Clinical Case 2023

What is the appropriate order for making a medical record?

(Recuerda ampliar la respuesta)

• Anamnesis

  Motivo de consulta

  Enfermedad actual

  Antecedentes

  - personales

  - familiares

  Revisión por sistemas

  Signos Vitales

  Examen físico

  Examen neurológico

  Paraclinicos

  Diagnóstico

  Diagnósticos diferenciales

  Diagnósticos secundarios

  Análisis

• Anamnesis

  Enfermedad actual

  Antecedentes

  - familiares

  Motivo de consulta

  Examen físico

  Examen neurológico

  Diagnósticos secundarios

  Paraclínicos

• Anamnesis

  Motivo de consulta

  Enfermedad actual

  Antecedentes

  - personales

  - familiares

  Diagnostico principal

  Examen Fisico

  Revisión por sistemas

  Examen neurológico

  Signos Vitales

  Análisis

  Paraclínicos

What other information is needed to complete the anamnesis? (You can submit your answer in Spanish, however it is ideal if you do it in English, challenge yourself!)

Why did the doctors treat this patient with those antibiotics?

(more than one answer is correct)

• Cefepime is a broad-spectrum bactericidal antibacterial agent, active against a wide range of gram-positive and gram-negative bacteria, including various strains resistant to aminoglycosides or third-generation cephalosporins.

• Metronidazole has been shown to be effective against the following microorganisms: - Anaerobic Gram-positive: Clostridium sp., Eubacterium sp., Peptococcus niger, and Peptostreptococcus sp. - Anaerobic Gram-negative: Bacteroides fragilis group.

• Cefepime is an aminoglycoside. Bactericidal antibiotic active against Gram-negative aerobic bacteria (E. coli, Proteus sp., Enterobacter aerogenes, Klebsiella pneumoniae, Serratia marcescens, and Acinetobacter sp.) and Mycobacterium tuberculosis.

• Metronidazole enhances the effect of cefepime by being a great transporter of bacteria that restore the intestinal flora.

Based on the body systems that are affected in this patient, what microorganisms do you think might grow in this area?

What's your diagnosis?

• Appendicitis

• Diverticulitis or Meckel’s Diverticulum

• Inflammatory Bowel Disease

• Infection colitis

• Foreign Body

which structures are indicated below?

• *Aorta

  *Left colic artery.

  *Right femoral artery.

• * Superior mesenteric artery

  * superior sigmoid artery

  ^* superior rectal artery.

• * Aorta

  *Inferior

  mesenteric

  artery

  *Right common

  iliac artery