Dr. Javier Flandes Aldeyturriaga
Citación telefónica los días laborables de 8 a 21 h.
Dr. Javier Flandes Aldeyturriaga
• More than 25 years of experience• Associate Chief of Pneumology, University Hospital Jimenez Diaz Foundation (2006-present) • Head of the Unit of Pneumology and interventional bronchoscopy University Hospital (1997-present)• Physician assistant principal private area of the University Hospital Jimenez Diaz Foundation (2005-present)• Acting Deputy Medical Service of Pneumology Hospital "Ramón y Cajal" (1993-1997)• Director of the American College of Chest Physicians ...
• Professor, School of Nursing and the Faculty of Medicine of the Autonomous University of Madrid
*Translated with Google translator. We apologize for any imperfection
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Acute respiratory infection is an infection of the lower respiratory tract or lungs less than 15 days. Sometimes you may end up in pneumonia. It is on Acute respiratory infection is an infection of the lower respiratory tract or lungs less than 15 days. Sometimes you may end up in pneumonia. It is one of the leading causes of death in children and adults. ...
Asthma (or asthma) is a lung disease caused by inflammation and narrowing of the bronchial mucosa, which prevents proper outlet air from the lungs. It Asthma (or asthma) is a lung disease caused by inflammation and narrowing of the bronchial mucosa, which prevents proper outlet air from the lungs. It is characterized by the presence of coughing, wheezing and chest tightness, secretions (phlegm), dyspnea (fatigue and shortness of breath), rhinitis, sneezing, itchy nose, etc. In addition, asthma is in the form of "attacks" or "asthma attacks" and affects the whole population in general, but usually begins in childhood, stage where the disease is highly present in response to certain stimuli that cause allergies (pollen, dust mites, skin particles of some pets, cold air, certain foods or food additives ...). These agents are also triggers, typical of some trades or professions (bakers, farmers, millers, manufacturers of detergents, woodworkers, plastic, laboratory, etc.) occupational asthma. The most effective treatment for this condition is to conduct some diagnostic tests (complete blood analysis, including antibody test certain substances, chest radiography, lung function tests, allergy tests ...) and establish a drug based therapy bronchodilators to open the airways. ...
Bronchoscopy is a diagnostic test used to display and collect secretions or tissue samples of the respiratory tract (larynx, trachea and larger bronc Bronchoscopy is a diagnostic test used to display and collect secretions or tissue samples of the respiratory tract (larynx, trachea and larger bronchi) and diagnose multiple related diseases such as pulmonary obstruction, malignant tumors, biopsies or extraction of liquids for further study, besides being used for therapeutic purposes. This test is prescribed in cases where there is bleeding from airways, persistent cough without cause, altered the results of a chest x-ray, in monitoring infectious diseases such as tuberculosis, or where necessary remove foreign bodies. Performing hard pulmonary bronchoscopy between 15 and 20 minutes and is well tolerated test involves the introduction of a rigid or flexible tube (as the case may be a local or general anesthetic), through nose or mouth to the bronchi, by aspiration to collect secretions or samples. ...
Chronic Obstructive Pulmonary Disease (COPD) is one of the most common diseases of the lungs and makes breathing difficult progresiva.Los way of patie Chronic Obstructive Pulmonary Disease (COPD) is one of the most common diseases of the lungs and makes breathing difficult progresiva.Los way of patients with this disease may have chronic bronchitis or emphysema. COPD is associated directly to snuff. Among the most common symptoms are chronic cough, abundant mucus and frequent episodes of respiratory failure. It is a frequent cause of hospital admission. ...
Pulmonary emphysema is an obstructive pulmonary disease (COPD) characterized by curative treatment without destroying the walls of the alveoli (the branches of the lungs where the exchange of oxygen between the inspired air and the blood is performed), which causes a decrease respiratory function and progressive lung destruction. Its main manifestations are shortness of breath shortness of breath (especially when you're active and exercise is done) and cough. Among the most common causes of emphysema are: consumption of snuff extended in time; environmental and occupational factors, such as exposure to chemicals or toxic gas emissions; the elderly, especially in the male, and in the case of a history of chronic bronchitis, asthma and deficiency of a protein called alpha-1antritipsina (responsible for protecting the lungs from inflammation caused by infections or inhalations). Medical treatment is palliative and includes support for smoking cessation, bronchodilators, antibiotics, oxygen therapy, pulmonary rehabilitation exercises, lung volume reduction by surgery, and lung transplantation. ...
Bronchiolitis is a viral disease characterized by swelling of the small airways. Runny nose, cough and shortness of breath are the most common manifestations. It can develop in both children and adults without much gravity. However, adult smokers can cause serious breathing difficulties that must be treated with care. ...
