el valor de la ectoscopia

• Movimientos y/o esfuerzo respiratorios (eu-taqui-bradipnea), lenguaje, diaforesis, deambulación, braceo, cambios posturales, expresión facial, temblor…

5

http://www.google.es/imgres?imgurl=http://www.mbfagency.com/Images/iStock_000005566218XSmall.jpg&imgrefurl=http://www.mbfagency.com/dallas-nanny-and-sitter-jobs.aspx&usg=__T1mJ811kfzOF0IzEkJpyhJScSC8=&h=337&w=356&sz=101&hl=es&start=18&um=1&itbs=1&tbnid=rnc9VuFSGitpWM:&tbnh=115&tbnw=121&prev=/images%3Fq%3DCHILD%2BAND%2BMOM%26um%3D1%26hl%3Des%26sa%3DX%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://www.more4kids.info/uploads/Image/mom-and-son.jpg&imgrefurl=http://www.more4kids.info/483/teenage-parenting-tips/&usg=__2XE9JCttRN6HsnF3YdzwFYZYGDM=&h=221&w=333&sz=21&hl=es&start=7&um=1&itbs=1&tbnid=bMQGw1VkK0oVKM:&tbnh=79&tbnw=119&prev=/images%3Fq%3DTEENAGER%2BAND%2BMOM%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://orrinwoodward.blogharbor.com/grandfather_with_grandson.jpg&imgrefurl=http://orrinwoodward.blogharbor.com/blog/_archives/2008/1/31/3497004.html&usg=__D6nRCdaluwkQ0tWM_gRPbMpPgJg=&h=291&w=443&sz=57&hl=es&start=1&um=1&itbs=1&tbnid=JOfbqyEpNGbrAM:&tbnh=83&tbnw=127&prev=/images%3Fq%3DGRANDFATHER%2BAND%2BGRANDSON%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://3.bp.blogspot.com/_QoKE7KBpv7s/TCGtcnf5BSI/AAAAAAAAAz8/X5oE3NI7Z2o/s400/IMG_3078.JPG&imgrefurl=http://bookworm-megs.blogspot.com/2010_06_01_archive.html&usg=__PI0WLY4Ylg5EBaxS2mkQpQj0t10=&h=300&w=400&sz=31&hl=es&start=15&um=1&itbs=1&tbnid=z28YVsY7DlweXM:&tbnh=93&tbnw=124&prev=/images%3Fq%3DGRANDFATHER%2BAND%2BCAREER%26um%3D1%26hl%3Des%26sa%3DX%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://letustalk.files.wordpress.com/2009/06/fly1.jpg&imgrefurl=http://letustalk.wordpress.com/2009/06/&usg=__5V8thhMZG-W-nFPz_h-VNh76aQM=&h=360&w=306&sz=12&hl=es&start=7&um=1&itbs=1&tbnid=B18yUPDWf9e7DM:&tbnh=121&tbnw=103&prev=/images%3Fq%3DFLY%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

Talla y proporciones…

¿Armonía?

En

an

ism

o A

rmó

nic

o R

AC

IAL

(p

igm

eo

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ENANISMO ARMÓNICO:racial,familiar,esporádico, genérico y hipofisario.

Enanismo Armónico Familiar

E.A. hipofisario ó ATELEIÓTICO

6

http://images.google.com/imgres?imgurl=http://estaticos01.cache.el-mundo.net/elmundo/imagenes/2007/07/24/1185263755_0.jpg&imgrefurl=http://www.elmundo.es/elmundo/hemeroteca/2007/07/30/m/elsibarita.html&usg=__OV6ndSusOnr1u4YrJcx5rFbftqw=&h=307&w=300&sz=22&hl=es&start=2&itbs=1&tbnid=F9jzwi6PX-aUcM:&tbnh=117&tbnw=114&prev=/images%3Fq%3Dpigmeo%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://mondereversible.files.wordpress.com/2007/09/10nn.jpg&imgrefurl=http://mondereversible.wordpress.com/2007/09/25/kenadie-jourdin-bromley/&usg=__aG6gLxSYrJSA0i7VW1GF6i2zZCI=&h=269&w=402&sz=79&hl=es&start=8&itbs=1&tbnid=-RVATaQ7yovW6M:&tbnh=83&tbnw=124&prev=/images%3Fq%3Denanismo%26hl%3Des%26tbs%3Disch:1

http://www.parecidosrazonables.com/parecidos_razonables/288_Maurice-Tiller-y-Shrek.php

