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    3653 results match your criteria Acta medica portuguesa[Journal]

    1 OF 74

    [Infectious Mononucleosis and Cholestatic Hepatitis: A Rare Association].
    Acta Med Port 2017 Dec 29;30(12):886-888. Epub 2017 Dec 29.
    Serviço de Pediatria. Hospital Vila Franca de Xira. Vila Franca de Xira. Portugal.
    Infectious mononucleosis is one of the major clinical manifestations of Epstein-Barr virus infection. In this syndrome, elevation of liver transaminase levels is common but cholestasis is rare, with few cases described in the literature. We present the case of a 14-year-old female adolescent, admitted to the Emergency Room with fever, odynophagia and cervical adenomegaly. Read More

    [Retroperitoneal Cellular Angiofibroma: A Rare Gynecological Entity].
    Acta Med Port 2017 Dec 29;30(12):882-886. Epub 2017 Dec 29.
    Serviço de Ginecologia A. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
    Cellular angiofibroma is a mesenchymal tumor, described in 1997, without gender preference, that usually appears at age 40. The vulvovaginal area is the most common site in women, mimicking vulvar benign tumors, like Bartholin gland cyst. However, there are a few described cases of a deep or extra-pelvic angiofibroma. Read More

    [Effects of Speech Therapy in Hospitalized Patients with Post-Stroke Dysphagia: A Systematic Review of Observational Studies].
    Acta Med Port 2017 Dec 29;30(12):870-881. Epub 2017 Dec 29.
    Departamento de Fonoaudiologia. Universidade Federal de Sergipe. Lagarto. Brazil.
    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 'Preferred Reporting Items is Systematic Reviews and MetaAnalyses' instructions. The search was performed in different electronic databases, without restriction of time and language. Read More

    Limited Health Literacy in Portugal Assessed with the Newest Vital Sign.
    Acta Med Port 2017 Dec 29;30(12):861-869. Epub 2017 Dec 29.
    ISPUP-EPIUnit. Universidade do Porto. Porto. Departamento de Ciências da Saúde Pública e Forenses e Educação Médica. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
    Introduction: In Portugal, health literacy has started to be addressed through national policies, but research on the topic is still scarce. We aimed to estimate the prevalence and sociodemographic correlates of limited health literacy in Portugal using an existing health literacy instrument, the Newest Vital Sign.

    Materials And Methods: Following cross-cultural adaptation of the instrument, a sample of 249 participants was evaluated to assess reliability and construct validity of the Newest Vital Sign; the latter was tested assuming physicians would score highest, followed by health researchers, then by engineering researchers and finally by laypersons from the general population. Read More

    [Selection of Donor-Recipient Pairs in Renal Transplantation: Comparative Simulation Results].
    Acta Med Port 2017 Dec 29;30(12):854-860. Epub 2017 Dec 29.
    Instituto Nacional de Saúde Dr Ricardo Jorge. Porto. Portugal.
    Introduction: Implemented in 2007 by Ordinance No. 6357, allocation rules of cadaveric donor kidneys seek to distribute equitably a scarce community resource to patients who can improve their survival and quality of life. As stated in the aforementioned ordinance these rules must be updated whenever the state of the art recommends it. Read More

    Anaesthesia in Dental Medicine with Local Infiltrative Anaesthetic Technique Versus Diploe Anaesthesia Delivery Systems: Efficacy and Behaviour, an Experimental Study.
    Acta Med Port 2017 Dec 29;30(12):848-853. Epub 2017 Dec 29.
    Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
    Introduction: This study aimed to compare the analgesic efficacy and the influence of local infiltrative anesthesia techniques, with diploe anesthesia, on the cardiac rhythmMaterial and Methods: We selected 32 healthy volunteers who were given both anaesthetic techniques on tooth 1.4 (0.45 mL of lidocaine with adrenaline, 1:80 000). Read More

    Injuries in Portuguese Amateur Youth Football Players: A Six Month Prospective Descriptive Study.
    Acta Med Port 2017 Dec 29;30(12):840-847. Epub 2017 Dec 29.
    Serviço de Medicina Desportiva. Departamento de Medicina. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
    Introduction: This study analyzed the incidence and characteristics of injuries sustained by amateur youth football players in Portugal during season 2015 - 2016.

