Abstract：
:Pleural effusions can be a manifestation of several nosological entities. Etiologic diagnosis involves a good clinical history, followed by thoracocentesis with pleural biopsy and eventually bronchoscopy or thoracoscopy. The differentiation between transudates and exudates, by the biochemical characteristics of the pleural effusions, can orientate the underlying disorder. It is known that there are more than 35 different etiological entities of exudative pleural effusions. However, pneumonia, malignancies, pulmonary embolism, abdominal disease and tuberculosis are the major causes (around 90%). Transudative effusions are more frequently due to congestive heart failure, renal or hepatic failure. The AA present a clinical situation of pleural effusion, the etiology of which was initially attributed to congestive heart failure, with a good response, clinical and radiological response to the treatment established. However the laboratory alteration persisted (anaemia, renal failure, acute inflammation). The subsequent study showed the existence of a rare syndrome, a Myeloma Ig M lambda that can lead to differential diagnosis with Waldenström's Macroglobulinemia, about which the authors make some theoretical considerations showing the difficulty in etiologic diagnosis of some pleural effusions.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Alvares E,Barroso C,Sotto-Mayor R,de Almeida AB,Freitas e Costa Msubject
Has Abstractpub_date
1995-10-01 00:00:00pages
579-84issue
10eissn
0870-399Xissn
1646-0758journal_volume
8pub_type
杂志文章,评审abstract：:In the Portuguese National Health Service, little attention has been paid to oral health care. The almost nonexistence of a dentistry network raises concern about accessibility to services, and justifies the need to call on a predominantly private provision of services. The coexistence between the public and private s...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11964
更新日期：2019-06-28 00:00:00
abstract：:Atrial septum aneurysms are an uncommon condition, underestimated before the routine use of echocardiography. Their clinical importance has increased after being associated with thromboembolic events. The authors made a review of clinical, diagnostic and therapeutic features of this entity after reporting six clinical...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:The authors describe the ambulatory treatment of a young man, the son of a divorced mother, where they used a methodology called Combined Treatment of Heroin Addicts, which was done in stages. They used family sessions, with a concomitant hearing of the patient alone, combined with the use of an opioid antagonist, cal...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:From January 1980 until October 1991 we operated 112 patients with Gastric cancer in which Surgery was considered palliative by intra-operative criteria or by pathological analysis of the resected specimen. Locally irresectable tumour was found in 24.1% of the cases, peritoneal metastases (mets.) in 21.4%, liver mets....
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:A case of acute ischemia of the right inferior limb after anti-tuberculous therapy in a 42-Year old woman is reported. This complication was confirmed by artheriography and the investigation revealed vasculitis and anti-histone antibodies. Drug-induced lupus was then diagnosed. A brief review about this subject is als...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：:Literature analysis has been controversial about pre-eclampsia. It is known that not pregnant patients should be treated due cardiovascular benefits. However, the real benefits of antihypertensive treatment in pre-eclampsia were not demonstrated. Yet, there are many drugs that can be used for antihypertensive treatmen...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2008-07-01 00:00:00
abstract：:The aim of this study was to evaluate the association between maternal nutritional factors and intrauterine growth retardation (IUGR). We studied 1233 mothers who delivered single term newborns: 144 IUGR-birth weight less than one 10th percentile for sex and gestational age and 1119 controls-birth weight between the 1...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:A case of a 44 years old patient with inoperable gastric adenocarcinoma and exuberant lesions of Acanthosis Nigricans is described. He died nine months after the diagnosis, having experienced disappearance of the cutaneous manifestations after the cytostatic treatment done. The literature about Acanthosis Nigricans is...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：INTRODUCTION:To evaluate the safety and impact on visual acuity, retinal and choroidal morphology of simultaneous cataract surgery and intravitreal anti-vascular endothelial growth factor on patients with visually significant cataracts and previously treated exudative age-related macular degeneration. MATERIAL AND MET...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.7850
更新日期：2017-02-27 00:00:00
abstract：INTRODUCTION:In the context of a pronounced population ageing and rising mortality due to chronic illnesses, this national epidemiological study compares the places where people die with population preferences. MATERIAL AND METHODS:Data on numbers of deaths in 2010 by gender, age group, region of residence NUTS II and...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2013-07-01 00:00:00
abstract：INTRODUCTION:Postpartum haemorrhage is still the main cause of maternal morbidity and mortality. Many treatments are available, but they may threaten fertility potential. As a uterine sparing procedure, we aimed to review uterine compression sutures in order to better understand when they should represent an appropriat...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.11987
更新日期：2019-10-07 00:00:00
abstract：INTRODUCTION:Child and Adolescent Forensic Psychiatry involves a multidisciplinary assessment at the courts' requested to assist them in the process of justice delivery. MATERIAL AND METHODS:Retrospective study which included 233 forensic requests to two child and adolescent psychiatrists from Coimbra's HP-CHUC Child ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8579
更新日期：2017-10-31 00:00:00