http://images.google.com/imgres?imgurl=http://www.medicinaysalud.org/wp-content/uploads/2008/11/acromegalia.jpg&imgrefurl=http://www.medicinaysalud.org/enfermedades/%25C2%25BFque-es-la-acromegalia/&usg=__vnNzTPc9ryuW4mrSAsccQFJ0hrM=&h=493&w=629&sz=117&hl=es&start=1&itbs=1&tbnid=AxhT4u_Kmssk-M:&tbnh=107&tbnw=137&prev=/images%3Fq%3Dacromegalia%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://1.bp.blogspot.com/_KN05wn88N-s/SoMRZTOKASI/AAAAAAAAAHU/gmWFnlwpZ7I/s320/este_165_21320.jpg&imgrefurl=http://enfermedades-raras-sk.blogspot.com/2009/08/enanismo-de-laron.html&usg=__0lPEYA1CS0yKjMe1A9EZMds9u7w=&h=307&w=230&sz=14&hl=es&start=9&itbs=1&tbnid=pZAfHq43-73uBM:&tbnh=117&tbnw=88&prev=/images%3Fq%3Denanismo%2Bfamiliar%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://2.bp.blogspot.com/_ENPBORHngNk/ScYzcjSzNXI/AAAAAAAAB-A/IzRHFk-Kwk0/s320/Enanismo.jpg&imgrefurl=http://www.elrincontecnologico.com/feeds/posts/default%3Fstart-index%3D426&usg=__VE4vFs6_6c2HjCssP56osrTVIlM=&h=320&w=241&sz=25&hl=es&start=11&itbs=1&tbnid=Lb48mHCpLm5O4M:&tbnh=118&tbnw=89&prev=/images%3Fq%3Denanismo%2Bfamiliar%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Velazquez-dwarf-don-sebastian-de-morra.jpg/200px-Velazquez-dwarf-don-sebastian-de-morra.jpg&imgrefurl=http://es.wikipedia.org/wiki/Enanismo&usg=__Vp9WleWsQqQF9JZ0vWo7lGVdvRU=&h=266&w=200&sz=13&hl=es&start=6&itbs=1&tbnid=5vDGFQnmMpMakM:&tbnh=113&tbnw=85&prev=/images%3Fq%3Denano%2Bhipofisario%26hl%3Des%26tbs%3Disch:1

Algunos tamaños menos armónicos…

Cretinismo: tronco largo y miembros cortos

Acondroplasia: cabeza “copa gorda”

GIG

AN

TIS

MO

AR

MÓ

NIC

O

EU

NU

CO

IDIS

MO

(C

AS

TR

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p

iern

as

la

rga

s.

GIGANTISMO DISARMÓNICO ACROMEGALIA: manos y pies gigantes y prominencias faciales pronunciadas.

7

http://images.google.com/imgres?imgurl=http://www.dioceseofwenchoster.co.uk/castrati_choristers.jpg&imgrefurl=http://www.dioceseofwenchoster.co.uk/choir.htm&usg=__P9vSjHdcF1A5W98PLLNapD8Xjlg=&h=717&w=577&sz=211&hl=es&start=2&itbs=1&tbnid=EoPpX59ZUkc3wM:&tbnh=140&tbnw=113&prev=/images%3Fq%3Dcastrati%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.gidabilimi.com/images/kretenizm1.png&imgrefurl=http://www.thyroidtreatments.net/tag/cretinism&usg=__YRsTiR-N6GdwuftefIlkGsj2FtI=&h=567&w=477&sz=247&hl=es&start=4&itbs=1&tbnid=EE1rrvAV_vd0AM:&tbnh=134&tbnw=113&prev=/images%3Fq%3Dcretinism%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.whk.ac.th/whk2008/web/science/iodine/IMAGE/Cretin.jpg&imgrefurl=http://www.whk.ac.th/whk2008/web/science/iodine/chapter2/idd.html&usg=__z_kazwfE_JZ_IJNDt1tO3-L8F3s=&h=279&w=260&sz=18&hl=es&start=2&itbs=1&tbnid=PIGdGnaLUuOE8M:&tbnh=114&tbnw=106&prev=/images%3Fq%3Dcretinism%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://estaticos02.cache.el-mundo.net/elmundo/imagenes/2008/03/05/1204715453_0.jpg&imgrefurl=http://fx-custom-club.foroactivo.net/cultura-f11/nueva-investigacion-en-la-universidad-de-melbourne-t144.htm&usg=__jT0dvu7s5eGzimSEkNQ7yU1U74s=&h=477&w=300&sz=17&hl=es&start=4&itbs=1&tbnid=z3h_R4ny4_rbNM:&tbnh=129&tbnw=81&prev=/images%3Fq%3Dcretinismo%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.jornada.unam.mx/2008/05/03/fotos/a06n1cul-1.jpg&imgrefurl=http://kikka-roja.blogspot.com/2008_04_27_archive.html&usg=__nJ5ntOxPqzSd1Sd4_szhNuIOVGY=&h=333&w=500&sz=21&hl=es&start=31&itbs=1&tbnid=0MO9-6KvI5jtDM:&tbnh=87&tbnw=130&prev=/images%3Fq%3Denanismo%2Bacondroplasia%26start%3D20%26hl%3Des%26sa%3DN%26ndsp%3D20%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.elcomerciodigital.com/prensa/fotos/200610/10/020D2GIJ-AST-xxx-P2_1.jpg&imgrefurl=http://www.elcomerciodigital.com/prensa/20061010/asturias/personas-pediran-gijon-enanismo_20061010.html&usg=__WQHrEsBatooVeldgzrgMQXSVQnA=&h=260&w=172&sz=13&hl=es&start=23&itbs=1&tbnid=qSma0nlmqA7jkM:&tbnh=112&tbnw=74&prev=/images%3Fq%3Denanismo%2Bacondroplasia%26start%3D20%26hl%3Des%26sa%3DN%26ndsp%3D20%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://gilbertogutierrez.files.wordpress.com/2010/02/castrati-in-a-handel-opera-anonymous-eighteenth-century-caricature.jpg&imgrefurl=http://gilbertogutierrez.wordpress.com/2010/02/03/el-crimen-del-obispo/&usg=__UefXQ70rQSvQc4-K0xoAiYEoFCY=&h=246&w=360&sz=51&hl=es&start=8&itbs=1&tbnid=vyZCvguPGBLvBM:&tbnh=83&tbnw=121&prev=/images%3Fq%3Dcastrati%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://3.bp.blogspot.com/_UpnQxB9Fs3E/Sbj_j-N5-iI/AAAAAAAAAAk/gnNyQ07XPiI/s320/castrato-process.jpg&imgrefurl=http://elmalignodedescartes.blogspot.com/2009/03/castrati.html&usg=__lgUIOU7pLeXNTX0jKCqKSIz90fg=&h=195&w=160&sz=12&hl=es&start=3&itbs=1&tbnid=QeYzCdJmWsD7SM:&tbnh=104&tbnw=85&prev=/images%3Fq%3Dcastrati%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.acromegaly.org.uk/acromegaly.jpg&imgrefurl=http://www.acromegaly.org.uk/&usg=__1DByAuZBz2UJpd3Iwr1cd_-SKhE=&h=281&w=248&sz=8&hl=es&start=4&itbs=1&tbnid=x4h5Jyf8NEmsGM:&tbnh=114&tbnw=101&prev=/images%3Fq%3Dacromegaly%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.e-radiography.net/radpath/a/acromegaly2.jpg&imgrefurl=http://www.e-radiography.net/radpath/a/acromegaly.htm&usg=__FVVyhVPAquCZQx_QcgkxLv1cfpw=&h=500&w=375&sz=50&hl=es&start=9&itbs=1&tbnid=EycdsflAfMuKHM:&tbnh=130&tbnw=98&prev=/images%3Fq%3Dacromegaly%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://img.tfd.com/mosby/thumbs/500038-fx7.jpg&imgrefurl=http://medical-dictionary.thefreedictionary.com/iatrogenic%2Bacromegaly&usg=__3XwNxhhKauoKrB4LZol9b6shBBc=&h=377&w=250&sz=16&hl=es&start=19&itbs=1&tbnid=4qXnWceavoV94M:&tbnh=122&tbnw=81&prev=/images%3Fq%3Dacromegaly%26hl%3Des%26tbs%3Disch:1