Chronic bronchitis, also known as chronic obstructive pulmonary disease (COPD), is the persistent inflammation of the lining of the bronchi causing dyspnea, mild persistent cough and mucus. According to its progression, shortness of breath may limit the ability of the person to lead a normal daily activity. Among its most serious complications include pulmonary hypertension, gasping and/or choking breath, chronic obstruction of the bronchi, and the development of pneumonia, tuberculosis and emphysema. Its origin is associated with several factors:persistent cough with phlegm, characteristic of a bad cold curing; tobacco, 80% of cases; Continuous exposure to fumes, dust, or agents that irritate the mucous own work activities; or relatively rare inherited deficiency of a protein called alpha-1-antitrypsin, which protects lung tissue inflammation caused by infections and certain irritating inhalation, as smoke snuff. The most effective treatment to reduce irritation of the bronchial tubes are the abandonment of smoking, as well as the administration of antibiotics, expectorant drugs (except antitussives), and the use of bronchodilators (to open the airways). When chronic bronchitis is severe is needed sputum culture to check the need for a change in treatment. ...
Chronic cough is one that lasts for more than three weeks without apparent cause and diagnosed from several tests such as provocation of bronchospasm, spirometry, chest CT, etc. Readers are referred to a specialist when cough lasts so long and not wait many years, as this can have a recurring and chronic course ...
Cystic fibrosis (CF), or mucovicidosis, is a non-contagious and incurable, hereditary, genetic disease, manifested at birth because of the inheritance of altered genes. This complex disease is characterized because it affects all organs but in different ways and to varying degrees, depending on the case. When it has CF. a very viscous mucus that clogs the lungs, digestive system and the player occurs, preventing normal operation. The diagnosis is made by genetic analysis of blood and from or iontophoresis sweat test to check the excessive secretion of salt through sweat in these patients. Currently, he is studying to apply gene therapy to cure CF by replacing the defective gene that causes this disease otherwise normal-functioning. Meanwhile, therapies and drugs most used for this disease: respiratory physiotherapy exercises with previous inhalation drug for thinning mucus; antibiotic treatment, oral, intravenous or inhaled route; pancreatic enzymes administered at each meal; vitamin supplements, calorie supplements and proper diet; isotonic drinks to prevent dehydration; performing some light exercise to improve lung capacity, and in extremely serious cases, the transplant. ...
Infectious diseases (tuberculosis)
Pleural effusion is an accumulation of fluid between the layers of tissue that line the lungs and chest cavity. The body produces pleural fluid in small amounts to lubricate the surfaces of the pleura, the thin tissue that lines the chest cavity and surrounds the lungs. A pleural effusion is an abnormal collection of this fluid. They can be of two types. Transudative pleural effusions are caused by fluid leaking into the pleural space, which is caused by high pressure in the blood vessels or low protein content in the blood. The most common cause is congestive heart failure. Exudative effusions are caused by blocked blood vessels or lymph vessels, inflammation, lung injury and tumors. The goal of treatment is to remove the liquid, it becomes evtiar to accumulate and determine the cause of accumulation. The removal of fluid (thoracentesis) can be performed if there is a lot of this and is causing pressure in the chest, shortness of breath or other breathing problems, such as low oxygen levels. Removing the fluid allows the lung to expand, making breathing easier. ...
Pneumonia (or pneumonia) is an infection of the lungs caused by different germs such as bacteria, viruses and fungi that spread their microorganisms inside the alveoli (the branches where the exchange of oxygen between inhaled air is made and blood in the lungs), through the nose, pharynx or via blood. This causes inflammation with lung damage, which has highly variable symptoms. In typical pneumonia highlights cough with purulent sputum, sometimes with blood or chest pain, and fever with chills. Calls on atypical pneumonia symptoms are less alarming grade fever, malaise, muscle and joint pain, fatigue, headache, dry cough without expectoration, and chest pain less intense. The severity and treatment of this disease will be determined by the extent of the affected lung, the type of germ that produced, age and previous medical history. The treatment is done in most cases without hospitalization, with oral antibiotics, and only applicable to income in cases where the patient does not respond to initial treatment or present other diseases or pleural effusion. ...
Pneumothorax is the presence of air in the space between the lungs (pleural space), causing loss of lung volume and collapse of the affected side. There are different types of this disease: tension pneumothorax, spontaneous, spontaneous secondary to other lung diseases and secondary to trauma. Among them, the most common is the spontaneous pneumothorax occurs without a clear obvious cause. The main symptoms of this disease are shortness of breath and chest tightness, followed by an increase in heart rate and change in skin color, which turns blue due to lack of oxygen. After performing a chest radiograph and arterial blood gas treatment is set to eliminate air in the pleura, allowing the expansion of the lung. Depending on the amount of air present and the degree of compression exerted on the lung will prescribe rest or be placed, via hospital, a chest tube between the ribs to allow the evacuation of air. This drainage can last several days and its control is necessary in a medical center. In cases of recurrent pneumothorax, surgery is required to close the area of the air outlet pleura from the lung. ...
