Collection: Revista Chilena de Medicina Familiar

This article is the continuation of an article published in the previous edition of this journal on the patho-physiology and diagnosis of urinary incontinence. In this second article we describe an up-date of the basic elements of treatment of urinary incontinence for family doctors are not urologist.

This paper is the first of two articles, discussing Urinary Incontinence, to be published in this journal. First, we will discuss briefly some aspects related to basic physiology and physiopathology of storage and voiding, ending with a review of the main evaluation Strategies available to patients suffering from incontinence. In the second article (to be publish in the next issue of this journal), we will summarize the main aspects related to treatment options, either physical, pharmacological or surgical. Articles were written to fulfil the needs of updated medical information of family practioners.

La Adición de Aspirina al Tratamiento Anticoagulante Oral logra una disminuión de los eventos tromboembólicos en el total de pacientes, pero con un aumento del riesgo de hemorragía mayor de similar magnitud relativa. Este beneficio es principalmente debido a la disminucuón de estos eventos en los pacientes con Válvula Mecánica. En otros tipos de pacientes (Fibrilación Auricular y Enfermedad Coronaria), no habría diferencias estadisticamente significativas.

The recurrent aphthous stomatitis (RAs) is the most frequent injury of the oral mucosa; the exact etiology is unknown and the treatment if unspecific. Thus it forces to use symptomatic treatments that reduce the symtoms and, in some case, to induce longer period of remission, but without relying the problem. Among the multiple treatment: that have been use, the corticoids continue being the fundamental pillar for the handling of the episodes: of injuries, but it is not clear if the improvement obeys to the drug or natural evolution of the disease. In the present article we will review the main unchaining factors, the differential diagnosis, clinical presentation and treatments.

El tratamiento antibiótico por tres días en mujeres no embarazadas, con cistitis y sin otras patologías, comparado con el tratamiento por cinco o más días, es igual de efectivo en obtener remisión de los síntomas, pero menos efectivo en obtener cura bateriológica.

El amamantamiento es más efectivo que tener en brazos o la administración de agua estéril y al menos igual de efectivo que la administración  de glucosa 30% más pacificador (chupete) en disminuir el dolor producido por una punción venosa rutinaria en recién nacidos de término sanos.

We present a family research carried out by Medicine’s students from Chile’s University,  during the Family Medicine signature. The students were supervised by a family doctor in charge to the studied family. This investigation was realized because the problems expressed by the family’s  mother, related with family’s relationship and the objective was obtain enough information to plan a favourable intervention to modify the inappropriate behaviour detected Key words: family research, protector factors,

Giant cell tumor of the tendon sheath is the most common tumor of the hand. Are many theories of its development incluiding that is a neoplasia and/or inflammatory process. This is why is important to remote it by a trained physician. We presents a patient who consulted to minorsurgey  department of the Sotero del Rio Hospital sent by the primary care physician with a tumor in the second phalanx right hand.