http://www.chauvet-translation.com/figures/Figure027.jpg

http://images.google.com/imgres?imgurl=http://www.eugenicsarchive.org/images/eugenics/normal/801-850/834-Mary-Ann-Bevan-the-world-s-ugliest-woman-acromegaly.jpg&imgrefurl=http://www.eugenicsarchive.org/eugenics/image_header.pl%3Fid%3D834&usg=__tAKkrpgkvvamiOc4i3COPMa6fA4=&h=666&w=409&sz=49&hl=es&start=13&itbs=1&tbnid=pzJu20vel_IUxM:&tbnh=138&tbnw=85&prev=/images%3Fq%3Dacromegaly%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.eldiariomontanes.es/prensa/fotos/200707/28/092D6DMGP3_1.jpg&imgrefurl=http://www.ocioycultura.com.es/rdl/2010/02/el-vitiligo-y-otras-extranas-enfermedades-de-los-famosos/&usg=__CjbOnx10TQBjLQDJ8MAe2qSXeqs=&h=269&w=200&sz=23&hl=es&start=6&itbs=1&tbnid=6swe8fAgfop7lM:&tbnh=113&tbnw=84&prev=/images%3Fq%3Dacromegalia%2Bbaloncesto%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://siskko.files.wordpress.com/2007/01/hulk_hogan_antes_y_ahora.jpg&imgrefurl=http://hoysecumplen.com/category/pressing-catch/&usg=__KrQP-Qfu-4g8GPrzUsW-zTniMOc=&h=327&w=470&sz=36&hl=es&start=10&itbs=1&tbnid=nuRPXdJpHiAc8M:&tbnh=90&tbnw=129&prev=/images%3Fq%3DACROMEGALIA%2BCELEBRITIES%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://hoysecumplen.com/wp-content/uploads/2010/01/140909galluchadoresgiganteg.jpg&imgrefurl=http://hoysecumplen.com/2010/01/page/5/&usg=__XXd0SskbdAbyb2GqB22d1wsd6Dw=&h=375&w=500&sz=61&hl=es&start=16&itbs=1&tbnid=9XBVehLC2l1plM:&tbnh=98&tbnw=130&prev=/images%3Fq%3DACROMEGALIA%2BCELEBRITIES%26hl%3Des%26tbs%3Disch:1