    Material And Methods: This is an observational descriptive study. We analyzed Portuguese youth football players' injuries over six months of a season. Read More

    [Analysis of the Cochrane Review: Early Discharge Hospital at Home. Cochrane Database Syst Rev. 2017;6:CD000356.]
    Acta Med Port 2017 Dec 29;30(12):835-839. Epub 2017 Dec 29.
    Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal; Cochrane Portugal. Lisboa. Portugal.
    Hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital in-patient care. However, the clinical bene t of this intervention and its effect on health costs are not established. This Cochrane systematic review aimed to assess the effectiveness and costs of managing patients with hospital at home compared with inpatient hospital care. Read More

    Platypnea-Orthodeoxia Syndrome After Complicated Cholecystectomy: An Unsuspected Diagnosis.
    Acta Med Port 2017 Nov 29;30(11):827-830. Epub 2017 Nov 29.
    Serviço de Cardiologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia. Portugal.
    A 65-year-old woman with no significant prior medical history presented, in the postoperative course of a complicated cholecystectomy, several episodes of arterial desaturation. Pulmonary embolism was repeatedly suspected, but there was no evidence of pulmonary thrombus on the chest computed tomography angiographies obtained. As these episodes were mainly induced by postural changes, a platypnea-orthodeoxia syndrome was suspected. Read More

    Symptomatic Hyponatremia after Bowel Preparation: Report of Two Cases and Literature Review.
    Acta Med Port 2017 Nov 29;30(11):824-826. Epub 2017 Nov 29.
    Gastroenterology Department. Hospital de Braga. Braga. Portugal.
    Introduction: Bowel preparation for colonoscopy and/or colorectal surgery can cause electrolyte imbalances. The risk of electrolyte imbalances seems to be related to the type of bowel cleansing solution, age of patients and comorbidities.

    Case Report: We report two cases of symptomatic hyponatremia (focal neurological signs and coma) after bowel preparation with sodium picosulfate/magnesium citrate for colonoscopy. Read More

    [Pregnancy after Breast Cancer: State of the Art].
    Acta Med Port 2017 Nov 29;30(11):818-823. Epub 2017 Nov 29.
    Departamento de Ginecologia. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal; Serviço de Ginecologia, Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
    Breast cancer survivors have given rise to several issues of major relevance from a clinical and scientific point of view. In fact, breast cancer is the most prevalent malignancy in women of reproductive age. The effect of pregnancy on overall survival and in the recurrence after treatment of breast cancer, as well as the questions related to heredity continue to be matter of the highest timeliness and scientific interest. Read More

    Metabolic Activity in the Visceral and Subcutaneous Adipose Tissues by FDG-PET/CT in Obese Patients.
    Acta Med Port 2017 Nov 29;30(11):813-817. Epub 2017 Nov 29.
    Serviço de Medicina Nuclear. Instituto Português de Oncologia do Porto. Porto. Portugal.
    Introduction: The emerging role of the 18F-fluorodeoxyglucose-positron emission tomography/computed tomography in the study of the metabolic activity and inflammation in adipose tissue indicates that it might be a reliable tool to complement the risk stratification in obesity. The aims of this study were the evaluation of 18F-fluorodeoxyglucose uptake by visceral adipose tissues and subcutaneous adipose tissues and to determine eventual differences in patients with and without obesity.

    Material And Methods: Retrospective study of adult patients who underwent whole body 18F-fluorodeoxyglucose-positron emission tomography/ computed tomography scanning between July and August of 2016. Read More

    Characterization of all Surgical Specimens Provided by a Portuguese Department of Ophthalmology over a 13 Year Period.
    Acta Med Port 2017 Nov 29;30(11):805-812. Epub 2017 Nov 29.
    Department of Ophthalmology. Hospital de Braga. Braga. Portugal.
    Introduction: We intend to evaluate clinically, topographically and morphologically all surgical specimens sent by the Department of Ophthalmology of Hospital de Braga to the Department of Pathology of the same hospital.

