Artrocentesis y análisis del líquido sinovial en pequeños animales

En este artículo se hace una revisión de la técnica de la artrocentesis y un breve recordatorio de la fisiopatología de las alteraciones del líquido sinovial. El análisis de las características físicas, bioquímicas y citológicas del fluido se aborda desde una perspectiva eminentemente práctica.This paper reviews the technique to perform an arthrocentesis and gives a brief overview of the physiopathology of synovial fluid disorders. The analisis of physical, biochemical and cytologic features of synovial fluid are dealt with from a practical standpoint

Sarcoma sinovial en el perro : 2 casos clínicos

Dos casos de sarcoma sinovial fueron diagnosticados en dos Rottweiler mediante biopsias sinoviales. Se describen los signos clínicos y radiográficos, así como las características histopatológicas del tumor y del líquido sinovial.Two cases of synovial sarcoma were diagnosed in two Rottweilers on the basis of synovial biopsies. Clinical and radiographic signs are described, along with histopathologic features of the tumour and synovial fluid

Calcificación parabicipital atípica en un cachorro de Terranova : caso clínico

Se describe un caso atípico de calcificación paratendinosa en la región de inserción del músculo bicipital en un Terranova macho de 1 año de edad. El diagnóstico del proceso se realizó mediante la historia clínica, y el estudio radiológico y tomográfico de la región del hombro. La masa calcificada se extrajo quirúrgicamente y la evolución postoperatoria fue excelente

Enteritis necrotizante endotoxémica por Clostridium perfringes en un perro

Se describe un caso clínico de enteritis necrotizante, debida a liberación de enterotoxinas por sobrecrecimiento de Clostridium perfringes, en un perro. Tras diversos tratamientos médicos y quirúrgicos, las lesiones intestinales involucionaron y el paciente se recuperó completamente.

The engagement of young people in their own advance care planning process: a systematic narrative synthesis.

Background: An increasing number of young people are living with life-limiting conditions. Current research about advance care planning for young people indicates differing experiences for those involved. Understanding how far young people are engaged in their own advance care plan is important to shape future practice and facilitate young people’s wishes. Aim: To identify and assess the current evidence to determine the barriers and facilitators to the engagement of young people in their own advance care planning process. Design: A systematic narrative synthesis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Study quality was assessed using a quality assessment framework previously used in similar research. Data sources: CINAHL Complete, MEDLINE, PubMed and PsycINFO were searched for articles published between 1 January 1990 and 31 October 2017. Grey literature was searched using Google Scholar and Open Grey. Results: Most studies related to the engagement of young people were conducted in hospitals or other institutions. Research reported not only the aim to include young people in their own advance care planning but also potential barriers to engagement. Barriers include poor communication, conflict within relationships of those in the planning process and patchy education and training for healthcare professionals. Some existing studies are characterised by a lack of rigorous, high-quality research, limiting their impact. Conclusion: Irrespective of setting, engagement of young people would benefit their advance care planning. More detailed, high-quality research is needed to understand the extent of the barriers to young people’s engagement in their own advance care plan and how to facilitate their involvement.</p