Otros gigantismos disarmónicos…ARANODACTILIA

MA

RFA

N Y

HO

MO

CIS

TIN

UR

IA

8

http://images.google.com/imgres?imgurl=http://www.hilaryshepherd.com/rantsnraves/wp-content/uploads/2009/09/uncle-sam-taxes.jpg&imgrefurl=http://www.hilaryshepherd.com/rantsnraves/2009/09/24/randy-quaid-evi-quaid-arrested/&usg=__xvE0QPFWWV9ngMWJUrErSgpowzA=&h=472&w=400&sz=20&hl=es&start=17&itbs=1&tbnid=UIR5BFvZvEjPEM:&tbnh=129&tbnw=109&prev=/images%3Fq%3DMARFAN%2BCELEBRITY%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://medicina.ufm.edu/uploads/assets/Sme-Marfan.jpg&imgrefurl=http://medicina.ufm.edu/cms/es/Sindrome-de-Marfan&usg=__XEMuC0PPxkdOCJMl_1krtSesazo=&h=803&w=472&sz=95&hl=es&start=1&itbs=1&tbnid=mdV38xCGnzRglM:&tbnh=143&tbnw=84&prev=/images%3Fq%3DMARFAN%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://html.rincondelvago.com/000610614.jpg&imgrefurl=http://html.rincondelvago.com/sindrome-de-marfan.html&usg=__quwjuaqgtObM4vPMHdPJduiRbV4=&h=380&w=570&sz=37&hl=es&start=7&itbs=1&tbnid=9TX5jr_6cNrCmM:&tbnh=89&tbnw=134&prev=/images%3Fq%3Daracnodactilia%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://4.bp.blogspot.com/_SYXRr644EAA/SS1ZCFAcDRI/AAAAAAAAB7s/o5l9LatQ8ig/s400/ss.jpg&imgrefurl=http://elrincondelamedicinainterna.blogspot.com/2008/11/cual-es-el-diagnstico_26.html&usg=__Y0oyhXh5RYFslXUBWevqr7cGNkk=&h=400&w=324&sz=16&hl=es&start=17&itbs=1&tbnid=f2zW5BdXd7jIZM:&tbnh=124&tbnw=100&prev=/images%3Fq%3Daracnodactilia%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.bvs.sld.cu/revistas/mciego/vol9_supl2_03/pics/img13_c5v9_supl203.gif&imgrefurl=http://www.bvs.sld.cu/revistas/mciego/vol9_supl2_03/casos/c6_v9_supl203.htm&usg=__DpviBRNehTGme21E8iOBttSLpwM=&h=226&w=258&sz=21&hl=es&start=16&itbs=1&tbnid=KWv5go-3IKN-_M:&tbnh=98&tbnw=112&prev=/images%3Fq%3Daracnodactilia%26hl%3Des%26tbs%3Disch:1

http://2.bp.blogspot.com/_tsOe-FCnO1g/Sa8hNu7-BEI/AAAAAAAAByY/1fbc0mUWSkg/s400/marf%C3%A1n+manos.jpg

http://images.google.com/imgres?imgurl=http://www.cardiologiapertutti.org/Immagini/Marfan%2520-%252002.jpg&imgrefurl=http://www.taringa.net/posts/info/2736752/Los-Largos-Dedos-de-Paganini.html&usg=__lYpc0HWNWsutdLnNxx2HRHfEVjA=&h=214&w=147&sz=7&hl=es&start=15&itbs=1&tbnid=8R2npBMHprTiCM:&tbnh=106&tbnw=73&prev=/images%3Fq%3Daracnodactilia%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://farm4.static.flickr.com/3091/3201874900_7665d26194.jpg&imgrefurl=http://www.flickr.com/photos/nationalmarfanfoundation/3201874900/&usg=___BvAnh_KfYql5e02TUnIivQp5ig=&h=500&w=475&sz=144&hl=es&start=18&itbs=1&tbnid=zeYggdR1bv1W7M:&tbnh=130&tbnw=124&prev=/images%3Fq%3DMARFAN%26hl%3Des%26tbs%3Disch:1

http://haplesshermit.typepad.com/photos/uncategorized/2008/03/27/vincent_schiavelli01.gif

http://images.google.com/imgres?imgurl=http://blogs.20minutos.es/myfiles/ezcultura/IMG_1935%2Bcopia.jpg&imgrefurl=http://www.taringa.net/posts/tv-peliculas-series/2100629/Javier-Botet-(Actor)---El-Monstruo-de-REC.html&usg=__iGvTJDgD2WgFvXp-Vwo-1r3XblY=&h=400&w=300&sz=17&hl=es&start=10&itbs=1&tbnid=oZAJ8VdTCyf1FM:&tbnh=124&tbnw=93&prev=/images%3Fq%3DACTOR%2BREC%2BMARFAN%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://4.bp.blogspot.com/_pCaj1MuWrMw/S6v4et2QrPI/AAAAAAAACLU/9NdDi_GhzVo/s1600/1256839370_0.jpg&imgrefurl=http://elpaisdeargentina.blogspot.com/2010/03/saludel-hombre-que-no-puede-dejar-de.html&usg=__LetZEDo6FU3IZvlMgx1Otv8AJpQ=&h=526&w=400&sz=20&hl=es&start=2&itbs=1&tbnid=-50X9q0s8GCwJM:&tbnh=132&tbnw=100&prev=/images%3Fq%3DACTOR%2BREC%2BMARFAN%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://www.hughston.com/hha/b_16_4_4b.jpg&imgrefurl=http://www.hughston.com/hha/a_16_4_4.htm&usg=__f2FsDru4FpfEIifaSRaJA7uDO14=&h=334&w=275&sz=40&hl=es&start=1&itbs=1&tbnid=J7hnFYYyzFULyM:&tbnh=119&tbnw=98&prev=/images%3Fq%3DHEART%2BMARFAN%26hl%3Des%26tbs%3Disch:1