abstract：OBJECTIVE:To evaluate, in an elderly Portuguese population, the diagnostic capacities of the most popular treadmill stress test protocols. DESIGN:Retrospective study of an elderly Portuguese population submitted to a stress test. PATIENTS AND METHODS:A population of 45 patients (35 male), aged 65 or more years, conse...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:During pregnancy immunological, metabolic, hormonal and vascular changes occur, and can cause specific skin diseases. The specific dermatoses of pregnancy have undergone numerous changes in nomenclature and classification, partly due to advances in the knowledge of the pathogenesis of these skin diseases. Currently th...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 00:00:00
abstract：:Duodenocaval fistula is a type of digestive fistula rarely described in the literature. It usually manifests by sepsis associated with gastrointestinal bleeding. The treatment is surgical and the prognosis usually not favorable. We describe the case of a woman admitted to our hospital with sepsis, having been diagnose...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
abstract：INTRODUCTION:An early investigation and management op cryptorchidism are essential for the diagnosis of associated pathologies, because intra-abdominal testis are associated with infertility and neoplasic risk. The authors describe a case of late presentation of cryptorchidism associated with genetic disorder. CASE RE...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,多中心研究
doi：10.20344/amp.9696
更新日期：2018-11-30 00:00:00
abstract：INTRODUCTION:Since dysphagia may be one of the brain post-stroke consequences, the objective of this study was to analyze the average recovery time of patients with cerebrovascular accident and dysphagia subjected to speech therapy in a hospital bed. MATERIAL AND METHODS:Systematic review performed following the 'Pref...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：10.20344/amp.9183
更新日期：2017-12-29 00:00:00
abstract：:This paper summons to contest some of the bonds that will be severed, probably, by the new eugenics, and may be repaired by narrative-based medicine, two of the most extreme and contradictory challenges to today's--and tomorrow's--medical practice. Accordingly, I intend to frame its development into the unbounded math...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2005-09-01 00:00:00
abstract：:The Bartter syndrome is a rare hereditary salt-wasting tubulopathy, characterized by metabolic alkalosis, hypokalemia, hyperreninemia and hyperaldosteronemia of varying severity. Indomethacin and high doses of oral potassium have been until now the therapeutic strategies used, with high risk of gastrointestinal injury...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：:In an attempt to discern the paradigms underlying our medical practice (more specifically paediatrics) over the last 30 years, it was found that these are rather similar to the ones prevailing at the beginning of this period--all wrong-doings were attributed to outside forces which had to be neutralized; the obsession...
journal_title：Acta medica portuguesa
pub_type： 历史文章,杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：INTRODUCTION:Functional foods are those that promote health and well-being and/or decrease the risk of certain chronic diseases. It is known that young people' knowledge about functional foods is low. The aim of this study is to assess the psychometric proprieties of the "Attitudes towards Functional Foods Scale" in a ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.9284
更新日期：2019-04-30 00:00:00
abstract：:Twelve cases of extreme umbilical blood flow impairement (8 cases with loss of end-diastolic blood flow and 4 cases with reversed flow) found among 658 pregnancies studied by continuous Doppler between April 1st 1989 and March 31st 1990, are reported. The findings were associated to intra-uterine growth retardation (9...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
abstract：:Significative enhancement of free radical formation (FRO) in vivo is an important feature of hypertensive disorders of pregnancy (HDP), namely preeclampsia (PIH). The latest investigations about the pathology of HDP, showed the contribution of placental circulation to the development and evolution of such disease. The...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
abstract：BACKGROUND:Some families fulfilling the Amsterdam Criteria (AC) differ from the Lynch syndrome (LS) in that colorectal cancers (CRC) do not present microsatellite instability (MSI) and DNA mismatch repair gene mutations are not found. These families have been designated as Familial Colorectal Cancer type X (XS) and the...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2009-05-01 00:00:00
abstract：:In a housing estate population with a high prevalence of tuberculosis, the authors conducted tuberculosis screening with the tuberculin test, and an investigation with three purposes: evaluation of tuberculosis infection (defined as > 10 mm on tuberculin test), evaluation of BCG effect on tuberculin test, and evaluati...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：INTRODUCTION:In Portugal child abuse is a reality, although its true incidence is still unknown. POPULATION AND METHODS:Retrospective study by consulting child abuse processes of children hospitalized in Paediatric Nursery and Neonatal Special Care Unit of Centro Hospitalar de Setúbal, E.P.E between January 1, 2006 an...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
abstract：:The correct practice of specialized Clinical Pathology is dependent on the acquired aptitude and capacity gained by residents during their specialization. So, the adopted program for residents must be practical and detailed, obviously exceeding the simple and routine execution of laboratory methods and techniques. In ...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:Osteoporosis in men, despite being a less important public health problem than osteoporosis in women, should not be neglected as it has many deleterious effects as well as social and economic costs. Finding the cause of osteoporosis is more complex in men than in women, and prevention should be based on an early evalu...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：1995-05-01 00:00:00
abstract：:The use of the transoesophageal echocardiography (TEE) in the critically ill patient admitted to the general intensive care unit begins to turn out to be very important but it is still little spread. The full implementation of the echocardiography in the general intensive cares is compromised by the acoustic window. H...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2011-12-01 00:00:00
