DEBILIDAD – DISFAGIA – DISNEA HELIOTROPO – GOTTRON – CALCINOSIS PARANEOPLÁSICA EN MAYORES...

Transcript of DEBILIDAD – DISFAGIA – DISNEA HELIOTROPO – GOTTRON – CALCINOSIS PARANEOPLÁSICA EN MAYORES...

DEBILIDAD – DISFAGIA – DISNEAHELIOTROPO – GOTTRON – CALCINOSISPARANEOPLÁSICA EN MAYORESENZIMAS – EMG – BIOPSIAANTI PM1 ANTIMIOGLOBINAPREDNISONA

POLIMIOSITISPOLIMIOSITIS

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SÍNDROME SECOEXTRAGLANDULAR (PRIMARIOS)ARTRALGIAS – NEFRITISVASCULITIS – PIEL – SNNEUMONÍA LINFOIDEALINFOMAANTI Ro ANTI LaTTO SINTOMÁTICO - CORTICOIDES

SJOGRENSJOGREN

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PÚRPURA - LIVEDOHTA DE CAUSA RENALDOLOR ABDOMINAL - TESTICULARMIOCARDIOPATIA - IAMISQUEMIA MESENTÉRICAHBsAgANEURISMAS – NECROSISPDN + CICLO

PAN (PAM)PAN (PAM)

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VÉNULASNO ANEURISMASGLOMÉRULOP-ANCAA VECES CAPILARITIS PULMONAR

PAN MICROSCÓPICAPAN MICROSCÓPICA

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ASMA – SINUSITISPÚRPURA – NÓDULOSMIOCARDIOPATÍA RESTRICTIVAGLOMERULONEFRITISEOSINOFILIA – IgEP-ANCACORTICOIDES

CHUCK STRAUSSCHUCK STRAUSS

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SINUSITIS – OTITITS – ÚLCERAS ORALESNÓDULOS PULMONARESGN CON SEMILUNASPÚRPURANEURITISC-ANCACICLOFOSFAMIDA

WEGNERWEGNER

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VASCULITIS HPSVASCULITIS HPS

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CEFALEAFIEBRE – ANEMIA – VSG ACELERADAPOLIMIALGIA REUMÁTICACLAUDICACIÓN MASTICACIÓNNEURITIS ÓPTICAOTROS EVENTOS CVCORTICOIDES

ARTERITIS TEMPORALARTERITIS TEMPORAL

OTRASOTRAS

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LOFGREN – HEERFORDTNEUMONÍA – ADENOPATÍAS HILIARESADENOPATÍASHIPERCALCEMIALITIASIS RENALHEPATOESPLENOMEGALIAMÉDULA ÓSEAECACORTICOIDES

SARCOZYDOSISSARCOZYDOSIS

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SARCOIDOSISSARCOIDOSIS• RADIOGRAFÍA DE TÓRAX• http://www.youtube.com/watch?v=gYxYoScn-

ic

http://www.youtube.com/watch?v=gYxYoScn-ic

AMILOIDOSISAMILOIDOSIS

AL: MIOCARDIO – NEFRÓTICO – HEPATOESPLENO – MALABSORCIÓN – MACROGLOSIA – SNP – PIELAA. INFLAMACIÓN – NEFRÓTICO – HEPATOESPLENOAF: MIOCARDIO – SNP – TÚNEL – VÍTREOAB2M: IRC – ARTRITIS - TÚNEL

AMYLOIDOSISAMYLOIDOSIS

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http://images.google.com/imgres?imgurl=http://www.dolorderodillas.es/wp-content/uploads/2008/11/artrosis_5.jpg&imgrefurl=http://www.dolorderodillas.es/&usg=__X7YRtwWUtxYkH-Igig7VQkE0Oq0=&h=314&w=317&sz=23&hl=es&start=12&sig2=1V2EWoQZuaI_g-EEoj4ucQ&um=1&tbnid=2_o5TP6zhBaZEM:&tbnh=117&tbnw=118&prev=/images%3Fq%3DARTRITIS%2BRODILLA%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZHZ_es%26sa%3DG%26um%3D1&ei=E9nJSr-XLp69jAev5KX2Dg

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SACROILEÍTIS RADIOLÓGICASINDESMOFITOSDOLOR GLÚTEO NOCHESUVEÍTISINSUFICIENCIA AÓRTICAFIBROSIS PULMONARB27ANTICITOCINAS