http://go2.wordpress.com/?id=725X1342&site=hernaturehisnurture.wordpress.com&url=http%3A%2F%2Fhernaturehisnurture.files.wordpress.com%2F2008%2F08%2Fphelps13.jpg&sref=http%3A%2F%2Fhernaturehisnurture.com%2Ftag%2Fwing-span%2F

CONSTITUCIÓN…

• FENOTIPO: estado permanente tanto anatómico como funcional del cuerpo.

• GENOTIPO: caracteres heredados.

• PARATIPO: caracteres adquiridos (de crecimiento de funciones o evolutivos y de retroceso de funciones o involutivos).

9

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http://www.google.es/imgres?imgurl=http://www.vanitatis.com/cache/2008/05/07/76eugenia_dentro.jpg&imgrefurl=http://www.vanitatis.com/cache/2008/05/08/44_tuneado_duquesa_montoro.html&usg=__zCKz0p_aw_x0RZtDmS-OO15RmYI=&h=460&w=300&sz=45&hl=es&start=10&um=1&itbs=1&tbnid=kALnEu50f_nnnM:&tbnh=128&tbnw=83&prev=/images%3Fq%3Dduquesa%2Bde%2Balba%2Bjoven%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

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TIPOS DE CONSTITUCIÓN…FÍSICA:CLASIFICACIONES “QUIJOTESCO” IDEAL “SANCHO” DISARMONÍAS

GIOVANNI TÍSICO ATLÉTICO PLETÓRICO

SIGAUD RESPIRATORIO MUSCULAR DIGESTIVO CEREBRAL

VIOLA LONGITIPO BRAQUITIPO NORMOSPLÁCNICO

KRETSCHMER LEPTOSÓMICO ATLÉTICO PÍCNICO DISPLÁSICO

10

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http://images.google.com/imgres?imgurl=http://quijotadas.iespana.es/sancho.jpg&imgrefurl=http://quijotadas.iespana.es/jquiz.htm&usg=__Xog4edJHMnMQC80H_WDQ5g-h3XE=&h=1006&w=586&sz=309&hl=es&start=17&itbs=1&tbnid=X6zbtHukVaqrFM:&tbnh=150&tbnw=87&prev=/images%3Fq%3DSANCHO%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://2.bp.blogspot.com/_PSfkStpEh1E/SpG_FX3diLI/AAAAAAAAACk/laQprvZm-e8/s320/Usain_Bolt.jpg&imgrefurl=http://kbzas-d-rata.blogspot.com/2009_08_01_archive.html&usg=__7dLORJR0vlI3aaeJN3cOci9EIRg=&h=280&w=280&sz=16&hl=es&start=15&itbs=1&tbnid=N-6_I14gz5MYfM:&tbnh=114&tbnw=114&prev=/images%3Fq%3Dusain%2Bbolt%26hl%3Des%26tbs%3Disch:1

http://images.google.com/imgres?imgurl=http://3.bp.blogspot.com/_JqpPsAadxAs/S_3mHsElRjI/AAAAAAAABjQ/ipI9XRP72mk/s1600/GRU%C3%91%C3%93N.jpg&imgrefurl=http://postbysil.blogspot.com/2010/05/blanca-nieves-y-los-seis-enanitos.html&usg=__o-CUjLCv5NDtlcvkGN2bCnm462o=&h=409&w=290&sz=21&hl=es&start=18&itbs=1&tbnid=-SqOJsxohzE9VM:&tbnh=125&tbnw=89&prev=/images%3Fq%3Denano%2Bblanca%2Bnieves%26hl%3Des%26tbs%3Disch:1

TIPOS DE OBESIDAD (grasa y/o edema)

• SUPERIOR: síndrome de Cushing

• INFERIOR: lipodistrofia de Barraquer Simmonds y otros síndromes raros.

• UNIVERSAL.• ANASARCA.

