html,body{font-size:16px !important;line-height:18px !important;height:100%;color:#333;padding:0;margin:0}*,html,body{font-family:"Poppins",sans-serif;font-weight:normal;letter-spacing:normal;-webkit-font-smoothing:antialiased;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;text-rendering:geometrirecision;-webkit-tap-highlight-color:rgba(0,0,0,0);outline:none !important;letter-spacing:-0.1px;word-wrap:break-word}.row{display:flex;flex-wrap:wrap;margin-left:-10px;margin-right:-10px;padding:0 2px}.col{flex:0 0 auto;width:25%;margin-bottom:20px;padding-left:10px;padding-right:10px}.col .entity-item{height:100%}strong,b{font-family:"Poppins",sans-serif;font-weight:bold}figure{margin:0;padding:0}a{text-decoration:none;color:#174fae}a:hover{text-decoration:underline}pre{padding:5px;margin-top:20px;background:#f3f3f3;border:1px solid #ccc}p{font-size:18px;line-height:24px}.link{cursor:pointer}.nowrap{white-space:nowrap}.overflow-auto{overflow:auto !important;-webkit-overflow-scrolling:touch !important}.h1,.h2,.h3,.h4,.h5,.h6,h1,h2,h3,h4,h5,h6{font-family:"Poppins",sans-serif;font-weight:bold}.multiple:after{content:',';margin-right:4px}.multiple:last-child:after{content:'';margin-right:0}.icon-home{display:flex;justify-content:center;align-items:center}.icon-home svg{fill:#fff;width:15px;height:15px}.icon svg{fill:#fff;width:35px;height:35px}.m-0{margin:0 !important}.p-0{padding:0 !important}.mt-0{margin-top:0 !important}.mb-0{margin-bottom:0 !important}.mb-2{margin-bottom:10px !important}.me-1{margin-right:5px !important}.me-2{margin-right:10px !important}.mb-4{margin-bottom:20px !important}.mt-2{margin-top:20px !important}.mt-1{margin-top:10px !important}.opacity-0{opacity:0 !important}hr{border:0;border-top:1px solid #ccc}.hide-scrollbar{overflow-x:scroll;scrollbar-width:none}.hide-scrollbar::-webkit-scrollbar{display:none}.d-none{display:none !important}.btn{display:inline-block;font-weight:400;line-height:1.5;color:#212529;text-align:center;text-decoration:none;vertical-align:middle;cursor:pointer;-webkit--select:none;-moz--select:none;-select:none;background-color:transparent;border:1px solid transparent;padding:.375rem .75rem;font-size:1rem;border-radius:.25rem;transition:color .15s ease-in-out,background-color .15s ease-in-out,border-color .15s ease-in-out,box-shadow .15s ease-in-out}.btn:hover{text-decoration:none}.btn-link{font-weight:400;color:#0d6efd;text-decoration:none}.btn-group-sm>.btn,.btn-sm{padding:.25rem .5rem;font-size:.875rem;border-radius:.2rem}.btn-outline-dark{color:#212529;border-color:#212529}.btn-outline-dark a{color:#212529}.btn-outline-dark:hover{color:#fff;background-color:#212529;border-color:#212529}.btn-outline-dark:hover a{color:#fff;text-decoration:none}.btn-outline-light{color:#f8f9fa;border-color:#f8f9fa}.btn-outline-light:hover{color:#000;background-color:#f8f9fa;border-color:#f8f9fa}.btn-secondary{color:#fff;background-color:#6c757d;border-color:#6c757d}.btn-dark{color:#fff;background-color:#001c4c;border-color:#001c4c}.btn-danger{color:#fff;background-color:#dc3545;border-color:#dc3545}.btn-light{color:#000;background-color:#f8f9fa;border-color:#f8f9fa}.btn-rounded{border-radius:50px}.btn-dark:hover{color:#ccc}.btn-outline-dark{color:#212529;border-color:#212529}.btn-outline-dark:hover{color:#fff;background-color:#212529;border-color:#212529}.btn-movie{font-size:25px;line-height:25px;padding:0;border-radius:50% !important;width:60px;height:60px;margin:0 15px 0 0;display:flex;justify-content:center;align-items:center}.btn-movie svg{width:30px;height:30px}.btn-icon{line-height:0}.btn-icon svg{fill:#fff;width:1.1em;height:1.1em}.btn-movie:hover svg{fill:#fff}.breadcrumb{font-size:16px;line-height:30px}.breadcrumb{display:flex;flex-wrap:wrap;padding:0;margin-bottom:1rem;list-style:none}.breadcrumb-item+.breadcrumb-item{padding-left:.5rem}.breadcrumb-item+.breadcrumb-item::before{float:left;padding-right:.5rem;color:#6c757d;content:"/";font-size:12px}.sidebar{display:flex;justify-content:space-between;height:100%;flex-direction:column}.sticky-box{height:100%;width:100%;margin-bottom:20px;padding:0}.banner{position:sticky;top:10px;margin-bottom:20px;margin-left:auto;margin-right:auto}.banner