ESPONDILITISESPONDILITIS

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http://images.google.com/imgres?imgurl=http://www.uab.es/uabdivulga/img/oculargossos1.jpg&imgrefurl=http://www.uab.es/uabdivulga/avencos/2006/oculargossos0706.htm&usg=__jYCPIj2QqRHOeC8c46DQzJ0aHEo=&h=500&w=500&sz=14&hl=es&start=4&sig2=QoOEFZdnR0y1yzSa_k59KQ&um=1&tbnid=6WaH4V_jCAc4YM:&tbnh=130&tbnw=130&prev=/images%3Fq%3Duveitis%2Banterior%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZHZ_es%26um%3D1&ei=KNzJSsFSz4uMB6LT8foO

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RESUMEN ESPONDILITISRESUMEN ESPONDILITIS

TRATAMIENTOTRATAMIENTO

REPASO SISTÉMICASREPASO SISTÉMICAS• ENTRA EN:• http://www.youtube.com/watch?v=LG2TcfGr-

U4&feature=channel

http://www.youtube.com/watch?v=LG2TcfGr-U4&feature=channel

http://images.google.es/imgres?imgurl=http://www.ehagroup.com/resources/pathogens/images/yersinia-enterocolitica-C.jpg&imgrefurl=http://www.ehagroup.com/resources/pathogens/yersinia-enterocolitica/&usg=__3Jlg77Z0OEGH9gus9-6ZsNvBQLg=&h=264&w=200&sz=66&hl=es&start=13&tbnid=FginrtbIla3zwM:&tbnh=112&tbnw=85&prev=/images%3Fq%3Dyersinia%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://i.esmas.com/image/0/000/005/369/diagartripsoriNTnva.jpg&imgrefurl=http://www.esmas.com/salud/enfermedades/cronicas/608332.html&usg=__GRsR758PJSsBhuOjDm3RKOO4TMg=&h=270&w=370&sz=18&hl=es&start=1&tbnid=i4bsSddRM9-CQM:&tbnh=89&tbnw=122&prev=/images%3Fq%3Ddedo%2Ben%2Bsalchicha%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.fundanoa.org.ar/imagenes/enfermedades/conjuntivitis_virosica.gif&imgrefurl=http://www.fundanoa.org.ar/enfermedades.asp&usg=__ZzVsOcSDH8dKRXBYPvhSurGAvcM=&h=305&w=480&sz=72&hl=es&start=7&tbnid=M0SIv-reu0jrbM:&tbnh=82&tbnw=129&prev=/images%3Fq%3Dconjuntivitis%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.lcezar.co.cc/psoriasis3.jpg&imgrefurl=http://www.lcezar.co.cc/&usg=__-4keBU8LTM0ZQvp5Ciy16VxbudE=&h=480&w=640&sz=48&hl=es&start=3&tbnid=pHaaLS1HbVp_RM:&tbnh=103&tbnw=137&prev=/images%3Fq%3Dpsoriasis%26gbv%3D2%26hl%3Des

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ARTROSISARTROSIS

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http://images.google.es/imgres?imgurl=http://www.geocities.com/amirhali/ARTROSISCADERARX.jpg&imgrefurl=http://www.geocities.com/amirhali/_private/osteoartrosis.htm&usg=__kRtsD6ofdrBB0ceOWkZPvjcSjCA=&h=535&w=360&sz=21&hl=es&start=4&tbnid=3koiHxHhkM98eM:&tbnh=132&tbnw=89&prev=/images%3Fq%3Dartrosis%2Bde%2Bcadera%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.geocities.com/amirhali/ARTROSISCVERTERX.gif&imgrefurl=http://www.geocities.com/amirhali/_private/osteoartrosis.htm&usg=__Dxp9R0l46mzMLWkAJ5VwyDGhqM8=&h=325&w=441&sz=82&hl=es&start=8&tbnid=dhlR1M2PZ7-M_M:&tbnh=94&tbnw=127&prev=/images%3Fq%3Dartrosis%2Bde%2Bcolumna%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.doctorgraell.com/cat/img/genubaro.jpg&imgrefurl=http://www.doctorgraell.com/cat/clinica-artrosi.php&usg=__F5BbOF8iX-Ilp0HJHSmU6lpFxt0=&h=250&w=197&sz=10&hl=es&start=6&tbnid=Miy0rca0yGCJVM:&tbnh=111&tbnw=87&prev=/images%3Fq%3Dgenu%2Bvaro%26gbv%3D2%26hl%3Des

