Arturo Botella

Prevalence and pROgnostic impact of anemia and IRON deficiency in patients hospitalized in an internal medicine ward: the PRO-IRON Study

To assess prevalence, predictive factors, and prognostic impact on in‐hospital mortality of anemia, iron deficiency anemia (IDA), iron deficiency with or without anemia (ID), and iron deficiency without anemia (IDWA) in patients admitted to an internal medicine ward.

Systemic sclerosis: severe pulmonary arterial hypertension and pericardial effusion at diagnosis

A 51-year-old female patient with a recent hospital admission reported to the emergency room (ER) with progressive worsening of fatigue, dyspnoea and chest discomfort. She had been recently admitted and discharged with the diagnosis of pericarditis and medicated with non-steroidal anti-inflammatory drugs and diuretics. She returned to the ER with persisting symptoms. Echocardiography was repeated and showed signs of elevated right ventricular systolic pressure and a slightly increased moderate/severe pericardial effusion without signs of cardiac tamponade. The patient was admitted and further evaluation confirmed an underlying case of advanced systemic sclerosis with skin, vascular, pulmonary and cardiac involvement. The patient was referred to specialised consults in autoimmune pathology and pulmonary arterial hypertension. She was started on bosentan and corticosteroids, presenting a favourable clinical evolution although symptoms of exertional dyspnoea persist.

ACCURACY OF SEVERITY SCORES IN RISK STRATIFICATION OF INTERNAL MEDICINE WARD PATIENTS

MEDICINE WARD PATIENT’S Ana Abreu, Sara Augusto, Filipa Gandara, Ines Araujo, Rosa Cardiga, Ricardo Ferreira, Marisa Alface, Margarida Proenca, Daniel Romeira, Carolina Carvalho, Henrique Sousa, Bruna Ferreira, Sara Grazina, Elena Ndrio, Filipa Marques, Susana Jesus, Arturo Botella, Ana Leitao, Cândida Fonseca, Fatima Ceia Servico de Medicina III, Hospital Sao Francisco Xavier, Faculdade de Ciencias Medicas da Universidade Nova de Lisboa