ins{position:sticky;top:10px;text-decoration:none;display:block;overflow:hidden !important}.banner ins:after{content:'PUBLICIDAD';background:#f5f5f5;width:100%;display:block;text-align:center;font-size:12px;line-height:12px;padding:4px 0}.bottom-ad-module{display:none}.roba-mobile{display:none}.roba-mobile,.roba-desktop{min-height:600px}.roba-desktop{display:flex;justify-content:start;align-items:end;flex-direction:column;width:320px;max-width:320px}.board-article-outbrain{margin-bottom:40px}.input-group{position:relative;display:flex;flex-wrap:wrap;align-items:stretch;width:100%}.input-group>.form-control,.input-group>.form-select{position:relative;flex:1 1 auto;width:1%;min-width:0}.input-group:not(.has-validation)>.dropdown-toggle:nth-last-child(n+3),.input-group:not(.has-validation)>:not(:last-child):not(.dropdown-toggle):not(.dropdown-menu){border-top-right-radius:0;border-bottom-right-radius:0}.input-group>:not(:first-child):not(.dropdown-menu):not(.valid-tooltip):not(.valid-):not(.invalid-tooltip):not(.invalid-){margin-left:-1px;border-top-left-radius:0;border-bottom-left-radius:0}.form-control{display:block;width:100%;padding:.375rem .75rem;font-size:1rem;font-weight:400;line-height:1.5;color:#212529;background-color:#fff;background-clip:padding-box;border:1px solid #ced4da;-webkit-appearance:none;-moz-appearance:none;appearance:none;border-radius:.25rem;transition:border-color .15s ease-in-out,box-shadow .15s ease-in-out}.form-control-sm{min-height:calc(1.5em+.5rem+2px);padding:.25rem .5rem;font-size:.875rem;border-radius:.2rem}.container{width:1140px;margin-left:auto;margin-right:auto}.top{margin-bottom:20px}.topbar-container{width:100%;background-color:#001c4c}.topbar{position:relative;display:flex;justify-content:center;padding:10px 0;z-index:2}.header-section{border-top:1px solid #fff;background-color:#eaede2;padding:10px 0;text-align:center}.header-section .header-section-title,.header-section .header-section-title a{font-family:"Poppins",sans-serif;font-weight:700;font-size:26px;line-height:26px;margin:0;padding:0;color:#001c4c}.menu-container{width:100%}.menu{position:relative;display:flex;justify-content:center;border-bottom:1px solid #ffffff59;padding:5px 0;z-index:2;background-color:#f3f3f3}.menu .navbar-nav{display:flex;flex-direction:row;list-style:none;padding:0;margin:0}.menu .navbar-nav .nav-link{display:block;padding:.5rem;text-decoration:none;transition:color .15s ease-in-out,background-color .15s ease-in-out,border-color .15s ease-in-out;color:rgba(0,0,0,.55);font-weight:500;font-size:14px;line-height:14px;text-transform:uppercase}.form-search-container{padding:15px 0;width:auto;background-color:#e9f1f8}.form-search{display:flex;flex-direction:row;justify-content:center;width:1140px;margin-left:auto;margin-right:auto}.form-search form{display:flex;width:50%}.form-search .input-search-autocomplete{background-color:#ffffffa8}.section{width:100%;margin-bottom:40px}.section .section-header{display:flex;align-items:center;justify-content:space-between;border-top:3px solid #001c4c;border-bottom:1px solid #001c4c;margin-bottom:20px}.section .section-header p,.section .section-header h2,.section .section-header h1{font-size:24px;line-height:28px;font-weight:bold;color:#001c4c;font-size:24px;line-height:24px;padding:10px 0;margin:0}.entity-item{display:flex;flex-direction:column;position:relative;width:100%;border-bottom:4px solid #001c4c;background:#f3f3f3;box-shadow:0 0 4px #000;text-align:left;margin-bottom:0}.entity-item .entity-item-details{order:1;padding:10px}.entity-item .entity-title,.entity-item .entity-title a{font-size:18px;line-height:20px;font-family:"Poppins",sans-serif;font-weight:600;color:#333;text-decoration:none;margin-bottom:0;margin-top:0;text-transform:uppercase}.entity-item .entity-title