TRATAMIENTOTRATAMIENTO

CONDROCALCINOSISCONDROCALCINOSIS

http://images.google.es/imgres?imgurl=http://es.dreamstime.com/dolor-sufridor-del-hombre-en-rodilla-thumb4633922.jpg&imgrefurl=http://es.dreamstime.com/fotograf-iacutea-de-archivo-dolor-sufridor-del-hombre-en-rodilla-image4633922&usg=__XGHLo3-4zMZkzQvgHMbuosiwWes=&h=350&w=233&sz=39&hl=es&start=3&tbnid=cqTwQDjkgWE6YM:&tbnh=120&tbnw=80&prev=/images%3Fq%3Ddolor%2Brodilla%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.cirugiaarticular.com/includes/images/imagenes/rodilla/gonartrosis4.jpg&imgrefurl=http://www.cirugiaarticular.com/rodilla/artrosis-rodilla-gonartrosis/&usg=__frwTXD7f9f7dqvHMtjU82IeheCc=&h=291&w=150&sz=13&hl=es&start=20&tbnid=W293uIiNdc7QlM:&tbnh=115&tbnw=59&prev=/images%3Fq%3Dcalcificacion%2Bmeniscos%26gbv%3D2%26hl%3Des%26sa%3DG

http://images.google.es/imgres?imgurl=http://www.doyma.es/ficheros/images/29/29v30n02/grande/29v30n02-13044010fig02.jpg&imgrefurl=http://www.doyma.es/revistas/ctl_servlet%3F_f%3D7014%26articuloid%3D13044010&usg=__uY5EG-WZ1jmdgrhX00B613M1RQU=&h=197&w=307&sz=7&hl=es&start=2&tbnid=QmO11TDlvt94jM:&tbnh=75&tbnw=117&prev=/images%3Fq%3Dcalcificacion%2Bsinfisis%2Bpubis%26gbv%3D2%26hl%3Des%26sa%3DX

CONDROCALCINOSISCONDROCALCINOSIS

CULTIVOSCLOXACILINA +CEFOTAXIMA

ARTRITIS INFECCIOSASARTRITIS INFECCIOSAS

http://3.bp.blogspot.com/_LgAuUjwmXl0/Rv53W3xbGfI/AAAAAAAABOc/aQJ1Z8bqhNA/s1600-h/17196.bmp

ARTRITIS VARIASARTRITIS VARIAS

http://images.google.es/imgres?imgurl=http://www.medspain.com/ant/n15_sep00/terapia_01.jpg&imgrefurl=http://www.medspain.com/ant/n15_sep00/terapia.htm&usg=__ijv3Vs2rhtdh3ZXeIfRb7Go0jVg=&h=331&w=381&sz=16&hl=es&start=6&tbnid=V8ThKeYRCEFZvM:&tbnh=107&tbnw=123&prev=/images%3Fq%3DACROPAQUIAS%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.medspain.com/rayos/rx_005.jpg&imgrefurl=http://www.medspain.com/rayos/rx_003.htm&usg=__WjP0uAL_vHYtcmi9bR1dLvIwnCA=&h=412&w=367&sz=11&hl=es&start=10&tbnid=mS0EndM6afsmcM:&tbnh=125&tbnw=111&prev=/images%3Fq%3DACROPAQUIAS%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.telmeds.org/AVIM/Aderma/policondritisrecidivante/images/DSCN5472.jpg&imgrefurl=http://www.telmeds.org/AVIM/Aderma/policondritisrecidivante/&usg=__zW03Xf2jBtSV-sXxOv5lkqZHRQY=&h=640&w=480&sz=68&hl=es&start=2&tbnid=RloLDy6HTy8t_M:&tbnh=137&tbnw=103&prev=/images%3Fq%3DPOLICONDRITIS%26gbv%3D2%26hl%3Des

FIBROMIALGIAFIBROMIALGIA

OTRAS ARTRITISOTRAS ARTRITIS

OTRASOTRAS

HEREDITARIAS Y CONGÉNITASHEREDITARIAS Y CONGÉNITAS

http://images.google.es/imgres?imgurl=http://www.medstudents.com.br/original/revisao/marfan/marfan.jpg&imgrefurl=http://www.medstudents.com.br/original/revisao/marfan/marfan.htm&usg=__LBprB4ndDSaeUnfCx5ySf8wKVUU=&h=355&w=450&sz=12&hl=es&start=12&tbnid=OmANv82UNcDOiM:&tbnh=100&tbnw=127&prev=/images%3Fq%3DMARFAN%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.gigtogryg.dk/files/manager/ehlers.jpg&imgrefurl=http://www.taringa.net/posts/salud-bienestar/3436901/Sindrome-de-Ehlers-Danlos.html&usg=__adJ1QQnrqZXIq87KSnNFT1jH9ns=&h=475&w=652&sz=173&hl=es&start=1&tbnid=x49Ouz4JcxDFLM:&tbnh=101&tbnw=138&prev=/images%3Fq%3DEHLER%2BDANLOS%26gbv%3D2%26hl%3Des%26sa%3DG

