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Revista Clínica de Medicina de Familia
versión On-line ISSN 2386-8201versión impresa ISSN 1699-695X
Resumen
RODRIGUEZ-CORONADO, Jeny y GARCIA CANO, Victor Alexander. Upper extremity pain. Rev Clin Med Fam [online]. 2017, vol.10, n.1, pp.46-50. ISSN 2386-8201.
We present the case of a 25-year-old woman with sudden onset pain in upper extremity. Acute peripheral arterial ischemia is the sudden interruption of the blood flow to an extremity, characterized by the appearance of intense pain, pallor, skin coldness, functional impairment, together with absence of distal pulses. It is a life threatening emergency that requires early treatment of revascularization of the affected artery. The diagnosis of acute ischemia is based on clinical history review and physical examination. The severity of the clinical picture will be determined by the degree of obstruction, speed of onset, location, and presence of collateral circulation. Horner syndrome (oculosympathetic paresis) is characterized by the classic triad of palpebral ptosis, pupillary miosis and ipsilateral facial anhidrosis. The syndrome results from the interruption of sympathetic innervation to the eye and adnexa at various levels. It is a rare complication of cervical surgery.
Palabras clave : Arterial Occlusive Disease; Embolectomy; Horner Syndrome.