass. clinical presentation similar regardless histological type. Material methods: We reviewed literature reported three operated on...
Objective: The evaluation and follow up of hypertensive patients requires the consideration all cardiovascular risk factors such as lipid profile, particularly LDL cholesterol. Hypertensive usually gather other that make them high very requiring aggressive control. We aimed to stratify profile from evaluated during a year their Design method: Retrospective study based on clinical records in Hypertension clinic tertiary care hospital year. Demographic, biometric data were gathered. used...
A 54-year-old Caucasian male presented to the emergency department complaining of odynophagia, fever and malaise. Blood test showed pancytopenia with severe neutropenia (50 neutrophils/microliter), mild elevation cholestasis enzymes high C-reactive protein. Abdominal ultrasonography hepatosplenomegaly signs portal hypertension. He was a non-smoker no alcohol or recreational drug use without recent travels. had previous history recurrent arthralgias positive title for rheumatoid factor but...
Mononeuritis multiplex is a peripheral neuropathy most frequently associated with primary systemic vasculitis, but also neoplastic and infectious disorders. We report case of 62-year-old woman leukopenia lower extremity motor sensitive deficits, for 6 months. She had no other symptoms. Except the neurologic her physical exam was unremarkable. Previous hematologic study revealed multiple cervical, thoracic abdominal pericentimetric adenopathies immunoelectrophoresis, myelography bone biopsy...
Introduction: Sorafenib was the first therapy used for systemic treatment of unresectable hepatocellular carcinoma (HCC). Multiple prognosis factors associated with sorafenib have been described. Objectives: The aim this work to evaluate survival and time progression (TTP) on HCC patients treated sorafenib, check predictive benefit. Materials Methods: Retrospectively, data from all in a Liver Unit 2008 2018 were collected analyzed. Results: Sixty-eight included; 80.9% male, median age 64.5...
Vasculitides are a group of rare, systemic diseases that induce inflammatory reactions in blood vessels, causing reduction flow and ischemia. In the kidney, luminal narrowing reduces activates renin-angiotensin-aldosterone system, renovascular hypertension.Clinical case report.A 47-year-old male with previous intestinal tuberculosis hypertension diagnosed two years prior (blood pressure around 220/110 mmHg) was referred to our Hypertension Clinic. He reported self-limited episodes lumbar...
Acute aortic syndromes (AAS) are life-threatening conditions that can be often overlooked due to its rarity and wide array of differential diagnosis. We reported the case a hypertensive 66-year-old woman presenting in emergency department with syncope followed by acute installation neurological deficits. Brain computed tomography excluded stroke or intracerebral hemorrhage. Arrhythmic event, coronary syndrome pulmonary embolism were adequate investigation. Computed angiography showed...