http://images.google.es/imgres?imgurl=http://www.riversideonline.com/source/images/image_popup/r7_edsloosejoint.jpg&imgrefurl=http://www.riversideonline.com/health_reference/Disease-Conditions/DS00706.cfm&usg=__IiF6sgQh0Rq_I8Abugnrn6qaiR0=&h=400&w=400&sz=37&hl=es&start=8&tbnid=LVeMO24_0AweXM:&tbnh=124&tbnw=124&prev=/images%3Fq%3DEHLER%2BDANLOS%26gbv%3D2%26hl%3Des%26sa%3DG

http://images.google.es/imgres?imgurl=http://www.bvs.sld.cu/revistas/ped/vol80_2_08/f0305208.jpg&imgrefurl=http://bvs.sld.cu/revistas/ped/vol80_2_08/ped05208.htm&usg=__hKpqOM6yL_M7KhnNKEQojVoJEVY=&h=430&w=447&sz=29&hl=es&start=33&tbnid=UuLP2XnFtV1QoM:&tbnh=122&tbnw=127&prev=/images%3Fq%3DEHLER%2BDANLOS%26gbv%3D2%26ndsp%3D21%26hl%3Des%26sa%3DN%26start%3D21

http://images.google.es/imgres?imgurl=http://www.institutferran.org/images/x_hiperlaxitud_2.jpg&imgrefurl=http://www.institutferran.org/hiperlaxitud.htm&usg=__Ixp4GMiudLK0FFwx0cn3iK95byU=&h=77&w=112&sz=3&hl=es&start=37&tbnid=FBgy1KzO_BR3FM:&tbnh=59&tbnw=86&prev=/images%3Fq%3DEHLER%2BDANLOS%26gbv%3D2%26ndsp%3D21%26hl%3Des%26sa%3DN%26start%3D21

http://upload.wikimedia.org/wikipedia/commons/c/c7/XrayOITypeV-Audult-Reddicharla.jpg

http://images.google.es/imgres?imgurl=http://www.thachers.org/images/Osteogenesis_imperfecta_blue_sclera.JPG&imgrefurl=http://www.thachers.org/orthopedics.htm&usg=__BL15LtfhpDZZOZ4lGMQUi7b1rIw=&h=614&w=1106&sz=70&hl=es&start=7&tbnid=RSDmjaYp6TftsM:&tbnh=83&tbnw=150&prev=/images%3Fq%3DOSTEOGENESIS%2BIMPERFECTA%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://ehrweb.aaas.org/entrypoint/img/clamoreaux.jpg&imgrefurl=http://ehrweb.aaas.org/entrypoint/students.html&usg=__BsBkw6BXm4s82Rkyl54penn_dUA=&h=275&w=275&sz=10&hl=es&start=32&tbnid=pmuzyxlqI4suQM:&tbnh=114&tbnw=114&prev=/images%3Fq%3DOSTEOGENESIS%2BIMPERFECTA%26gbv%3D2%26ndsp%3D21%26hl%3Des%26sa%3DN%26start%3D21

OSTEOPOROSISOSTEOPOROSIS

http://images.google.es/imgres?imgurl=http://3.bp.blogspot.com/_xxAxWoV2dHk/RjoVYlzs8YI/AAAAAAAAANE/xKfwnMhQtgs/s320/adelgazar%2Bfumando.bmp&imgrefurl=http://invisibleamatista.blogspot.com/2007_05_01_archive.html&usg=__Tl5Rm1h-i_YleVmUM_eifM4O4h4=&h=288&w=200&sz=17&hl=es&start=9&tbnid=MZuV_U7s7jEFuM:&tbnh=115&tbnw=80&prev=/images%3Fq%3DMUJER%2BDELGADA%2BFUMA%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://masconazo.com/deportes/images/fotos/galeria/sharapova/maria_sharapova_02.jpg&imgrefurl=http://masconazo.com/deportes/index.php%3Foption%3Dcom_content%26task%3Dview%26id%3D2188%26Itemid%3D89&usg=___JJm1ymseTAFPNSn1jL6EoUXbQ0=&h=500&w=350&sz=33&hl=es&start=4&tbnid=hrUfFsGjSXMQcM:&tbnh=130&tbnw=91&prev=/images%3Fq%3DSHARAPOVA%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.prensalibre.co.cr/2008/abril/02/images/aba01koxa.jpg&imgrefurl=http://www.prensalibre.co.cr/2008/abril/02/abanico01.php&usg=__hNJVDL88Zro2zKeW8kxI7Hfsxys=&h=360&w=240&sz=11&hl=es&start=2&tbnid=CdpFf2fQO-0RmM:&tbnh=121&tbnw=81&prev=/images%3Fq%3DMENOPAUSIA%2BPRECOZ%26gbv%3D2%26hl%3Des

