Introduction:The Achilles tendon is the largest and most resistant tendon of the human body and the incidence of spontaneous rupture has increased in recent decades, especially because of the appearance and wide use of quinolones, which use is associated with this pathology.Objective: Case report of case of spontaneous rupture of the Achilles tendon in patients without predisposing risk factors. Method: case report based on the records of the patient and search in literature. Discussion:Spontaneous rupture of the Achilles tendon is more common in men aged between 30 and 50 years old and has an incidence of 1:100,000 in the general population. However, there is a rare entity, the spontaneous rupture of the Achilles tendon (RETA), which it is due to chronic inflammation of the tendon. Conclusion:Spontaneous rupture of the Achilles tendon is a rare entity, but should be suspected in patients who present acute pain condition or maybe worsened chronic pain, particularly when associated with the chronic use of corticosteroids or quinolones, or any of the cited predisposing factors.
Introduction: Bladder diverticula are rare both in adults and in children and may be congenital or acquired, are rare in females.Objective: To describe the case of occasional finding of bladder diverticulum in women, which developed into sepsis. Discussion: Bladder diverticula are usually asymptomatic, and occasionally found more commonly in men. It is a rare condition in women and its clinical presentation is associated with infection or neoplasia. There are reports of peritonitis after spontaneous perforation of the diverticulum, however, its evolution to sepsis is rare Conclusion: Bladder diverticulum in women and evolving to sepsis without drilling is a rare condition, with few reports in the literature.
Introduction: Thrombotic thrombocytopenic Purpura (TTP) is a rare and pontentially life-threatening condition caused by ADAMTS13 enzyme complex deficiency. It leads to microthrombi formation in the microvasculature, which may cause several organs manifestations. It mainly affects kidneys and nervous system leading to severe complications. The best treatment of TTP nowadays is Plasma Exchange (PEx). The most commom neurologic manifestation of TTP is headache, but stroke, mental confusion and others can also be present.Objective: To describe a case of atypical neurologic manifestation of TTP and to perform an integrative review.Case Report: Female patient, 32 years old was admitted to the emergency room with important dyspnea. She also presented hypotension, tachycardia and low oxygen-hemoglobin saturation. After these symptoms were stabilized, she was hospitalized for further investigation. During her hospitalization, she developed microangiopatic anemia, thrombocytopenia and renal failure, she also had a historic of neurologic manifestations such as strenght decrease in lower and upper limbs, gagging, dysphagia. She was diagnosed with TTP and we indicated a hospital transference for her to realize this procedure. Discussion:The Thrombotic thrombocytopenic purpura is a rare disease that mainly affects women. We present a case of atypical neurologic manifestations of TTP consisting with headache.
The Hypertension in pregnancy can be termed syndromes Hypertensive of Gestation, where we have pre-eclampsia as the most serious, which can compromise the life of the pregnant woman and the fetus/ newborn, leading to admission to the Intensive Care Unit for these can receive more specific care and prevent the occurrence of other complications. This study aimed to investigate risk factors that support for the development of pre-eclampsia and its admission to the ICU. This is an integrative literature review study with work resulting from scientific productions, and an exploratory descriptive nature, which is within the qualitative analysis. It was noticed that there is much to be studied and clarified regarding Preeclampsia because the jobs available in the literature showed a deficit of knowledge and shock information about the causes and care where these are often only provided when it is already the most serious stage, and may be a consequence of poor prenatal care. Are remarkable advances that the health system has been presenting in the reduction of maternal and perinatal morbidity and mortality rates, however there is still much to be revised as a way of welcoming and working with this audience, as much see a mechanized service, as the prevention of pre-eclampsia should be accepted by pregnant women as an essential care to be performed during pregnancy.
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