Navegando por Assunto "Ultrassonografia"

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A importância da ultrassonografia no diagnóstico da doença hepática gordurosa não alcóolica
(Centro Universitário do Estado do Pará, 2020) Mendes Netto, Ataíde José; Rocha, Everton Roberto de Castro; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946; Rodrigues, Ana Paula Guimaraes; http://lattes.cnpq.br/8714469084529838; Caldato, Cassio; http://lattes.cnpq.br/7526204330567369
Introduction: Non-alcoholic fatty liver disease is considered the most common cause of liver disease in the world, being also a hepatic manifestation of the metabolic syndrome. In this context, the objective of this study was to determine the prevalence of non-alcoholic hepatic steatosis diagnosed by ultrasound in patients seen at an outpatient clinic of a Higher Education Institution in the city of Belém - PA. Methodology: Descriptive, documentary and cross-sectional study with a quantitative approach carried out with 115 patients who underwent abdominal ultrasound at the Centro de Especialidades Médicas of Centro Universitário do Pará in 2019. The association between metabolic syndrome and non-alcoholic liver steatosis was assessed by the test Fisher's exact, considering p≤0.05 statistically significant. Results: Most patients were female (71.3%), aged between 50 and 69 years old (53%), brown (90.4%) and married or in a stable relationship (41.7%). There was a high prevalence of obese patients (43.5%) with arterial hypertension (69.6%) and diabetics (32.2%). The prevalence of non-alcoholic hepatic steatosis was 72.2%, statistically associated with the presence of metabolic syndrome (p = 0.0001), where 89.1% of patients who had this syndrome had non-alcoholic hepatic steatosis. Conclusion: There was a high prevalence of non-alcoholic hepatic steatosis among patients, associated with metabolic syndrome. Therefore, it is emphasized that the early diagnosis of hepatic steatosis helps to monitor individuals with a chance of developing metabolic syndrome. In addition, ultrasonography proved to be a sensitive and effective test for the detection of hepatic steatosis, given the high prevalence of this disorder in the population studied.
A utilização de um dispositivo para a localização e padronização de imagens ultrassonográficas do coxim adiposo bucal no planejamento cirúrgico de bichectomia
(Centro Universitário do Estado do Pará, 2024) Santos, Ana Carolina Bentes dos; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Couto, Ana Paula Guerreiro Rodrigues; http://lattes.cnpq.br/2692351198150978; Frazão, Marco Antônio Gomes; http://lattes.cnpq.br/2644040557079748
Objective: To locate the Buccal Fat Pad using the UStransfer device for anatomical study and the development of an ultrasonic mapping protocol to assist in the surgical planning of Bichectomy. Methodology: Sixteen patients of both genders, with no prior aesthetic procedures and with the presence of the Buccal Fat Pad, were evaluated. The UStransfer device was used to locate and demarcate the study area, which was subsequently analyzed by ultrasonography (Siemens ACUSON S3000™, HELX™ ultrasound model) on both the right and left sides, using a linear dermatological transducer (Siemens 18L6 HD with a frequency of 6.0 MHz - 18.0 MHz) positioned transversely and longitudinally. Volume measurements were taken at two different times, with a 15-day interval, by the same operator. Additionally, the accuracy rate in identifying the anatomical structure, a descriptive analysis of the volume measurements, and the intraclass correlation (evaluator) were assessed. The BioEstat 5.2 software was used for data analysis, followed by a literature review to deepen the study on the topic. Results: The Buccal Fat Pad was identified in 100% of patients, on both sides and at both time points. The intraclass correlation demonstrated excellent replicability (p<0.0001). There was no significant variation in the volume measurements between the two moments, both on the right side (standard deviation time 1: 0.39; time 2: 0.39) and on the left side (standard deviation time 1: 0.32; time 2: 0.29). An ultrasonic protocol for the Buccal Fat Pad was established to aid in the surgical planning of Bichectomy, using the UStransfer device as a localization method. Conclusion: The mapping using the UStransfer device facilitated the identification of Buccal Fat Pad in ultrasonography, providing an alternative that offers greater safety for the professional performing the surgical intervention and more efficiency for the radiologist in conducting the ultrasound examination.