small{font-size:14px;line-height:16px}.entity-item .entity-title a:before{content:"";top:0;left:0;right:0;bottom:0;display:block;margin:0;padding:0;position:absolute;z-index:2}.entity-item .entity-item-image{order:0}.entity-item .figure{position:relative;aspect-ratio:.66666667;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;overflow:hidden}.entity-item .figure:after{content:var(--category-var);position:absolute;bottom:5px;right:5px;font-size:14px;line-height:14px;text-align:right;background:#2e579e;color:#fff;font-weight:bold;padding:3px 6px;border-radius:5px}.entity-item .figure .img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover}.footer{background-color:#001c4c;padding:20px 0}.footer .container{display:flex;flex-direction:column;justify-content:center;align-items:center;text-align:center}.footer p{font-size:14px;line-height:1;color:#fff;text-align:center;padding:0 10px}.footer a{color:#ccc}.gallery{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 1.1);gap:10px;overflow-x:scroll;scroll-snap-type:x mandatory;scroll-behavior:smooth}.gallery figure{scroll-snap-align:start;position:relative;aspect-ratio:16 / 9;border-radius:10px;border:1px solid #ccc;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;width:100%}.gallery img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover;border-radius:10px}.video-gallery{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 1.1);gap:10px;overflow-x:scroll;scroll-snap-type:x mandatory;scroll-behavior:smooth}.video{scroll-snap-align:start;border-radius:10px;overflow:hidden}.video iframe{width:100%;height:100%;aspect-ratio:16 / 9}.entity-gallery .gallery-row>*{border:1px solid #ffffff00}.entity-gallery .gallery-row{display:grid;grid-auto-flow:column;grid-auto-columns:calc(100% / 4.06);gap:15px;overflow-x:auto;overflow-y:hidden;scroll-snap-type:x mandatory;scroll-behavior:smooth;scroll-padding:0}.entity-gallery .gallery-row-6{grid-auto-columns:calc(100% / 5.9)}.entity-gallery .gallery-column{width:100%;scroll-snap-align:start;object-fit:cover}.entity-gallery .entity-item{display:flex;flex-direction:column;position:relative;margin-bottom:0;height:100%}.carousel-wrapper{position:relative}.carousel-button{position:absolute;top:50%;transform:translateY(-50%);background-color:#00000099;color:white;border:0;padding:10px 10px;cursor:pointer;z-index:10;border-radius:100%;display:flex;justify-content:center;align-items:center}.carousel-button svg{fill:#fff;width:20px;height:20px}.carousel-prev{left:0}.carousel-next{right:0}.accordion{width:100%;border:1px solid #ccc;border-radius:8px}.accordion-item{border-top:1px solid #ccc}.accordion-header{display:flex;justify-content:start;align-items:center;padding:15px;cursor:pointer;font-weight:bold}.accordion-header .badge{background-color:#6c757d;color:#fff;padding:5px 10px;border-radius:4px;font-size:14px}.accordion-checkbox{display:none}.accordion-content{max-height:0;overflow:hidden;transition:max-height .3s ease;padding:0 10px;background-color:#fff}.accordion-checkbox:checked ~ .accordion-content{max-height:500vh;padding:0 10px}.accordion-content .table{width:100%;margin-top:10px;margin-bottom:10px;border-collapse:collapse}.accordion-content .table td{padding:10px;border:1px solid #ddd}.accordion-item:first-of-type{border-top:0}.accordion-header::after{flex-shrink:0;margin-left:auto;content:"+";background-repeat:no-repeat;background-size:1.25rem;transition:transform .2s ease-in-out}.accordion-header h4{font-weight:normal}.accordion-content p{margin-top:0}.no-disponible{text-align:center}@media(max-width:1024px){.container{width:100%}.top{margin-bottom:0}.other-container{width:100%;margin:0;padding-left:15px;padding-right:15px}.col{flex:0 0 auto;width:50%}.menu{display:block}.aside-container{display:none}.form-search{width:100%}.form-search form{display:flex;width:100%;margin:0 15px}.entity-item .entity-title,.entity-item .entity-title a{font-size:16px;line-height:18px}.breadcrumb{margin-bottom:10px;padding-left:15px;padding-right:15px}.gallery{grid-auto-columns:calc(100% / 