Antiphospholipid syndrome: The importance of skin manifestations
Publication date: Available online 3 May 2019Source: Revista Clínica Española (English Edition)Author(s): M. Matellanes Palacios, E. Quecedo Estébanez, S. Añon Roig (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 4, 2019 Category: Internal Medicine Source Type: research

Residual congestion and clinical intuition in decompensated heart failure
Publication date: Available online 3 May 2019Source: Revista Clínica Española (English Edition)Author(s): J.I. Pérez Calvo, J. Rubio Gracia, C. Josa Laorden, J.L. Morales RullAbstractCongestive symptoms are the key to recognizing decompensated heart failure, whose treatment is based on reducing the congestion until a clinical situation has been reached that allows the patient to be discharged to continue outpatient treatment. The important aspect is not the degree of congestion at admission but rather the congestion that persists after energetic diuretic therapy. The persistence of congestive signs following an apparent...
Source: Revista Clinica Espanola - May 4, 2019 Category: Internal Medicine Source Type: research

Analysis of patients shared in consultations of internal medicine and other medical specialties
ConclusionsThe care for populations with growing comorbidity has a major impact on health systems and requires organizational changes for their care.ResumenObjetivoEl envejecimiento poblacional hace que cada vez más pacientes presenten pluripatología y sean atendidos por diferentes especialidades. Estudiamos la evolución de consultas y del porcentaje de pacientes atendidos por varias especialidades médicas.MétodosSe analizaron las consultas de medicina interna (MI) y otras especialidades médicas en un hospital durante los años 1997, 2007 y 2017 en población general y mayores de 65 años.ResultadosA lo largo de 20 a...
Source: Revista Clinica Espanola - May 4, 2019 Category: Internal Medicine Source Type: research

Yellow keratotic palmoplantar papules and chronic abdominal pain
Publication date: Available online 3 May 2019Source: Revista Clínica Española (English Edition)Author(s): F.J. Navarro-Triviño, R. Ruíz-Villaverde (Source: Revista Clinica Espanola)
Source: Revista Clinica Espanola - May 4, 2019 Category: Internal Medicine Source Type: research

Clinical characteristics and prognosis for delirium in Spanish internal medicine departments: An analysis from a large clinical-administrative database
ConclusionsPatients who develop delirium during their hospitalization in internal medicine have a longer stay, greater mortality and an increased risk of being institutionalized at discharge. Delirium is probably poorly reported in the discharge reports prepared by internists.ResumenObjetivosInvestigar la prevalencia del delirio reportado, los factores asociados y los costes.DiseñoAnálisis retrospectivo y descriptivo de una base de datos clínico-administrativa nacional que incluye todos los pacientes ingresados en España en los servicios de medicina interna desde enero de 2007 a diciembre de 2014.Material y métodoSe i...
Source: Revista Clinica Espanola - May 4, 2019 Category: Internal Medicine Source Type: research