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Enteric nutrition and esophageal impactation: what relationship.
Caldeira, Ana; Casanova, Paula; Sousa, Rui; Martins, Paulo; Banhudo, António; Pimentel, JorgeIn the intensive care unit (ICU), enteral feeding is the method of choice for providing adequate nutrition in intubated patients. The oesophageal impactation (EI) by enteric nutrition (EN) results from solidification of the solution in esophagus lumen with formation of bezoar and although rare, is gradually becoming more common in clinical practice. In recent years some have been diagnosed cases of enteric nutr...
Catastrophic primary antiphospholipid syndrome.
Casanova, Paula; Baptista, João P; Andrade, Maria J; Martins, Paulo; Almeida Sousa, J P; Fernandes, Victor; Simões, Armindo; Souto Gonçalves, JúlioCatastrophic antiphospholipid syndrome develops in a minority of patients with antiphospholipid syndrome, and is characterized by acute thrombotic microvasculopathy with multiorganic involvement (three or more organs). The aetiology is unknown, the diagnosis is complex, and the treatment is empiric, mortality may approach 50%. The authors present a clinical case of catastrophic antiphospholipid syndrome, diagno...
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