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Biomedical subjects

P Riobó

Publications and source records attributed to P Riobó.

At least 19 recordsLinked to original sources

Colonic volvulus and ulcerative jejunoileitis due to occult celiac sprue.

Colonic volvulus is a rare complication of celiac disease. A case is reported of a 46-year-old man with a long-standing history of diarrhea and abdominal distention with a diagnosis of irritable bowel syndrome. After an elective inguinal hernia repair, a cecal volvulus and an ulcerative jejunoileitis developed in the patient that required an extensive intestinal resection. Short bowel syndrome developed and was treated with total parenteral and enteral nutrition. The patient had a poor course after reinitiation of oral diet. Subsequently, celiac sprue was diagnosed and the patient improved with a gluten-free diet.

Celiac Disease↗

[Nutrition and mental function in the elderly].

A deterioration in cognitive functions is characteristic of the ageing process and is one of the principle causes for disability in old age. It is possible that some of the neuropsychiatric alterations associated with old age may be due to certain subclinical vitamin deficiencies and, as such, may be corrected in some cases with adequate nutrition. This article presents a broad review of the various research efforts published on the subject.

Aged↗

[Periodic health examination].

A literature search has been made on the examinations to be performed during the "periodic health exam" on the healthy adult. These examinations shall be performed bearing in mind the prevalence and morbility data of the specific diseases, individual risk factors and the quality (sensibility and specificity) of the diagnostic procedure. The value of regular blood pressure determination, breast exam and cervical cytology with Papanicolaou stain, is well established. However, there is no consensus regarding other determinations, due to the fact that different authors use different approaches. The skin, mouth and thyroid examination for cancer screening is limited only to individuals having risk factors. Heart auscultation for the diagnosis of valvulopathies that could required antibiotic prophylaxis for bacterial endocarditis is important. In individuals over sixty years old, vision acuity and hearing capabilities should be explored, also abdomen should be explored to detect aortic aneurysms. Hypercholesterolemia should be determined in individuals over 20 years old, and PPD should be performed before 35 years old. Concerning the rest of explorations (rectal taction, testicular exploration, etc.) its efficacy has not been clearly established in the screening.

Physical Examination↗