abstract：:The development of a kidney abscess is extremely rare despite the fact that urinary tract infections are quite common during pregnancy. The pathogenesis of renal abscess has changed over the years. Nowadays, more than 75% of the renal abscess arises from a previous urinary tract infection. The authors report the case ...

journal_title：Acta medica portuguesa

authors： Santos L,Borges A,Serrano F,Alves MJ,Campos A

更新日期：2006-09-01 00:00:00

abstract：:A growing number of thyroid nodules are detected incidentally during imaging tests performed for unrelated reasons and constitute both a clinical and public health problem. Due to scarce information and lack of long term follow-up studies of individuals with subclinical nodules, there are no consensual guidelines for ...

journal_title：Acta medica portuguesa

authors： Borges A

更新日期：2006-07-01 00:00:00

abstract：OBJECTIVE:To compare the haemodynamic measurements of cardiac output (CO), central venous pressure (CVP), pulmonary capillary wedge pressure (Pw) and pulmonary artery systolic pressure (PASP), obtained by Swan-Ganz catheter and transthoracic echocardiography. MATERIAL AND METHODS:Prospective study in a Medical/Surgica...

journal_title：Acta medica portuguesa

authors： Marcelino P,Germano N,Marum S,Fernandes AP,Ribeiro P,Lopes MG

更新日期：2006-05-01 00:00:00

abstract：OBJECTIVE:To assess peak systolic velocity values in middle cerebral artery (PSMCA) of normal fetuses from 22nd to 38th week of gestation. MATERIAL AND METHODS:We made a prospective study of 33 healthy fetuses from 22nd to 38th to determine peak systolic velocity by Doppler velocimetry. Doppler ultrasound was performe...

journal_title：Acta medica portuguesa

authors： Gadelha-Costa A,Spara-Gadelha P,Mauad-Filho F,Gadelha EB

更新日期：2006-03-01 00:00:00

abstract：INTRODUCTION:Meningococcal disease has a wide spectrum of clinical presentation. Occult bacteremia is not easily diagnosed and may have good prognostic. CLINIC REPORT:Three year-old African boy with fever, gonalgia and gait disorder with 24 hours of evolution. Observation was unremarkable. He presented leukocytosis (2...

journal_title：Acta medica portuguesa

authors： Coelho R,Brito MJ

更新日期：2006-03-01 00:00:00

abstract：:Neuropsychiatric symptoms are commonly associated with chronic hepatitis C virus infection (HCV). The aim of this review of the literature was to evaluate the prevalence of depression in patients with hepatitis C, as well as the proposed etiopathogenic models. A review of the literature was undertaken using the comple...

journal_title：Acta medica portuguesa

authors： Cruz Neves A,Dickens C,Xavier M

更新日期：2006-01-01 00:00:00

abstract：:Over the last 20 years, assisted reproductive technology has been increasingly used. Ever since the first newborn resulting from artificial insemination, over two centuries ago, thousands more children were born resulting from these techniques. In Portugal, assisted reproductive technology began in 1985 at the Hospita...

journal_title：Acta medica portuguesa

authors： Teixeira A,Calejo L,Vasconcellos G,Rocha G,Centeno MJ,Guimarães H

更新日期：2005-11-01 00:00:00

abstract：:Testicular microlithiasis is a rare entity, usually asymptomatic and bilateral. There are however reports that until 40% of the cases may be related with testicular tumours. We report an 11-year-old boy, with a four-month history of left testicular mass. Sonography showed increased volume of left testis and bilateral ...

journal_title：Acta medica portuguesa

authors： Coelho R,Brito MJ,Casella P,Bragança G,Machado MC

更新日期：2005-11-01 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

authors： Marques MS

更新日期：2005-09-01 00:00:00

abstract：:Rhabdomyolysis is a common entity that often has a multifactorial etiology. It usually affects healthy individuals, following trauma, excessive physical activity, convulsive crisis, alcohol and other drugs consumption or infections. Accumulation of intracellular calcium, activation of proteases and lipases, production...

journal_title：Acta medica portuguesa

authors： Rosa NG,Silva G,Teixeira A,Rodrigues F,Araújo JA

更新日期：2005-07-01 00:00:00

abstract：:Kikuchi and Fujimoto's disease, also known as histiocytic necrotizing lymphadenopathy, is a rare and benign disorder of the lymph nodes of young adults. The etiology of this disease is unknown, an autoimmune mechanism has been suggested, although some cases of association with several viruses has been described. We re...

