Browsing by Author "Tavares, M"
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- A 7 Year Old Girl with Vaginal Burn from Exposure to an Alkaline BatteryPublication . Massa, AC; Tavares, M; Carvalho, T; Simões, MBackground: Vaginal burns resulting from alkaline batteries are a rare and potential serious complication which require a prompt intervention. Case: A 7-year-old girl presented to the emergency department with lower abdominal pain, dysuria and brownish vaginal discharge. Clinical history suggested a foreign body. Abdominal radiography showed two alkaline batteries inside the vagina that were removed. Vaginoscopy revealed severe vaginal burns with necrosis of a large area of posterior cul de sac. Two months after the girl was asymptomatic. Discussion: Vaginal foreign bodies should be considered in pre-pubertal girls presenting with vaginal bleeding. Its removal and assessment of direct effects should be immediately performed.
- Non-COVID-19 Respiratory Viral InfectionPublication . Nunes-Silva, C; Vilares, AT; Schweitzer, V; Castanhinha, S; Martins, A; Lopes, MJ; Ascoli-Bartoli, T; Canelas, G; Keir, HR; Cunha, F; Silva-Pinto, A; Rebelo, S; Cunha, RG; Tavares, MImplemented control measures brought about by the coronavirus disease 2019 (COVID-19) pandemic have changed the prevalence of other respiratory viruses, often relegating them to a secondary plan. However, it must not be forgotten that a diverse group of viruses, including other human coronaviruses, rhinoviruses, respiratory syncytial virus, human metapneumoviruses, parainfluenza and influenza, continue to be responsible for a large burden of disease. In fact, they are among the most common causes of acute upper and lower respiratory tract infections globally. Viral respiratory infections can be categorised in several ways, including by clinical syndrome or aetiological agent. We describe their clinical spectrum. Distinctive imaging features, advances in microbiological diagnosis and treatment of severe forms are also discussed.
- Portuguese Prevalence of Pediatric Chronic Intestinal FailurePublication . Antunes, H; Nóbrega, S; Correia, M; Campos, AP; Silva, R; Guerra, P; Mourato, P; Lopes, AI; Mansilha, H; Tavares, M
- The Sequential Organ Failure Assessment (SOFA) Score: Has the Time Come for an Update?Publication . Moreno, R; Rhodes, A; Piquilloud, L; Hernandez, G; Takala, J; Gershengorn, H; Tavares, M; Coopersmith, C; Myatra, S; Singer, M; Rezende, E; Prescott, H; Soares, M; Timsit, JF; de Lange, D; Jung, C; De Waele, J; Martin, G; Summers, C; Azoulay, E; Fujii, T; McLean, A; Vincent, JLThe Sequential Organ Failure Assessment (SOFA) score was developed more than 25 years ago to provide a simple method of assessing and monitoring organ dysfunction in critically ill patients. Changes in clinical practice over the last few decades, with new interventions and a greater focus on non-invasive monitoring systems, mean it is time to update the SOFA score. As a first step in this process, we propose some possible new variables that could be included in a SOFA 2.0. By so doing, we hope to stimulate debate and discussion to move toward a new, properly validated score that will be fit for modern practice.
- Thrombotic Thrombocytopenic Purpura: Overview on the Last 10 Years of Plasma Exchange Treatment in Hospital São José, LisbonPublication . Gutierrez, AS; Tavares, M