    Material And Methods: Two hundred and fifty eight surgically obtained specimens, from the Department of Ophthalmology of Hospital de Braga, analyzed in the Department of Pathology, from January 2002 to June 2015, were characterized. Data was arranged according to year, age, sex, topography and morphological diagnosis according to the SNOMED® coding system. Read More

    [Single Centre Prospective Study of Systematic Pain Evaluation in Portuguese Patients with Metastatic Prostate Cancer].
    Acta Med Port 2017 Nov 29;30(11):796-804. Epub 2017 Nov 29.
    MEDCIDS/CINTESIS - Departamento de Medicina da Comunidade, Informação e Decisão em Saúde. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
    Introduction: Pain is one of the most common symptoms reported by cancer patients and is associated with decreased quality of life. Assessment of pain with standardized questionnaires reduces variability in its interpretation and may increase effectiveness of medical interventions. Prostate cancer is the most frequent male neoplasm in Portugal. Read More

    Portuguese Adaptation and Input for the Validation of the Views on Inpatient Care (VOICE) Outcome Measure to Assess Service Users'Perceptions of Inpatient Psychiatric Care.
    Acta Med Port 2017 Nov 29;30(11):790-795. Epub 2017 Nov 29.
    CEDOC - Centro de Estudos de Doenças Crónicas. NOVA Medical School/Faculdade de Ciências Médicas. Universidade Nova de Lisboa. Lisboa. Portugal.
    Introduction: Patient satisfaction is an important measure of health care quality. Patients' views have seldom been considered in the construction of measures addressing satisfaction with inpatient facilities in psychiatry. The Views on Inpatient Care - VOICE - is a first service-user generated outcome measure relying solely on their perceptions of acute care, representing a valuable indicator of service users' perceived quality of care. Read More

    Cross-Cultural and Psychometric Properties Assessment of the Exercise Self-Efficacy Scale in Individuals with Spinal Cord Injury.
    Acta Med Port 2017 Nov 29;30(11):783-789. Epub 2017 Nov 29.
    Departamento de Fisioterapia. Universidade Estadual de Londrina. Londrina. Brasil.
    Introduction: The Exercise Self-Efficacy scale (ESES) is a reliable measure, in the English language, of exercise self-efficacy in individuals with spinal cord injury. The aim of this study was to culturally adjust and validate the Exercise Self-Efficacy scale in the Portuguese language.

    Material And Methods: The Exercise Self-Efficacy scale was applied to 76 subjects, with three-month intervals (three applications in total). Read More

    Reconsidering the 'Decline' of Dental Student Empathy within the Course in Latin America.
    Acta Med Port 2017 Nov 29;30(11):775-782. Epub 2017 Nov 29.
    School of Medicine. Universidad Católica de Córdoba. Córdoba. Argentina. Argentina.
    Introduction: The controversy over the presence of empathic decline within the course in students of medicine, dentistry and health sciences in general, has not fully been studied. This controversy could be partially solved if massive studies of empathy levels are made in similar cultural, social and economic contexts.

    Material And Methods: Empathy levels within the course were studied in eighteen dental schools from six countries in Latin America (2013). Read More

    [Readmission to an Adolescent Psychiatry Inpatient Unit: Readmission Rates and Risk Factors].
    Acta Med Port 2017 Nov 29;30(11):769-774. Epub 2017 Nov 29.
    Serviço de Psiquiatria da Infância e da Adolescência. Centro Hospitalar do Porto. Porto. Portugal.
    Introduction: Most mental disorders have a chronic evolution and therefore a certain amount of psychiatric readmissions are inevitable. Several studies indicate that over 25% of child and adolescent inpatients were readmitted within one year of discharge. Several risk factors for psychiatric readmissions have been reported in the literature, but the history of repeated readmissions is the most consistent risk factor. Read More