A, also called pulonar thromboembolism, pulmonary embolism occurs when a blood clot in a blood vessel located moves to a lung artery and causes clogging. Sometimes blood volume contributed by the other non-clogged arteries is insufficient to prevent the death of tissue, and is thus as a pulmonary infarction occurs. The formation of these blood clots (therefore also referred to this disease pulmonary embolism) has its origins in a blood stagnation caused by many factors, among which the fixed assets due to surgery, postoperative, varices, presence of catheterizations, genetic alterations, presence of some diseases and cancer. Generally, symptoms of pulmonary embolism are breathlessness, anxiety, acute chest pain, dizziness, fainting or seizures, and cyanosis (bluish skin). We must pay close attention and request urgent medical attention for these symptoms, as in the cases of patients with severe heart or lung disorders as pulmonary embolism can cause death within two hours. For the diagnosis of this disease they are carried out various analyzes and testing, and venous ultrasound of lower and upper extremities, echocardiograms, and numerous specific tests pulmonary (lung scan and angiography, CT angiography, chest ...). Once diagnosed, treatment can specify which usually includes oxygen, analgesics and anticoagulants such as heparin or warfarin. In cases where the patient's life is endangered surgery is required. ...
Pulmonary fibrosis (or idiopathic pulmonary fibrosis) is a respiratory disease in which the lungs become scarred and stiff, making it difficult to breath. It occurs most frequently in patients between 50-70 years, and among some of the causes for its occurrence include the snuff, the effect of some drugs on the body, acid-gastric reflux, environmental causes and exposure to certain substances toxic. Symptoms vary widely: dyspnoea, cough, fever, decreased body mass, etc., so the diagnosis should clarify its difference from other diseases with similar symptoms. Through a comprehensive examination of the patient (complete analysis, chest X-rays, CT scans and biopsy) based primarily on corticosteroids, cytotoxic and anti-fibrotic, with satisfactory results in most cases treatment is established. ...
The pulmonary nodule is a spot with round or oval shape that occurs in the lungs and is detected by a CT scan or a chest X-ray. In most cases, the appearance of the lung nodule is not cancerous. Among the causes of their appearance may be scars and past infections. Their morphology is small, with a smooth edge and solid appearance and uniform. In the case of malignant, lung cancer is one of the major diseases that develop. Normally, the pulmonary nodules usually have symptoms. If the patient is a smoker, have symptoms of lung cancer themselves or nodule has grown or changed in appearance, your specialist may want to do a biopsy to rule out cancer. ...
Pulmonary tuberculosis is an infectious disease caused by a bacterium called Mycobacterium tuberculosis that can be acquired by inhaling water droplets from a cough or sneeze of an infected person (called Mycobacterium tuberculosis). Among its most frequent symptoms at an advanced stage of the disease include fever, sweating, weight loss, general fatigue, cough, chest pain, and bleeding in sputum. For the diagnosis is necessary isolation of these bacilli in sputum culture or through various tests or biopsies (broncoescopia, glangionar pleural biopsy or biopsy). If treatment is not done, tuberculosis kills. The usual treatment is based on the combination of at least four drugs (Isoniazid, Rifampin, Ethambutol and Pyrazinamide) or sometimes other, administered several times daily for a prolonged period of time (six months, usually). Since it is a communicable disease, follow medical advice with regard to the control of medication and initial insulation to prevent a possible spread of the disease to the rest of the population. ...
Smoking is the acute or chronic poisoning caused by the consumption of snuff addictive. It presents all the characteristics of all generated dependence disorder toxic substances, including withdrawal syndrome that occurs when they are dispensed, particularly nicotine characteristics. Smoking carries a number of health consequences that affect the body in general: abnormal pulse and breathing, diarrhea, vomiting, dizziness, fever, cold extremities, and in very severe cases, collapse and respiratory arrest. Among smokers are common following diseases: respiratory, such as laryngitis or bronchitis; digestive diseases, such as gastritis or stomach acid (hyperacidity); cardiovascular diseases, such as arteriosclerosis; and others such as angina or lung cancer. At present there are numerous aid smoking cessation that include some additional treatments, such as nicotine replacement therapy in patients with high physical dependence, or antidepressants programs. ...
Spirometry is a painless diagnostic test that measures the volume and flow rate of air into the lungs. It is done through a specialized apparatus, a spirometer or pneumotachograph, whose nozzle must place the patient's lips, while leading tweezers placed in the nose to prevent air from escaping that way. With this test three measurements are made and the best result of the three is the one deck to patient assessment. There are two types of spirometry: simple spirometry and spirometry. In the first patient, after a maximal inspiration, eject the entire volume of air that is able, using all the time you need requested. In spirometry, however, the patient expels all the air in your lungs containing after a deep inspiration in the shortest possible time. The information is obtained from each of these stress tests is different and usually do consecutively. This technique is used for early diagnosis of chronic obstructive pulmonary disease (COPD) or to control the evolution of already treated patients. ...
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