journal_title：Acta medica portuguesa

authors： Reichert A,Correia T,Freitas O,Almeida T,Rosado L

更新日期：2005-05-01 00:00:00

abstract：:Differentiated thyroid carcinoma of follicular origin (DTCFO), although not very frequent, has registered a raising incidence in the last decades. In the majority of the cases, DTCFO is a curable disease when treated and monitored by experienced, multidisciplinary teams. These factors contribute to an increasing numbe...

journal_title：Acta medica portuguesa

authors： Rodrigues F,Limbert E,Marques AP,Santos AP,Lopes C,Rodrigues E,Borges F,Carrilho F,Castro JJ,Neto J,Salgado L,Oliveira MJ,Grupo de Estudo da Tiróide.

更新日期：2005-01-01 00:00:00

abstract：:Whipple's Disease is a rare multisystemic disease caused by Gram-positive bacillus, Tropheryma whippelii, family of Actinobacterias and group of Actinomycetes. Because the disease is rare and has different forms of presentation the diagnosis comes frequently late. The authors present the case of a white man, 50 years ...

journal_title：Acta medica portuguesa

authors： Carneiro AC,Lima P,Barbosa IP,Chaves FC

更新日期：2004-11-01 00:00:00

abstract：:Anaplastic thyroid tumor is a rare tumor and constitutes 5 to 10% of thyroid carcinomas. Is one of the most aggressive solid tumors and the prognosis is always fatal with a mean survival of 3 to 7 months. The current therapeutics are scarce and inefficacious. A retrospective analysis was performed in 12 clinical cases...

journal_title：Acta medica portuguesa

authors： Martins TD,Carrilho F,Leitão P,Lemos MC,Campos MV,Geraldes E,Carvalheiro M

更新日期：2004-09-01 00:00:00

abstract：:Central diabetes insipidus, is a syndrome characterized by the excretion of abnormally elevated volumes of diluted urine, due to the diminution of reabsorption of water in the collecting ducts, induced by the diminution of production of antidiuretic hormone. The involvement of the central nervous system in the leukaem...

journal_title：Acta medica portuguesa

authors： Calretas S,Leitão S,Cortesão E,Espadana AI,Santos RM,Porto A

更新日期：2004-09-01 00:00:00

abstract：:The Internal Medicine consultation plays an important part in the activity of the Medicine Department. This activity is seldom quantified and is usually underestimated. In order to assess the work load represented by this service, the authors designed a prospective study to quantify and analyse the characteristics of ...

journal_title：Acta medica portuguesa

authors： Marto NC,Marques C,Almeida JC,Sá J

更新日期：2004-07-01 00:00:00

abstract：:Thyroid associated ophthalmopathy is an uncommon disease, characterized by a diffuse inflammation of the orbit in a bilateral and asymmetric pattern, causing proptosis and swelling of the eyelids and conjuntiva. In 90% of the patients it is associated with Graves' disease, however it may occur with hipothyroidism or e...

journal_title：Acta medica portuguesa

authors： Metello JL,González M,Eusébio R,Rocha V

更新日期：2004-07-01 00:00:00

abstract：:The prevalence of the hepatitis A virus in a population determines the degree of morbidity associated with this illness, that is, the higher the morbidity, the lower the prevalence. This study aims to obtain the prevalence of total antibody to the hepatitis A virus in children, 5 and 8 years of age, and in adolescents...

journal_title：Acta medica portuguesa

authors： Antunes H,Macedo M,Estrada A

更新日期：2004-05-01 00:00:00

abstract：:The authors analyse the appropriateness admissions to the Internal Medicine ward of the Hospital de Santa Luzia (Elvas). A retrospective study was performed during 6 months of 2001, using the Appropriateness Evaluation Protocol (AEP). Non-appropriateness admissions were found in 19% (CI95%: 16-22), and this group of p...

journal_title：Acta medica portuguesa

authors： Cordero A,Aguila J,Massalana A,Escoto V,Lopes L,Susano R

更新日期：2004-03-01 00:00:00

abstract：:In the present article, regarding a clinical case of Thrombasthenia of Glanzmann with severe anaemia by menometrorrhagia, the authors propose the vaginal hysterectomy and the administration of the recombinant factor VIIa on the immediate pre and postoperative as effective therapeutical alternatives. ...

