Paciente de sexo femenino de 49 años de edad con esteatosis hepática y obesidad.
The present clinical case is a 49-year-old female patient with hepatic steatosis and obesity who attended a medical consultation due to abdominal pain, flatus and headache, for about 1 month she began with pain, she refers that always He has been overweight but has increased considerably in weight i...
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| Format: | bachelorThesis |
| Publicat: |
2020
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| Matèries: | |
| Accés en línia: | http://dspace.utb.edu.ec/handle/49000/8893 |
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Afegir etiqueta | Sumari: | The present clinical case is a 49-year-old female patient with hepatic steatosis and obesity who attended a medical consultation due to abdominal pain, flatus and headache, for about 1 month she began with pain, she refers that always He has been overweight but has increased considerably in weight in recent months. On physical examination, the patient has a picnic biotype, has a thick neck, and pseudo acanthosis nigricans is observed on the nape. The anthropometric assessment is carried out: weight: 92 kg, height: 159 cm, waist circumference 100 cm, hip circumference 98 cm, body mass index (BMI) of 36.50 kg / m2, classifying it as grade II obesity, with poor eating habits, in the biochemical evaluation, it presents high indicators such as total cholesterol of 230 mg / dl, HDL of 62 mg / dl, LDL of 130 mg / dl, TGP of 58 U / L, TGP of 60 U / L and triglycerides of 190 mg / dl, An ultrasound examination reflects the liver with a moderately hyperechoic appearance, diagnosing her with hepatic steatosis. She is nutritionally diagnosed with grade II obesity, related to inadequate intake of food and beverages high in fat and carbohydrates, evidenced by data on body mass index of 36.50 kg / m2 and hypercaloric, hyperlipidic and high carbohydrate consumption according to the reminder of consumption of 24 hours. A nutritional intervention is carried out with the aim of improving the nutritional status of the patient, promoting physical activity and monitoring. Prescription of a low-fat diet of 1800 kilocalories, high in fiber distributed over 5 meal times, as a conclusion can be seen through the control, a decrease in weight of 5 kg, high levels of cholesterol, triglycerides and liver enzymes after 3 months. |
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