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Paciente femenua de 92 añlos de eda dquien consulta por cuador cñinnco de 3 horas y media de ev, caracterizado por caida de su propia altura, con posterior grauma en region de cabeza asociado a herida en region frontal de aproximadamente 3 cm sin sangrado activo, familaires no refieren alteracion del estado de conciencia, no relajaciopn de esfinteres posterior a TCE.
ANT
Patologicos: HTA, Artrosis degenerativa, Osteoporosis
Farmacologicos: Losartan 50 mg v/24 hr, Alendonato 1 tab semanal, Colageno y Biotina
Quirurgicos: Correcion cistocele
Toxicos: Niega
Alergicos: Niega
Vacuna: 2 dosis covid-19 SINOVAC
Transfusiones: Niega
Hospitalizaciones: Nuega
EXAMEN FISICO
SV NORMALES, RESTO NORMAL, LACERACION DE 3 CM SIN SANGRADO ACTIVO, SIN SIGNOS DE INFECCION LOCAL
MOVIL A77 EMERMEDICA A CARGO DE ALEJANDRO GUERRERO
PESO: 66 KG TALLA 155
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