Conocer a la Enfermedad ayuda a Contrarrestar la Misma para Tener Buena Salud.

in #introduceyourself2 years ago

Buen día soy Venezolano: El día de hoy compartiré un poco sobre neumonía en la edad pediátrica ya que cubre una tasa de mortandad considerable para analizar detenidamente a nivel mundial mueren 2.7 millones de niños menores de <5 años reportado por la Organización Mundial de la salud. Los países de Latinoamérica (Perú, Bolivia, Guayana).Tienen alta mortalidad en mayor proporción son virales.

Los Virus son: Adeno-Virus,
Corona-Virus, Rino-Virus, Influenza y Para influenza, VSR.

La fisiopatología o la forma como afecta histológicamente dan 4 fases
Fase 1 de Congestión: donde ay un exudado proteico puede proliferar bacteria en 24 horas.

Fase 2 o de Hepatización Roja: Eritrocitos, fibrina intraalveolares crepitantes esto se da de 48 a 72 horas.

Fase Hepatización Gris: Abundantes Neutrófilos y depósitos de Fibrina Murmullo Vesicular disminuido esto ocurre de 3 a 5 días.

Fase de Resolución abundantes macrófagos ausencia de neutrófilos depósitos de fibrina y en esta fase puede proliferar bacteria, Ausencia de edema de 8 a 10 días.

Los Factores de Riesgo Niños no vacunados, con bajo peso al nacer, desnutrición, hacinamiento, contaminación intradomiciliaria, tabaquismo materno.

Vías de diseminación:

Broncogena, Hematógena y Continuidad.

Cuadro clínico:
Inspección toma del estado general posición antalgica.

Palpación: Hipoexpansibilidad torácica, Vibraciones Vocales Aumentadas.

Percusión: Matidez.

Auscultación: Crepitantes, Murmullo vesicular disminuido soplo tubarico, broncofonía.

Diagnóstico Clínico:
1)- Fiebre más síntomas respiratorio auscultación positiva para neumonía.
2)-Fiebre mayor de >72 horas más síntomas respiratorios.
3)-Fiebre sin foco de infección mayor de 5 días.

Diagnostico Radiológico: Radiografía Simple de tórax Postero anterior (PA)

La clínica se sobre impone a la imagen radiológica.

Es frecuente que en las primeras 12 horas la radiografía sarga normal.

Indicaciones de hospitalización:
a) NAC severa:
Sat <93%, apnea, signos de shock o compromiso de conciencia.
b) Menor de 5 meses de edad.
c) Patógeno causal de virulencia mayor a la habitual.
d) Deshidratación o mala tolerancia oral.
e) Condiciones que impidan tratamiento o seguimiento adecuado.
f) Comorbilidad significativa.
Exámenes de Laboratorio: Recuento leucocito en sangre periférica:
N. vírica: normal o ↑ - no supera las 20.000 células/ mm, con predominio de linfocitos.
N. bacterianas: 15.000 y 40.000 células/mm’, con predominio de neutrófilos.

Ecografía pulmonar

Protocolos diagnóstico-terapéuticos de la AEP: Infectología pediátrica

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Posted using Partiko Android

[-] anhvu hello excuse me the writing is that I use a Spanish to English translator for me it is an honor to meet you I am new to steemit

It's good that you have a support person, try to use translate.google.com, although it is not accurate, but you can make it more accurate. Unless your friend will support you forever. At that time, there was no need, hihi
I hope you will be here long enough to experience.

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