    [Breast Cancer: Value-Based Healthcare, Costs and Financing].
    Acta Med Port 2017 Nov 29;30(11):762-768. Epub 2017 Nov 29.
    Serviço de Cirurgia Geral. Instituto Português de Oncologia de Lisboa Francisco Gentil. Lisboa. Portugal.
    Introduction: Breast cancer is the second most common oncological disease worldwide. To analyse the new disease specific funding programme (breast cancer) implemented at the Francisco Gentil Portuguese Institute of Oncology, Lisbon Center (Instituto Português de Oncologia de Lisboa Francisco Gentil), the actual costs of the patients were examined using activity-based costing as a costing methodology. This study addresses the following question: "How much does it cost to treat breast cancer per 'patient-month' compared to the monthly fixed 'funding envelope'?". Read More

    [Physician Involvement in the Activities of the European Medicines Agency].
    Acta Med Port 2017 Nov 29;30(11):759-761. Epub 2017 Nov 29.
    European Medicines Agency. Londres. Reino Unido.
    For more than two decades of activity, the European Medicines Agency has been operating as part of a network with the national medicines agencies in Europe, bringing together - in its various scienti c committees and working groups - European experts on a wide range of topics related to quality assurance, safety and ef cacy of medicines. The work carried out within the European Medicines Agency activities and the conclusions reached at European level affect millions of citizens. The European Medicines Agency considers that it is of great importance to maintain, in a sustainable and consistent manner, the active participation of general practitioners, as well as other medical specialists, in the process of medicines' evaluation and supervision. Read More

    Methemoglobinemia After Paracetamol Ingestion: A Case Report.
    Acta Med Port 2017 Oct 31;30(10):753-756. Epub 2017 Oct 31.
    Serviço de Nefrologia. Centro Hospitalar de Vila Nova de Gaia-Espinho. Vila Nova de Gaia. Portugal.
    Methemoglobinemia is a potentially fatal condition, mainly acquired after intoxication by certain drugs. To this date, only three cases associated with paracetamol have been reported. This case report describes a patient with autosomal dominant polycystic kidney disease undergoing hemodialysis who was self-medicated with acetaminophen for seven days (at a daily dose of 3 g); the patient went to the hospital after noticing the appearance of a diffuse brownish skin tone, without other symptoms. Read More

    Hepatic Angiosarcoma Masquerading as Hemangioma: A Challenging Differential Diagnosis.
    Acta Med Port 2017 Oct 31;30(10):750-753. Epub 2017 Oct 31.
    Serviço de Cirurgia A. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal; Departamento de Cirurgia. Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
    Hemangiomas are usually diagnosed based on ultrasound findings. The presence of symptoms, rapid growth or atipical imagiological findings should make us consider other diagnoses, including malignant tumors such as angiosarcomas. We describe the case of a previously healthy 46-year-old female without a history of exposure to carcinogens who presented with abdominal pain for two months. Read More

    [Premature Atherosclerosis in HIV-Infected Pediatric Patients: Literature Review and Clinical Approach].
    Acta Med Port 2017 Oct 31;30(10):742-749. Epub 2017 Oct 31.
    Laboratório de Fisiologia. Instituto de Imagem Biomédica e Ciências da Vida (IBILI). Faculdade de Medicina. Universidade de Coimbra. Coimbra. Portugal.
    Human immunodeficiency virus infected children and adolescents are a pediatric group with increased risk of premature cardiovascular disease. The virus itself, the antiretroviral therapy and the lifestyle establish a complex interplay of factors that promotes an accelerated atherosclerosis. This process is probably mediated by dyslipidaemia, dysregulation of glucose metabolism, lipodystrophy, inflammation, endothelial dysfunction and a prothrombotic state. Read More

    Building a Maternal and Newborn Care Training Programme for Health-Care Professionals in Guinea-Bissau.
    Acta Med Port 2017 Oct 31;30(10):734-741. Epub 2017 Oct 31.
    Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS). Departamento de Ginecologia-Obstetrícia e Pediatria. Faculdade de Medicina. Universidade do Porto. Porto. Portugal; Departamento da Mulher, da Criança e do Jovem. Hospital de Pedro Hispano. Unidade Local de Saúde de Matosinhos. Senhora da Hora. Portugal.
    Introduction: The Integrated Programme of Maternal and Child Health aims to reduce maternal and child mortality in Guinea-Bissau. The purpose of this article is to share our experience in building a training programme on maternal and newborn care for health-care professionals in Guinea-Bissau.