journal_title：Acta medica portuguesa

authors： Mairos JS,Bernardo AC,Neves AR,Campos AP,Nunes FP,Saraiva JS,Trinidade MC,Pereira AH,Pereira AM,Falcão CB,Retto H

更新日期：2004-03-01 00:00:00

abstract：:Inherited errors of purine and pyrimidine metabolism are a group of disorders with a broad spectrum of clinical manifestations. They may involve nervous, renal, haematological and immunological systems, presenting at any age. The incidence and prevalence of these disorders are unknown. Most clinicians are not aware of...

journal_title：Acta medica portuguesa

authors： Diogo L,Proença T,Garcia P,Olveira C,Simmonds A

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:In experimental ageing models an inverse relationship between age and alkaline phosphatase activity has been observed. OBJECTIVE:To characterize serum levels of alkaline phosphatase activity in humans according to age and gender. METHODS:Serum alkaline phosphatase was determined in a random sample of 203 c...

journal_title：Acta medica portuguesa

authors： Negrão MR,Martins MJ,Ramos E,Barros H,Hipólito-Reis C,Azevedo I

更新日期：2003-11-01 00:00:00

abstract：:In adults, endogenous hyperinsulinemic hypoglycaemia is almost invariably due to insulinoma. The authors describe a 29 year old patient with repeated postprandial symptomatic hypoglycaemias and negative prolonged fast test. Distal pancreatectomy was performed, directed by positive arteriographic testing. Histological ...

journal_title：Acta medica portuguesa

authors： Branco VA,Santos RM,Cipriano MA,Tralhão G,Otero M,Moura JA,Sousa FC,Porto A

更新日期：2003-11-01 00:00:00

abstract：:The author refer that thyroid nodule occur quite often in general population. He also mention research methods, and how they could be changed when pregnant women in concern. Therefore this prognosis must be done through cytology and ultrasounds. When related to rate of occurrence, metastasis and mortality, there are n...

journal_title：Acta medica portuguesa

authors： Rosas S

更新日期：2003-09-01 00:00:00

abstract：INTRODUCTION:MEN2A is an autossomal dominant cancer syndrome characterised by the presence of medullary thyroid cancer, pheochromocytoma and primary hyperparathyroidism. Germline mutations of the RET protooncogene constitute the molecular defect and can be identified in affected individuals. Genetic screening of family...

journal_title：Acta medica portuguesa

authors： Lemos MC,Carrilho F,Rodrigues FJ,Cavalheiro M,Regateiro FJ,Ruas MM

更新日期：2003-07-01 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

authors： Pascoalinho D,Namora Dos Santos J,Pimentel Dos Santos F,Bigotte De Almeida L,Meneses D,Carvalho A

更新日期：2003-07-01 00:00:00

abstract：:In this article we reviewed some examples of our experience in clinical applications of functional MRI (fMRI) in the motor and verbal fluency tasks evaluation. Seventeen patients with supratentorial cerebral pathology (5 arteriovenous malformations--AVMs, 2 meningiomas, 1 tuberculoma, 1 cortical tuberoma, 1 DNET, 2 ce...

journal_title：Acta medica portuguesa

authors： Reis AM,Pereira S,Mascarenhas L,Vaz AR,Pereira JR

更新日期：2003-05-01 00:00:00

abstract：:Congenital muscular dystrophy (CMD) is one of the most frequent dystrophies of childhood, which is commonly characterized by neonatal muscle impairment with or without clinical evidence of central nervous system involvement. CMDs were classified into five clinically distinct forms: the two classical CMDs with and with...

journal_title：Acta medica portuguesa

authors： Ribeiro VT,Moreira NC,Teixeira J,Guimarães A,Cruz R,Lima L

更新日期：2003-05-01 00:00:00

abstract：:Essencial Thrombocytemia is a rare chronic myeloproliferative disease of unknown etiology, characterized by markedly elevated platelet production (> 600,000/ml). It is more frequent among women above 50 years of age and may be associated with hemorrhagic or thrombotic tendencies. The authors report a case of Essencial...

journal_title：Acta medica portuguesa

authors： Baleiras C,Silva A,Serrano F

更新日期：2003-03-01 00:00:00

abstract：:The female varicocile is associated to the pelvic congestion syndrome that is described. Five patients 31 to 52 years old are presented. Four of them have continuous pelvic pain and the fifth had huge vaginal and vulvar varices. Flebography of the left ovarian vein showed retrograde flux of the dilated vein. Sclerothe...

