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Edad: 59 años
Natural: Toledo, Norte de Santander
Procedente: Bogota D.C
Literalidad: Diestra
Ocupación: Ventas
Religión: Católica
Con quien vive: Hijo
Calidad de la información: Mala
MC:
EA: Pciente femenina de 59 años de edad quien consulta por cuadro clínico de 15 evolución consistente en sensación de frialdad en extremidades y palidez alternado con sensación de alzas térmicas y diaforesis, junto con episodios intermitentes de dolor torácico tipo punzada en región de hemitorax derecho, de inicio progresivo, de intensidad 5/10, que se irradia a región de la espalda, que impeora con la inspiración y el decúbito lateral derecho, que no mejoró con el uso de X-raydol y dolex forte, motivo por el cual decidió consultar.
Antecedentes:
- Patológicos: Artritis reumatoide desde hace 15 años en manejo farmacológico
- Farmacológicos:
EF:
Paraclinicos
Análisis
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