1.1)}.entity-gallery .gallery-row{grid-auto-columns:calc(100% / 2.3)}.section .section-header p,.section .section-header h2,.section .section-header h1{font-size:20px;line-height:22px}.roba-desktop{display:none}.roba-mobile{position:relative;top:0;margin-bottom:30px;display:flex;justify-content:start;align-items:center;flex-direction:column;width:calc(100vw - 30px);max-width:calc(100vw - 30px)}.roba-mobile ins{position:sticky;top:0}.bottom-ad-module{display:block;position:fixed;bottom:0;left:0;width:100%;margin:0;box-shadow:0 -1px 5px 0 rgba(0,0,0,.2);text-align:center;line-height:0;background:#f5f5f5;z-index:3000004;transition:transform .5s ease,opacity .5s ease}.bottom-ad-module-hidden{transform:translateY(100%);opacity:0}.bottom-ad-module .publi-box__close-btn{display:block;color:#666;background:#f5f5f5;z-index:1000001;font-size:17px;padding:5px;box-shadow:1px -2px 2px 0 rgba(0,0,0,.2);border-top-left-radius:8px;width:28px;height:28px;position:absolute;top:-28px;right:0;cursor:pointer}} .article{width:100%}.movie-header{position:relative;margin-bottom:40px;display:flex;flex-direction:row;align-items:flex-start}.movie-header .figure{position:relative;aspect-ratio:.66666667;display:flex;justify-content:center;align-items:center;background-color:#222;color:#fff;width:250px;flex:0 0 250px;overflow:hidden;margin-right:20px}.movie-header .figure .img{position:absolute;top:0;left:0;width:100%;height:100%;object-fit:cover}.movie-title-container{margin:0 auto;z-index:1;flex:1 1 100%;overflow:hidden}.movie-title-container .title{border-top:4px solid #001c4c;border-bottom:1px solid #ccc;font-weight:bold;font-size:36px;line-height:38px;margin:0;padding:10px 0;margin-bottom:20px;color:#001c4c;text-transform:uppercase}.movie-title-container .author-name{margin-bottom:30px}.movie-title-container .author-name a{font-weight:normal;text-transform:uppercase}.movie-title-container .categories{position:absolute;bottom:0;margin-bottom:0}.movie-title-container .categories-relative{position:relative}.movie-title-container .categories a{margin-bottom:10px;margin-right:5px}.movie-title-container .tagline{margin-bottom:20px}.movie-buttons{display:flex;align-items:center;margin-bottom:20px}.movie-buttons .btn-buy{font-size:20px;line-height:1;font-family:sans-serif;font-weight:normal;text-transform:uppercase;height:60px;justify-content:center;align-items:center;display:flex;padding:0 30px;border-radius:30px}.movie-buttons .discountPercentage{font-size:22px;line-height:22px;font-weight:bold;color:green}.movie-container{display:flex;flex-direction:row}.movie-body{margin:0;width:780px;flex:0 0 780px;overflow:hidden}.aside-container{text-align:right;width:320px;flex:0 0 320px;position:relative;margin-left:40px}.providers{width:100%}.providers .provider-container{margin-bottom:20px}.providers a{margin-right:10px;display:inline-block}.providers a:last-child{margin-right:0}.providers img{width:55px;height:55px;border-radius:5px}.providers .provider-type{display:block;background:#eaede2;padding:5px;margin-bottom:10px;font-weight:bold}.providers .provider-container:last-child{margin-bottom:0}.movie-info .row-info{display:flex;flex-direction:row;margin-top:10px;margin-bottom:10px}.movie-info .col-title{font-size:18px;line-height:24px;width:40%;flex:0 0 40%;display:flex;align-items:center;margin:0;font-weight:normal}.movie-info .col-title .icon{display:flex;margin-right:5px}.movie-info .col-title .icon svg{width:20px;height:20px}.movie-info .col-value{width:60%;flex:0 0 60%}.movie-info .col-value p{padding:0;margin:0}.movie-info .col-value .link{white-space:nowrap;text-overflow:ellipsis;display:block;overflow:hidden}.movie-share{position:fixed;bottom:10px;right:10px;z-index:1000}.movie-share .btn{font-size:25px;line-height:25px;padding:0;border-radius:50% !important;width:60px;height:60px;display:flex;justify-content:center;align-items:center;background:#064cc3}.movie-share .btn svg{width:30px;height:30px;fill:#fff}.circle-wrap{width:60px;height:60px;background:#ccc;border-radius:50%;margin:0 