MAYORES DE 65 AÑOSMAYORES DE 65 AÑOS

Curso 2012Curso 2012Curso 2012Curso 2012

TRATAMIENTOTRATAMIENTOESQUEMA RESUMEN DE TRATAMIENTO DE LA OSTEOPOROSISMODIFICACIONES DEL ESTILO DE VIDA (ejercicio, no fumar ni alcohol…). CALCIO + VITAMINA D.MUJERES POSTMENOPÁUSICAS.

DIFOSFONATOS.SI NO RESPONDEN O NO TOLERAN

RALOXIFENO.EN CASOS SEVEROS, RALOXIFENO + PTH

MUJERES PREMENOPÁUSICAS.ESTRÓGENOS O ANTICONCEPTIVOS SI HAY PROBLEMA HORMONAL.DIFOSFONATOS SI HAYANTECEDENTES DE QUIMIOTERAPIA O UNA CAUSA METABÓLICA (TRATAMIENTO CON CORTICOIDES).

ALTERNATIVA: PTH.HOMBRES

DIFOSFONATOSNO RESPONDEN O NO TOLERAN.

TERIPARATIDE (PTH)

OSTEOPOROSISOSTEOPOROSIS• http://www.youtube.com/watch?v=rHyeZhco

ZcQ&feature=related• http://www.youtube.com/watch?v=5uAXX5G

vGrI&feature=related

http://www.youtube.com/watch?v=rHyeZhcoZcQ&feature=related

http://www.youtube.com/watch?v=5uAXX5GvGrI&feature=related

http://images.google.es/imgres?imgurl=http://i184.photobucket.com/albums/x79/pixvirtual/us014/hombre_perfecto.gif&imgrefurl=http://reyyla.lacoctelera.net/post/2008/10/13/las-mujeres-son-complicadas-y-ustedes&usg=__vqS-ZkkVTd_sam4dBPWK-jA2g9o=&h=284&w=275&sz=253&hl=es&start=14&tbnid=8SN8BIHMyyzGxM:&tbnh=114&tbnw=110&prev=/images%3Fq%3DHOMBRE%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://taikarame.files.wordpress.com/2009/03/mujer1.jpg&imgrefurl=http://taikarame.wordpress.com/2009/03/08/dia-de-la-mujer-2009/&usg=__A61Sw0_HyHSwbhEvyprwkrH-dbg=&h=500&w=375&sz=193&hl=es&start=7&tbnid=3J-LCpHLaJKvzM:&tbnh=130&tbnw=98&prev=/images%3Fq%3DMUJER%26gbv%3D2%26hl%3Des

http://images.google.es/imgres?imgurl=http://www.lalistawip.com/photos/G/12207207_md.jpg&imgrefurl=http://www.lalistawip.com/personaje/Marujita%2BD%25EDaz_12207207/&usg=__MXPum6aobmUUUJn0Q7isxek2vTs=&h=151&w=151&sz=23&hl=es&start=7&tbnid=0fUizABK518VLM:&tbnh=96&tbnw=96&prev=/images%3Fq%3Dmarujita%2Bdiaz%26gbv%3D2%26hl%3Des

DÉFICIT VITAMINA DDÉFICIT VITAMINA D

RAQUITISMORAQUITISMO

OSTEOMALACIAOSTEOMALACIA

PAGETPAGET

DEBILIDAD – DISFAGIA – DISNEA HELIOTROPO – GOTTRON – CALCINOSIS PARANEOPLÁSICA EN MAYORES...

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· ya que el cultivo de estos no demanda de pesticidas. Otros productos ... camote, el zapallo macre. Variedades de flores como el marigold, el heliotropo, ...

Daniel y Apocalipsis. Información Celular:811.710.8185 Casa:2459.2116 Email:jlatham@ucla-mexico.org Blog:latham.ucla-mexico.org Dirección: Heliotropo.