11

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http://www.google.com/imgres?imgurl=http://www.scielo.cl/fbpe/img/rmc/v132n1/fig11-01.jpg&imgrefurl=http://www.scielo.cl/scielo.php%3Fpid%3DS0034-98872004000100012%26script%3Dsci_arttext&usg=__r9x-HzLa0hC9ESWsmmIEjGpgt44=&h=313&w=450&sz=23&hl=es&start=7&um=1&itbs=1&tbnid=KOMwKaZLIWye7M:&tbnh=88&tbnw=127&prev=/images%3Fq%3Dsindrome%2Bcushing%26um%3D1%26hl%3Des%26sa%3DN%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.hipernatural.com/images/enfermedades/enfermedad_de_cushing.jpg&imgrefurl=http://www.hipernatural.com/es/enfenfermedad_de_cushing.html&usg=__931RSeZLBrVk2pl2Qs6_EqcBP4g=&h=200&w=220&sz=8&hl=es&start=3&um=1&itbs=1&tbnid=R06jIUbvw1xg3M:&tbnh=97&tbnw=107&prev=/images%3Fq%3Dsindrome%2Bcushing%26um%3D1%26hl%3Des%26sa%3DN%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://4.bp.blogspot.com/_ZnlaXXYuggs/TB7Eqb06BpI/AAAAAAAAAeM/bc2Gq8bB4Fo/s400/lipodistrofia.JPG&imgrefurl=http://biologiademais.blogspot.com/&usg=__eERa6WULoZ4z8wiwd5zxcmplOLM=&h=291&w=400&sz=25&hl=es&start=6&um=1&itbs=1&tbnid=1Lm6hGmMciV0lM:&tbnh=90&tbnw=124&prev=/images%3Fq%3DLIPODISTROFIA%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://mardelossargazos.files.wordpress.com/2007/10/dromedario1.jpg&imgrefurl=http://mardelossargazos.wordpress.com/category/curiosidades/&usg=__MTMH67cYlgZPNY6hsJGPTnK5LXI=&h=288&w=359&sz=7&hl=es&start=7&um=1&itbs=1&tbnid=jH8dZXSCcO2UdM:&tbnh=97&tbnw=121&prev=/images%3Fq%3Djoroba%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

12

HIPOTIROIDISMO

EAP

http://www.google.com/imgres?imgurl=http://int-prop.lf2.cuni.cz/foto/009/pic00061.jpg&imgrefurl=http://int-prop.lf2.cuni.cz/zof/avysetreni/apoloha.htm&usg=__4dNpp8Y_eYLdMKu6rNufDxE9blA=&h=640&w=480&sz=185&hl=es&start=8&um=1&itbs=1&tbnid=9w7Vp4dXDE2osM:&tbnh=137&tbnw=103&prev=/images%3Fq%3DANASARCA%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.medwave.cl/medios/perspectivas/ACTASmedHCUCHoctNovDic2006/ParteIIHemoptisisfigura1.jpg&imgrefurl=http://www.medwave.cl/perspectivas/medicina/2006y2007/1/2.act%3Ftpl%3Dim_ficha_perspectivas_especialidades.tpl&usg=__zghTJMY_WcI04dP_O4xSBkbHCTg=&h=391&w=380&sz=90&hl=es&start=2&um=1&itbs=1&tbnid=5Mp-1iyWBT-ytM:&tbnh=123&tbnw=120&prev=/images%3Fq%3DPATIENT%2Bedema%2Bagudo%2Bde%2Bpulmon%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.ctv.es/USERS/tortosa/imagenes/hipofisis/hipot.gif&imgrefurl=http://www.ctv.es/USERS/tortosa/netscape/shipotNets.htm&usg=__f12L5YaNGVLC1945Xng5W3UpcdI=&h=218&w=159&sz=9&hl=es&start=11&um=1&itbs=1&tbnid=39KFnxafcqk_eM:&tbnh=107&tbnw=78&prev=/images%3Fq%3DCOLA%2BDE%2BCEJA%2BHIPOTIROIDISMO%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.infobae.com/adjuntos/imagenes/28/0172855B.jpg&imgrefurl=http://www.infobae.com/salud/461650-100935-0-Cu%25C3%25A1les-son-los-s%25C3%25ADntomas-del-hipotiroidismo&usg=__n1RWRqBFRt0cAosIxtRrOt_yfsg=&h=360&w=305&sz=25&hl=es&start=4&um=1&itbs=1&tbnid=T6_dFaNMQbpxTM:&tbnh=121&tbnw=103&prev=/images%3Fq%3DCOLA%2BDE%2BCEJA%2BHIPOTIROIDISMO%26um%3D1%26hl%3Des%26tbs%3Disch:1

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http://www.google.com/imgres?imgurl=http://www.skinnyvscurvy.com/wp-content/uploads/2009/01/karolina-kurkovas-weight-a-result-of-hypothyroidism.jpg&imgrefurl=http://www.zimbio.com/Supermodels/articles/339/Karolina%2BKurkova%2BWeight%2BAffected%2BHypothyroidism&usg=__AeTh1LPc_Y0wGCVDjNdoIE5uNo8=&h=835&w=500&sz=89&hl=es&start=1&um=1&itbs=1&tbnid=b7DKFzOMC2KcSM:&tbnh=144&tbnw=86&prev=/images%3Fq%3DCELEBRITY%2BWITH%2BHYPOTHYROIDISM%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://img.photobucket.com/albums/v338/dodgediz/NonaLisa_Botero.jpg&imgrefurl=http://chicaxl.blogspot.com/2005/06/mitos-y-verdades-sobre-hormonas.html&usg=__Aqer_yPXo_SLZvJ-zSEsrLdO588=&h=360&w=320&sz=19&hl=es&start=3&um=1&itbs=1&tbnid=om3qX_sUX7TtkM:&tbnh=121&tbnw=108&prev=/images%3Fq%3DBOTERO%2BHIPOTIROIDISMO%26um%3D1%26hl%3Des%26tbs%3Disch:1

TIPOS DE EDEMA:• INICIO (brusco/paulatino), LOCALIZACIÓN (asimetría,

localizados/generalizados, zonas declives), INTENSIDAD (fóvea +++), SIGNOS INFLAMATORIOS, DURACIÓN Y ALIVIO.

