Browsing by Author "Brito, Ulisses"
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- Difficult diagnosis of a foreign body inhalation in a COPD patientPublication . Barros, Pedro Pereira; Santos, Bruno dos; Brito, Ulisses61-Year-old male, former smoker, medical history of chronic obstructive pulmonary disease GOLD 3B. In the outpatient follow-up, the patient had complaints of stridor, dysphonia, and precordial oppression, while denying any choking episode. After otorhinolaryngology observation, no alterations were seen in the laryngoscopy. In the next clinical evaluation, there was a worsening of the patient’s dysphonia and dyspnea.
- Lung cancer with cold agglutinin syndrome as a Paraneoplastic syndrome: a case reportPublication . Barros, Pedro Pereira; Santos, Bruno dos; Brito, Ulisses62-Year-old male, smoker (100 Pack-year), presented with dry cough and dizziness within the past 3 week, being hospitalized after detecting a lung mass in the right upper lobe in the chest X-ray. CT scan confirmed the presence of the lung mass, also identifying bilateral lung nodules, mediastinal adenopathies, and a hepatic nodule.
- Quality of life in asthma patientsPublication . Ferreira, Lara; Brito, Ulisses; Ferreira, Pedro LopesIn this paper we present a study whose main aim is the measurement of the Health Related Quality of Life (HRQoL) of patients with asthma and the presentation of a first draft of normative values as measured by the SF-6D for asthma patients. In addition, we investigate how far non-disease-specific HRQoL measures can distinguish groups in terms of socio-demographic characteristics. The Portuguese versions of the EQ-5D, SF-6D, AQLQ(S) and ACQ were administered using personal interviews to a representative sample of the Portuguese population with asthma. Most of the individuals did not report significant problems in the dimensions used, with the exception of the physical functioning, where individuals reported moderate limitations. The mean utility value was 0.86. Male gender, young, single, individuals with high educational attainment level, employed, individuals with high income and those residing in urban areas reported higher utility levels. As expected, those who were in a severe stadium of the disease reported lower mean utility levels than those who were in a less severe stadium of the disease. Normative values for the SF-6D were computed for patients with asthma by gender, age, marital status, educational attainment level, employment status, area of residence and average monthly net income. The preference-based measures used in this study distinguish patient groups with asthma in terms of socio-demographic groups. The normative values can be used in economic evaluation and clinical studies as they incorporate patients' preferences and translate the value attributed to patients' health state.
- Revisão da gestão e diagnóstico do pneumotórax no contexto pré-hospitalarPublication . Veloso, André; Cunha, Karl; Santos, Bruno; Brito, UlissesPneumotórax é uma patologia comum observada em contexto pré-hospitalar nomeadamente secundário a lesão traumática. Pode cursar com dificuldade e insuficiência respiratória e de uma forma mais grave, apresentar-se ou evoluir para hipertensivo com instabilidade hemodinâmica associada, sendo extremamente importante a sua identificação através de uma avaliação clínica pormenorizada. Atualmente, a avaliação ecográfica no diagnóstico desta patologia muda o paradigma de avaliação de vítimas no contexto pré-hospitalar, com a adoção da ecografia de acordo com protocolos FAST /PEEPS, BLUE/POCUS para fornecer melhores cuidados aos doentes vítimas de trauma que cursa com pneumotórax. O objetivo desta revisão é esclarecer a abordagem do pneumotórax desde diagnóstico ao tratamento, pré-hospitalar e hospitalar, e realçar que a ecografia é uma ferramenta eficaz e sensível no diagnóstico, que deve ser adoptada na abordagem do doente com dispneia, tornando-se provavelmente no futuro o novo gold standard do diagnóstico do pneumotórax.