Curso de capacitação em ultrassonografia básica à beira leito no módulo de urgência e emergência do internato médico
(Centro Universitário do Estado do Pará, 2024) Serruya, Luiza Fleury de Figueiredo; Miranda, Ariney Costa de; Teixeira, Claudio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; http://lattes.cnpq.br/0967752058385887
Objective: Train undergraduate medical students to practice point-of-care ultrasound (POCUS) in the Urgency and Emergency module of the medical internship. Methods: The study was carried out through the E-FAST Theoretical-Practical Ultrasonography Course applied to students in the eleventh semester of the CESUPA medical course. Results: It was found that most university students demonstrated an improvement in their ability to carry out and grasp knowledge about the subject after applying theoretical and practical classes on an ultrasound device and ultrasound training simulator. Conclusion: The improvement in student performance after the practical activity encourages discussion about the importance of curricular adjustment to adapt to technological advances in the medical field.
Perfil epidemiológico dos pacientes atendidos no ambulatório de ultrassonografia do Centro de Especialidades Médicas do CESUPA no segundo semestre de 2019
(Centro Universitário do Estado do Pará, 2021) Rodrigues, Giovanna Naomi Taniguchi; Pires, Luiza Dalla Bernardina Flexa Ribeiro; Silva, Flavio Tavares Freire da; Lima, Jackson Cordeiro; http://lattes.cnpq.br/5898669844844564; http://lattes.cnpq.br/1386374444157946
Introduction: Ultrasonography is the most widely used test because, in addition to being non-invasive and low-cost, it has immediate results. Depending on the examiner, it can elucidate diagnostic doubts present during the physical examination of the outpatient patient or follow up on the evolution and post-operative diagnoses already elucidated. Objective: Identify the ultrasound epidemiological profile of care provided at the Medical Specialties Center of a private university in Belém during the second half of 2019. Methodology: Descriptive and cross-sectional study based on data collected at CESUPA's Medical Specialties Center, using 150 medical records using a form highlighting age, sex, quantity and type of examination performed during the consultation. Results: The majority of women in the age group of 50 to 69 years old stood out, with only 10 patients out of the total having undergone two consecutive exams, the most found topographies were total abdomen, thyroid, kidneys and urinary tract and breast, respectively. Of the 150 patients studied, only 31 did not present any imaging abnormalities, the other abnormal findings were mild hepatic steatosis, thyroid nodule and tendinopathy in ascending order. Conclusion: Although there is no difference between ultrasound findings both between ages and in relation to the sex of the patients analyzed by the study, it is noted the importance of the aid of complementary exams for the elucidation of diagnosis and monitoring of chronic diseases.
Perfil epidemiológico dos principais achados ecográficos associados a afecções hepatobiliares em pacientes atendidos em um Centro de Especialidades Médicas
(Centro Universitário do Estado do Pará, 2021) Rodrigues, Ana Carolina Conde; Moraes, Hanna Camila Alencar de; Silva, Flavio Tavares Freire da; http://lattes.cnpq.br/1386374444157946
Background: Abdominal ultrasound is a sensitive and relevant exam in the diagnosis of alteration in the liver, gallbladder, extra and intrahepatic bile ducts, which contributes to the diagnosis of hepatobiliary disorders and to the determination of possible surgical difficulties. Objective: Define the epidemiological profile of the main echographic findings associated with hepatobiliary disorders at a medical specialties center in Belém, PA, Brazil. Methodology: Cross-sectional, statistical and descriptive study, with quantitative approach, based on medical records analysis of patients who were under medical care at the ultrasound outpatient clinic of the Centro de Especialidades Médicas – CEMEC of the Centro Universitário do Estado Pará – CESUPA and underwent abdominal ultrasound between August and December 2019. Age, sex and main echographic findings were analyzed. The BioEstat 5.5 software was used for statistical analysis and the tables and graphs were executed in Microsoft Word and Excel software. p < 0,05 was adopted as significance level. Results: A total of 205 patients were evaluated (133 women and 72 men). There were 122 altered exams (59.5%), 83 female (70.5%) and 36 male (29.5%). The conditions most frequently described were mild hepatic steatosis (37.1%), followed by moderate hepatic steatosis (10.7%) and cholelithiasis (9.3%) The median age patient’s was 51 years. Conclusion: Abdominal ultrasound is a reliable method in the diagnosis of hepatobiliary disorders due to its high sensitivity and specificity regarding the pathologies that affect this tract. Its performance helps in the diagnosis and monitoring of patients so that they do not progress with complications and do not undergo surgical procedures late.