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Monday, 31 December 2018

LÍNEA EDITORIAL DE NUESTRA REVISTA

Written by Editores

LÍNEA EDITORIAL DE NUESTRA REVISTA
No es por ti...
¿Cómo vivimos nuestra profesión? Es una pregunta importante que no debemos responder a la ligera. 
  • ¿Es vocacional?
  • ¿La afrontamos de forma responsable?
  • ¿Somos realmente profesionales?  
  • ¿Qué nos hace ponernos en marcha cada día?

Monday, 31 December 2018

DISEÑO DE UNA CARTERA DE SERVICIOS Y TOMA DE MUESTRAS

Written by Daniel Párraga García | Ilenia Liria González | Laura Parés Pollán

DISEÑO DE UNA CARTERA DE SERVICIOS Y TOMA DE MUESTRAS
Figure 1: Services portfolio.

Clinical Biochemistry Department is an integral part of many of the clinical decisions. Laboratory reports serves as support to diagnosis and prognosis of patients determining the clinical management and avoiding more serious diseases in the future. Therefore, consensus procedures must be established to define analytical profiles associated with certain pathologies. 

Monday, 31 December 2018

PRESENCIA DE CILINDROS MIOGLOBINÚRICOS EN EL SEDIMENTO DE ORINA DE UN PACIENTE ADULTO

Written by Sonia Constanza Cervantes García | Ana Comes Raga | Miguel De Lamo Muñoz

PRESENCIA DE CILINDROS MIOGLOBINÚRICOS EN EL SEDIMENTO DE ORINA DE UN PACIENTE ADULTO
Figure 1. Urine sediment of an adult (light field optical microscopy, 400x). Image of pigmented aspect cylinders with reddish-brown color. This finding, together with other laboratory data, suggests that the cylinders are formed by myoglobi.

We present the case of a patient of 25 years who came to the Emergency Service of our Hospital by presence of coluria on two occasions since the previous day. From a penitentiary center, the patient recognized dependence on marijuana denied the consumption of other toxic substances. In the anamnesis he affirmed have performed intense exercise during the last two days.

Monday, 31 December 2018

CRISTALES DE COLESTEROL EN LÍQUIDO PERICÁRDICO

Written by Luis Francisco Sáenz Mateos | Esther Fernández Grande | Ana Isabel Navarro

CRISTALES DE COLESTEROL EN LÍQUIDO PERICÁRDICO
Figure 1: Cholesterol crystals in pericardial fluid at 400 increases. White light microscopy and polarized light filter.

In this picture is observed a lot of crystalline structures corresponding to cholesterol crystals. The images that we present are from a pericardial fluid observed at 400 increases. At the macroscopic level the liquid has an aspect yellowish and shiny. There are different levels of infiltration by mononuclear cells, plasmatic cells and it is common to find granulomas of giant cells with foreign bodies. At the microscopic study, the liquid shows rhomboid cholesterol crystals with broken corners. The crystals have laminar, colorless, transparent and irregular shape. With polarized light filter, crystals show the characteristic colors of basic interference: blue and yellow.

Monday, 31 December 2018

DIAGNÓSTICO PRECOZ DE PORFIRIAS EN FASE AGUDA

Written by María Santamaría González | Nuria Antón Baltanás | Jorge Navarro Amesti

DIAGNÓSTICO PRECOZ DE PORFIRIAS EN FASE AGUDA
Figure 1. The Images shown different urine samples from different patients after applying Hoesch test, it can be appreciated a red coloration in the positive acute porphyria sample.

A positive result of Hoesch Test is shown in the image. This test allows to confirm or rule out an acute attack of Porphyria. It is a simple, fast and cheap method that produces the immediate color of the urine in contact with Ehrlich reactive. This reactive can be easily prepared in the laboratory adding 42 ml of acetic acid (100%) and 8 ml of percloric acid (60%) to 1 grame of 4-dimetilamine-benzaldehyde. Hoesch test is done by addition of 2-3 drops of the urine to 1 ml of reactive in suspected cases of acute Porphyria.