    Material And Methods: Regional directors of the four target areas chose a group of staff who provide prenatal and childbirth care to attend the course (12 to 15 trainees per region). Read More

    Partial Red Blood Cell Exchange in Children and Young Patients with Sickle Cell Disease: Manual Versus Automated Procedure.
    Acta Med Port 2017 Oct 31;30(10):727-733. Epub 2017 Oct 31.
    Unidade de Cuidados Intensivos e Especiais Pediátricos. Departamento de Pediatria. Hospital Prof. Doutor Fernando Fonseca. Amadora. Portugal.
    Introduction: The benefits of manual versus automated red blood cell exchange have rarely been documented and studies in young sickle cell disease patients are scarce. We aim to describe and compare our experience in these two procedures.

    Material And Methods: Young patients (≤ 21 years old) who underwent manual- or automated-red blood cell exchange for prevention or treatment of sickle cell disease complications were included. Read More

    [Vitamin B12 Deficiency in Type 2 Diabetes Mellitus].
    Acta Med Port 2017 Oct 31;30(10):719-726. Epub 2017 Oct 31.
    Serviço de Endocrinologia. Hospital de Egas Moniz. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.
    Introduction: Type 2 diabetes mellitus is a common disease, affecting up to 13.1% of the Portuguese population. In addition to the known micro and macrovascular complications, drug side effects constitute a major concern, leading to changes in the treatment guidelines, which favor safety over efficacy. Read More

    [Stapedo-Vestibular Ankylosis: Retrospective Study of Five Cases in São Tomé e Príncipe].
    Acta Med Port 2017 Oct 31;30(10):713-718. Epub 2017 Oct 31.
    Centro Clínico e Universitário de Otorrinolaringologia. Hospital CUF Infante Santo. Lisboa. Portugal; Departamento de Otorrinolaringologia. NOVA Medical School. Faculdade de Ciências Médicas de Lisboa. Lisboa. Portugal.
    Introduction: Otosclerosis is a common form of conductive hearing loss characterized by abnormal bone remodeling exclusively in the otic capsule. The prevalence of otosclerosis varies in racial populations and is described as being rare in black African populations. In this paper we aim to report five cases of clinical, and surgically confirmed, otosclerosis in black individuals, in São Tomé and Príncipe. Read More

    [The Experience of a Protocol for the Management of Pediatric Minor Head Injury: A Three Years Longitudinal Study].
    Acta Med Port 2017 Oct 31;30(10):704-712. Epub 2017 Oct 31.
    Serviço de Pediatria. Hospital Garcia de Orta. Almada. Portugal.
    Introduction: Head injury is common in children, with mostly being minor and not resulting in intracranial injury. Computerized tomography head scan is the preferred exam, but implies exposure to radiation; the indications for computerized tomography head scan in minor injuries are not consensual. An expectant approach is a good option in most cases. Read More

    Medical Training Experience and Expectations Regarding Future Medical Practice of Medical Students at the University of Cape Verde.
    Acta Med Port 2017 Oct 31;30(10):699-703. Epub 2017 Oct 31.
    Global Health and Tropical Medicine. Instituto de Higiene e Medicina Tropical. Universidade NOVA de Lisboa. Lisbon. Portugal; World Health Organization Collaborating Centre on Health Workforce Policy and Planning - GHTM. Genebra. Switzerland.
    Introduction: Cape Verde is a small insular developing state. Its first experience of undergraduate medical education began in October 2015. The purpose of this paper is to describe and analyze the professional expectations and profile of the first class of medical students at the University of Cape Verde. Read More

    Reliability, Stability and Validity of the Brazilian Adaptation of the Oliveira Questionnaire on Low Back Pain in Young People.
    Acta Med Port 2017 Oct 31;30(10):691-698. Epub 2017 Oct 31.
    Postgraduate Program in Human Science Movement. Center of Health Sciences and Sport. Universidade do Estado de Santa Catarina. Florianópolis. Brasil.
    Introduction: The objective of this study was to adapt the Brazilian version, and verify the validity, reliability and internal consistency of the Oliveira questionnaire on low back pain in young people.