15px 0 0;z-index:1}.circle-wrap .circle{position:relative}.circle-wrap .circle .mask,.circle-wrap .circle .fill{width:60px;height:60px;position:absolute;border-radius:50%}.mask .fill{clip:rect(0,30px,60px,0);background-color:#000}.circle-wrap .circle .mask{clip:rect(0,60px,60px,30px)}.circle-wrap .inside-circle{font-family:sans-serif;width:49px;height:49px;border-radius:50%;background:#064cc3;color:#fff;position:absolute;z-index:100;font-weight:700;font-size:18px;line-height:18px;top:5px;left:5px;display:flex;justify-content:center;align-items:center}@media(max-width:1024px){.movie-body{width:100%;flex:0 0 100%;overflow:unset}.movie-header{flex-direction:column}.movie-header .figure{margin:0;width:100%;flex:0 0 100%;background-color:transparent;aspect-ratio:unset;padding:20px 50px}.movie-header .figure .img{position:relative;height:auto;box-shadow:0 0 10px 0 #333}.movie-title-container{width:100%;margin:0;padding-left:15px;padding-right:15px;text-align:center}.movie-title-container .title{border-top:0;font-size:26px;line-height:30px;margin:0 0 20px 0}.movie-buttons{flex-direction:column;margin-bottom:30px;border-bottom:1px solid #ccc;padding-bottom:20px}.movie-buttons .btn-buy{margin-bottom:10px}.movie-title-container .categories{position:relative}.movie-container{margin:0;padding-left:15px;padding-right:15px}.movie-info .row-info{flex-direction:column}.movie-info .col-title,.movie-info .col-value p,.movie-info .col-value a{margin:0}.movie-info .col-title{width:100%;flex:0 0 100%;font-weight:600}.movie-info .col-value{width:100%;flex:0 0 100%}}
Este libro es el séptimo volumen de una serie de casos clínicos pediátricos que complementa a los anteriores volúmenes. Los casos clínicos se presentan tal como lo hicieron en la realidad en las consultas pediátricas o en los servicios de urgencias con su diagnóstico presunto inicial, las pruebas complementarias que se practicaron para llegar al diagnóstico, así como el diagnóstico diferencial, el abordaje terapéutico, la respuesta y la evolución. El diagnóstico médico se basa en la interpretación adecuada de la clínica que es la que orienta para la realización de pruebas complementarias que permiten confirmar o descartar el diagnóstico inicial presuntivo. Contiene la historia clínica de 55 pacientes pediátricos reales, atendidos en diferentes hospitales infantiles de Madrid, todos centros universitarios de prestigio en donde se desarrolla asistencia médica de alto nivel, docencia pre y postgrado e investigación. La selección de los pacientes no es casual, es porque presentan síntomas o signos clínicos guía que sirven para realizar el diagnóstico, datos claves o llave para llegar al diagnóstico. Cada uno de estos 55 pacientes es además utilizado para profundizar en la enfermedad definitiva y las sospechadas, repasar el significado de cada uno de los síntomas y signos guía y actualizar los tratamientos. Los casos han sido seleccionados por tanto en función de su utilidad docente no de la dificultad del diagnóstico ni de la rareza de la enfermedad. Cada caso permite repasar la etiología, fisiopatología, clínica, diagnóstico, tratamiento y evolución, las tablas, esquemas y figuras empleadas ayudan a conseguir estos objetivos.
Juan Casado Flores
Juan Casado es médico desde hace más de 40 años y profesor de la Universidad Autónoma de Madrid. Ha escrito dos decenas de libros médicos y cientos de páginas en artículos científicos, también libros de divulgación médica. Por sus manos han pasado docenas de miles de pacientes a los que ha curado o aliviado. Muchos de ellos han dejado en su memoria recuerdos apasionantes, la mayoría gratificantes pero otros dolorosos, pacientes que han inspirado esta novela. Su abundante experiencia y su sensibilidad le han permitido bucear y entender los verdaderos sentimientos humanos como el amor, la generosidad, la valentía, el duelo, el dolor y la cercanía de la muerte.Dame tu mano en su segunda novela.
Ver ficha de Juan Casado Flores »