• ESTASIS O CARDIOCIRCULATORIO: zonas acras y/o declives (región lumbar y/o sacra en encamados).

• LINFÁTICO o LINFEDEMA: por compresión, filariasis, congénitos y Trofedema.

• NEFRÍTICO: párpados, testicular y mmii.• NEFRÓTICO• INFLAMATORIO (5 signos de Hipócrates)• CARENCIAL: edemas de guerra, hambre (déficit albúmina) y cáncer (2º

hipercatabolismo proteico).• ALÉRGICO o ANGIONEURÓTICO.

13

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http://www.google.com/imgres?imgurl=http://www.dherbs.com/store-images/Edema1.gif&imgrefurl=http://www.dherbs.com/articles/edema-swelling-249.html&usg=__qGg6Ia4eg7l4d9utsv-p8PWVUsY=&h=664&w=1001&sz=359&hl=es&start=20&um=1&itbs=1&tbnid=FZvZdzj1G6vusM:&tbnh=99&tbnw=149&prev=/images%3Fq%3DEDEMA%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://agaudi.files.wordpress.com/2007/10/eye-scapes-01.jpg&imgrefurl=http://agaudi.wordpress.com/2007/10/&usg=__GNIHUcw2T92gGiufT8__u5FbdzU=&h=400&w=402&sz=50&hl=es&start=3&um=1&itbs=1&tbnid=hEnjps2zPDeXaM:&tbnh=123&tbnw=124&prev=/images%3Fq%3DEYE%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

UNAS “FOTICOS” MÁS…

EDEMA EN ESCLAVINA

ANGIOEDEMAS

EDEMA PALPEBRAL ¿UNI- O BILATERAL?

FILARIASIS (de esto poco)

14

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http://www.google.com/imgres?imgurl=http://www.uv.es/derma/CLindex/CLLE/dms003.jpg&imgrefurl=http://www.uv.es/derma/CLindex/CLLE/clle4.html&usg=__IFuuzfo-j1FAv9iuUGy-nyVM2ao=&h=287&w=337&sz=25&hl=es&start=5&um=1&itbs=1&tbnid=BEnMXktQTsHMhM:&tbnh=101&tbnw=119&prev=/images%3Fq%3Dedema%2Bpalpebral%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://3.bp.blogspot.com/_U82dtxrR0yU/SQIPsa_hnlI/AAAAAAAADKw/PLST5tWCBZM/s320/happy+halloween.jpg

http://www.google.com/imgres?imgurl=http://4.bp.blogspot.com/_0Y-2jiPGO9s/R6vIrtZYu_I/AAAAAAAAASg/7p_yWTaQgTM/s320/conjuntivitis2.jpg&imgrefurl=http://www.flaviaostoich.com.ar/2008_02_01_archive.html&usg=__5H6LkMwor1smCwrUDna7S2hHNl8=&h=191&w=219&sz=14&hl=es&start=10&um=1&itbs=1&tbnid=vYVCR1shB32inM:&tbnh=93&tbnw=107&prev=/images%3Fq%3Dconjuntivitis%2Ben%2Bni%25C3%25B1os%26um%3D1%26hl%3Des%26sa%3DX%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://i.esmas.com/image/0/000/005/295/angioedema-Ntnva.jpg&imgrefurl=http://www.esmas.com/salud/enfermedades/notransmisibles/596247.html&usg=__PRKM9p36N-IjHOWq8iUNjTovXAQ=&h=270&w=370&sz=17&hl=es&start=2&um=1&itbs=1&tbnid=Dsj1KqyFI1V1MM:&tbnh=89&tbnw=122&prev=/images%3Fq%3Dangioedema%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://lifeinthefastlane.com/wp-content/uploads/2009/04/traumatic_angioedema_side.jpg&imgrefurl=http://lifeinthefastlane.com/2009/04/traumatic-angioedema/&usg=__XyfVX3Ntz5smaXmOqhLt-OsGhCg=&h=1200&w=1600&sz=331&hl=es&start=10&um=1&itbs=1&tbnid=FvyEUiuhHISkiM:&tbnh=113&tbnw=150&prev=/images%3Fq%3Dangioedema%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.thaihp.org/adr/showpicture.php%3Fmode%3Dedit%26id%3D131%26citeria%3Danswer_no%26table%3Dwb_answer&imgrefurl=http://www.smclm.com/MENU/Urticariayangioedema/tabid/264/Default.aspx&usg=__HsZeQMgrQmLgpjYCUamGM1pd_uA=&h=174&w=199&sz=6&hl=es&start=7&um=1&itbs=1&tbnid=6e8NzA3ganaCtM:&tbnh=91&tbnw=104&prev=/images%3Fq%3Dangioedema%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.doyma.es/ficheros/images/21/21v18n04/grande/21v18n04-13045829tab01.gif