journal_title：Acta medica portuguesa

authors： Pisco JM,Alpendre J,Santos DD,Branco J,Jorge R,Albino JP,Menezes JD

更新日期：2003-01-01 00:00:00

abstract：:Maturity-onset diabetes of the young (MODY) is a rare form of juvenile diabetes mellitus, defined by early onset, absence of ketosis, non-insulin-dependent diabetes and autosomal dominant inheritance. Advances in molecular genetic analysis have identified mutations accounting for different MODY subtypes, all of them a...

journal_title：Acta medica portuguesa

authors： Nobre EL,Lopes LO,Miranda A,Pragosa M,de Castro JJ

更新日期：2002-11-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to determine the safety and efficacy in the first sixteen patients operated by endoscopic third ventriculostomy for triventricular obstructive hydrocephalus in the Hospital of S. João-Porto. METHODS:Operated from December 1998 to December 1999, there were one adult, one teenager...

journal_title：Acta medica portuguesa

authors： Pereira J,Lamas R,Ayres-Basto M,Seixas ML,Vaz R

更新日期：2002-09-01 00:00:00

abstract：:The pathogenesis of cholestasis, bilirubin encephalopathy, and Alzheimer's disease appears to result from accumulation of diverse cytotoxic agents, which in turn may cause apoptotic cell death. In addition, mitochondria has lately been considered as a central executioner of programmed cell death, through the release o...

journal_title：Acta medica portuguesa

authors： Solá S,Diógenes MJ,Brites D,Rodrigues CM

更新日期：2002-07-01 00:00:00

abstract：:After the discovery of insulin and during almost an half of a century, physicians and researchers apply their efforts in a better knowledge to reduce the perinatal mortality of the offspring of the diabetic mother. The optimisation of glucose control--the main key of the management of diabetic pregnancy--and the new m...

journal_title：Acta medica portuguesa

authors： Fagulha I

更新日期：2002-05-01 00:00:00

abstract：:The case of a 31 man with acute disautonomia envolving the parasympathetic and sympathetic systems but sparing sympathetic cholinergic division is presented. A Hodgkin lymphoma was diagnosed allowing the diagnosis of a paraneoplastic syndrome. ...

journal_title：Acta medica portuguesa

authors： Crespo M,Correia L,Ferreira F,Ducla-Soares JL

更新日期：2002-03-01 00:00:00

abstract：:Due to the nonspecific clinical presentation of Central Nervous System disorders that may come out during the course of Human Immunodeficiency Virus infection, we emphasize the importance of neuroimaging on the differential diagnosis of these situations. Review and illustration of the most typical imaging patterns of ...

journal_title：Acta medica portuguesa

authors： Monteiro M,Almeida A,Tavares L

更新日期：2001-09-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to evaluate the efficacy of post-caesarean analgesia comparing three techniques most frequently used. PATIENTS AND METHODS:For three months all pregnant women submitted to elective or urgent caesarean section, under general or regional anaesthesia, were evaluate with a total of 129 ...

journal_title：Acta medica portuguesa

authors： Ribeiro I,Nunes F,Ghira M

更新日期：2001-07-01 00:00:00

abstract：:This cross-sectional survey, conducted during March-July 1992, in a rural village in Guiné-Bissau, studied the determinants of vaccination coverage in 344 children aged 2 to 9 years of age, as well as the determinants of health care service attendance during the month preceding the survey. One hundred and three (29.9%...

journal_title：Acta medica portuguesa

authors： Gonçalves A,Ferrinho P,Aguiar P

更新日期：2001-05-01 00:00:00

abstract：:After a brief introduction about the clinical, histological and therapeutic characteristics of myxopapillar spinal ependymoma of cone medullar and filum terminale, three cases with medullar and intracranial seeding of myxopapillar spinal ependymoma are retrospectively reviewed. Surgical resection was total in the chil...

journal_title：Acta medica portuguesa

authors： Libório R,Pais RF,Soares GB,Rocha A,Ferreira F,Garcia T,Pais FF

更新日期：2001-01-01 00:00:00

abstract：:In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior ...

journal_title：Acta medica portuguesa

authors： Xavier J,Vasconcelos C,Cruz R,Stocker A

更新日期：2001-01-01 00:00:00