    Material And Methods: The questionnaire was translated from European Portuguese into Brazilian Portuguese by means of translation and re-translation. The validity of the contents was determined by experts who analyzed the clarity and pertinence of the questions. Read More

    [Pain Management, Local Infection, Satisfaction, Adverse Effects and Residual Pain after Major Open Abdominal Surgery: Epidural versus Continuous Wound Infusion (PAMA Trial)].
    Acta Med Port 2017 Oct 31;30(10):683-690. Epub 2017 Oct 31.
    Serviço de Anestesiologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal.
    Introduction: The Management of postoperative pain after abdominal surgery is a major challenge to the anesthesiologist. The optimization of postoperative analgesia improves prognosis contributing also to patient satisfaction and reducing morbidity and mortality. The aim of this randomized control study is to perform the comparative analysis in terms of effectiveness of an unconventional and still poorly technique implemented, continuous wound infusion, and the currently most applied and gold standard technique, epidural analgesia, in the postoperative period after abdominal surgery. Read More

    [In the Child's Best Interest: The Contribution of Child and Adolescent Psychiatry].
    Acta Med Port 2017 Oct 31;30(10):675-682. Epub 2017 Oct 31.
    Serviço de Pedopsiquiatria. Hospital Pediátrico. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal; Serviço de Pedopsiquiatria. Hospital Pediátrico. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
    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 and Adolescent Psychiatry Department between 1998 and 2012.

    Results: Biographic, psychopathology, social and family aspects were analyzed. Read More

    [Analysis of the Cochrane Review: Omega-3 Fatty Acids for the Treatment of Dementia. Cochrane Database Syst Rev. 2016;4:CD009002.]
    Acta Med Port 2017 Oct 31;30(10):671-674. Epub 2017 Oct 31.
    Centro de Estudos de Medicina Baseada na Evidência. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal; Instituto de Medicina Preventiva e Saúde Pública. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal; Centro Colaborador Português da Rede Cochrane Iberoamericana. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
    Dietary supplementation with omega-3 polyunsaturated fatty acids from fish and plant sources is commonly prescribed as a non-farmacological alternative to improve brain functions and slow down the progression of dementia. This use is mostly based on findings of preclinical studies which established the role of omega-3 polyunsaturated fatty acids in the development and integrity of the brain, as well as epidemiological research that found evidence of malnutrition in patients with dementia. This Cochrane systematic review included three randomized, placebo-controlled trials at low risk of bias, in which omega-3 polyunsaturated fatty acids were administered to people with mild to moderate Alzheimer's disease in the form of supplements. Read More

    [Endovascular Treatment of a Gastroduodenal Artery Pseudoaneurysm Rupture after a Car Accident].
    Acta Med Port 2017 Sep 29;30(9):658-661. Epub 2017 Sep 29.
    Unidade de Radiologia de Intervenção. Centro Hepato-Bilio-Pancreático e de Transplantação. Hospital Curry Cabral. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
    The authors present a case of a 39-year-old man with alcoholic chronic pancreatitis that was admitted in the emergency department after a car accident, complaining of abdominal pain and looking pale. The patient was hemodinamically unstable, requiring blood transfusions. He underwent computed tomography angiogram of the abdomen and pelvis, showing a pseudoaneurysm of the gastroduodenal artery and a hemoperitoneum. Read More

    Negative βhCG and Molar Pregnancy: The Hook Effect.
    Acta Med Port 2017 Sep 29;30(9):656-658. Epub 2017 Sep 29.
    Gynaecology and Obstetrics Department. Hospital Garcia de Orta. Almada. Portugal.
    Molar pregnancy, included in gestational trophoblastic disease, is a benign pathology with ability to metastasize, usually occurring with excessively high βhCG levels. Clinical scenario is usually a woman in extremes of reproductive age presenting with amenorrhoea, pain and vaginal blood loss; signs derived from high βhCG levels may be present (hyperthyroidism, hyperemesis). Diagnosis is based on a positive pregnancy test - usually a qualitative urinary test. Read More

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