http://www.google.com/imgres?imgurl=http://bugs.bio.usyd.edu.au/learning/resources/Entomology/images/Topics/importance/filariasis.jpg&imgrefurl=http://bugs.bio.usyd.edu.au/learning/resources/Entomology/importance/imagePages/filiarisis.html&usg=__-Ygg-BlPutBldhOwnLe9e5bqwDE=&h=318&w=400&sz=43&hl=es&start=7&um=1&itbs=1&tbnid=S87iWl0fZSeQrM:&tbnh=99&tbnw=124&prev=/images%3Fq%3DFILARIASIS%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.com/imgres?imgurl=http://www.adi.org.au/gallery_img/Filariasis2__max__622x2000.jpg&imgrefurl=http://www.lookfordiagnosis.com/mesh_info.php%3Fterm%3DElefantiasis%2520Filarial%26lang%3D2&usg=__eAUjsIkZwNmh9g5CGAoynwhBZdw=&h=461&w=425&sz=151&hl=es&start=10&um=1&itbs=1&tbnid=fRgTVrIobR-weM:&tbnh=128&tbnw=118&prev=/images%3Fq%3DFILARIASIS%26um%3D1%26hl%3Des%26tbs%3Disch:1

http://www.google.es/imgres?imgurl=http://4.bp.blogspot.com/_A-4t1PqcPHU/TEflKJLWXrI/AAAAAAAAGug/JCfthfsPZ6E/s1600/santa%2Bnomina.jpg&imgrefurl=http://eltrasterodelaimaginacion.blogspot.com/&usg=__knMx5uV-_TZaekndSXglFliurPQ=&h=379&w=399&sz=15&hl=es&start=7&um=1&itbs=1&tbnid=_1rdgWDB34WcnM:&tbnh=118&tbnw=124&prev=/images%3Fq%3DALIVIO%26um%3D1%26hl%3Des%26rls%3Dcom.microsoft:es:IE-SearchBox%26rlz%3D1I7GZEZ_es%26tbs%3Disch:1

EDAD APARENTE…

• EQUIVALENTE A LA EDAD CRONOLÓGICA.• “BIEN CONSERVADOS”• JUVENILISMO• PROGERIA

15

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DESARROLLO MUSCULAR Y ÓSEO…

• “HUESUDOS”: climaterio, acromegalia.• GRÁCIL: esqueleto femenino normal y/o

hipogonadismo en el varón.• MUSCULOSO: factor genético, laboral,

deportistas. HERCÚLEO: enfermedad Thomsen, coartación aórtica.

• HIPOPLASIA congénita y adquirida.

16

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HIPOPLASIAS…

• SIMÉTRICAS: proximales (miopatías congénitas o hereditarias) y distales (miopatías neurológicas, mielopáticas y vasculares).

• ASIMÉTRICAS: poliomielitis y polineuritis.

17

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DEFORMIDADES GENERALES…

• RAQUITISMO• ENF. PAGET• CRETINISMO• TIPOS DE CRÁNEO:

- DOLICOCÉFALOS.- MESOCÉFALOS.- BRAQUICÉFALOS.

18

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PIEL (exantemas) y MUCOSAS (enantemas):• COLORACIÓN: palidez, hiperemia, ictericia, cianosis, pajizo, clorosis. ¡¡ LUZ

NATURAL !!

- Tipos de ictericia: verdínica (obst. biliar completa), flavínica (anemia hemolítica), rubínica (origen hepatocelular) y melánica (ictericia crónica obstructiva).

- Piel hiperpigmentada: racial, irradiación solar y patológica.

- Melanodermias: Addison, Cushing y hemocromatosis.

- Intoxicaciones por metales (gris pizarra): agudos (arsénico) y crónicos (argirosis y aurosis).

- Piel hipopigmentada: albinismo (pelo blanco e iris rosado).

- Piel aporcelanada: panhipopituitarismo (Sind. Seehan: pezones sin color).

19

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LESIONES ELEMENTALES (ERUPCIONES CUTÁNEAS):

• MÁCULAS (“manchas” sin prominencia)• PÁPULAS• VESÍCULAS• PÚSTULAS• RONCHAS o HABONES• NÓDULOS • TUBÉRCULOS • ÚLCERAS• EROSIÓN• FISURA • COSTRA• ESCAMAS

20¿MALTRATO?

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MÁC

ULA

S• PIGMENTARIAS• NO PIGMENTARIAS

(VITÍLIGO)• SANGUÍNEAS

CLOASMA EMBARAZO EFÉLIDES o PECAS

MANCHAS CAFÉ CON LECHE

NEUROFIBROMATOSIS (no es macular)

VITÍLIGO Y EL “CAMUFLAJE COSMÉTICO”

LEUCODERMA o ACROMÍA SÍFILIS 2ª

TELANGIECTASIA o ARAÑA VASCULAR