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Blog Medico,Noticias de Medicina,Novedades de Medicina » Neoplasia Pulmonar

Publicidad

Neoplasia Pulmonar

Neoplasia Pulmonar

LL
Sexo Femenino
Edad 50 años
Antecedentes Patológicos: Ex Tabaquista,

Motivo de Consulta: Astenia

AEA: Paciente que comienza desde hace un mes con astenia generalizada, mas acentuada en MMII, le cuesta subir escaleras, caminar, trabajar como lo hace habitualmente; en MMSS también siente debilidad para realizar las tareas cotidianas, como peinarse, escribir, cocinar.
Esta sintomatología se presenta desde la mañana hasta la noche, no varía de intensidad ni se modifica con ninguna conducta. La pte permanece recostada durante el día.
También refiere una pérdida de peso de 7 kg en los últimos dos meses, sin haber abandonado su alimentación habitual.
Estos síntomas se han acompañado de dos episodios de hemoptisis, que no se volvieron a repetir. No presenta otros síntomas relacionados con el aparato respiratorio solo algunas sibilancias en ambas bases pulmonares.
Presentó dos episodios de amaurosis fugaz unilateral durante estos dos meses, de unos pocos minutos de duración.

Examen físico:
CSV:
Tº 36,5
TA: 130-80
FC: 80 ppm

Neurologico: Pte orientada en tiempo y espacio, lúcida, vigil, sin signos de foco motor.
ACV: R1 R2 NOF, Edemas +, IY -
AR: Buena mecánica respiratoria, con algunas sibilincias en ambos campos pulmonares.

ECO Abdominal: Conglomerado ganglionar en zona femoral, de consistencia firme, inmóviles, de los cuales se solicita biopsia.

TAC: Se observa conglomerado ganglionar en hilio izq, con engrosamiento mediastínico, con masa de 3cm en bronquio fuente izq.

Se solicita Fibrobroncoscopia

DX Diferenciales:

Dermatomiositis?
Esclerosis Múltiple?
Hipocondría?
Neoplasia oculta con sindrome paraneoplásico? (Eaton Lambert)
Linfoma?

NOTA: Recomendamos que tome este artículo de manera informativa, ante cualquier síntoma que usted o sus conocidos padezcan concurra a su médico. “Ninguna información suplanta la revisación minuciosa del especialista”.

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