Abordagem de pectus carinatum na Atenção Primária e seu impacto na saúde emocional do paciente: relato de caso

Luiza Carla Migliavacca Pian; Laura Vitória Xavier; Thais Caroline Fin; Juliana Frighetto; Hellany Karolliny Pinho Ribeiro

doi:10.5712/rbmfc17(44)3495

Authors

Luiza Carla Migliavacca Pian Universidade de Passo Fundo – Passo Fundo (RS), Brasil. https://orcid.org/0000-0003-0289-6325
Laura Vitória Xavier Universidade de Passo Fundo – Passo Fundo (RS), Brasil. https://orcid.org/0000-0001-5446-4490
Thais Caroline Fin Universidade de Passo Fundo – Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-2384-0905
Juliana Frighetto Universidade de Passo Fundo – Passo Fundo (RS), Brasil. https://orcid.org/0000-0003-3659-2282
Hellany Karolliny Pinho Ribeiro Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-3157-7924

DOI:

https://doi.org/10.5712/rbmfc17(44)3495

Keywords:

Primary health care, Thoracic wall, Pectus carinatum, Self-concept.

Abstract

Introduction: Pectus carinatum (PC) is an unusual deformity of the chest wall that usually arises in childhood and becomes more pronounced in adolescence. This malformation can lead to aesthetic and self-esteem disorders, in addition to respiratory problems, due to the restriction of the chest wall. There are few Brazilian studies dedicated exclusively to PC, and most are directed at pectus excavatum or the investigation of both conditions jointly. Presentation of the case: In this case, a 13-year-old male sought medical attention in primary health care (PHC) because of the appearance of tumefaction in the parasternal region. He denied physical symptoms but reported embarrassment and aesthetic discomfort with the presence of the prominence. Conclusions: The multidisciplinary approach of thoracic deformity is fundamental in acceptance and treatment, with PHC playing an essential role, since all the team must assist and provide, through treatment, a better aesthetic, physical and emotional quality of life to the patient, and these factors led us to document this case.

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Author Biographies

Luiza Carla Migliavacca Pian, Universidade de Passo Fundo – Passo Fundo (RS), Brasil.

Academic of the VIII level of the Medical course of the University of Passo Fundo (UPF), with admission in 2019/1. Member of the Academic League of Children's Health of the University of Passo Fundo (LASCRI- UPF). In 2020-2021 she was monitor in the discipline of Care and Emergency in Medicine and currently is monitor in the discipline of Digestive System. Observership in the area of Family and Community Medicine at the São José Primary Health Care unit in Passo Fundo- RS, under the supervision of Dr. Thais Caroline Fin, totaling a workload of 40 hours.

Laura Vitória Xavier, Universidade de Passo Fundo – Passo Fundo (RS), Brasil.

Academic of the VIII level of the Medical course of the University of Passo Fundo (UPF), with admission in 2019/1. Monitor in the discipline of Medical Anatomy in 2020 and currently is monitor in the discipline of Digestive System. Member of the Academic League of Gastroenterology and Digestive Surgery of the University of Passo Fundo (Ligastro- UPF). Observership in the area of Family and Community Medicine at the São José Primary Health Care unit in Passo Fundo- RS, under the supervision of Dr. Thais Caroline Fin, totaling a workload of 40 hours.

Thais Caroline Fin, Universidade de Passo Fundo – Passo Fundo (RS), Brasil.

Medical degree from the University of Passo Fundo (UPF). Title of Specialist in Family and Community Medicine by the Brazilian Medical Association and Brazilian Society of Family and Community Medicine (CREMERS/RQE 36402). Specialization in Family Health (UNA-SUS/UFCSPA). Doctor in Primary Care - Municipal Health Department Passo Fundo. Master's degree in Human Aging (UPF). PhD student in the Human Aging Program at the University of Passo Fundo (UPF). Postgraduate in Aesthetic Medicine and Post-Graduation in Advanced Aesthetic Medicine with international degree from the International Association of Aesthetic Medicine. Postgraduate in Dermatology. Professor in the Medical Course (UPF). Professor in the Higher Course of Technology (CST) in Aesthetics and Cosmetics (UPF). Preceptor at the Medical Course of the Federal University of Southern Border- Passo Fundo (UFFS). Doctor at The Long-Stay Institution - Solar Nossa Senhora Aparecida.

Juliana Frighetto, Universidade de Passo Fundo – Passo Fundo (RS), Brasil.

Psychologist degree from the Integrated Regional University - Frederico Westphalen Campus - RS. In her work as a psychologist since 2010, she took a course in Cognitive Behavioral Psychology at Werner(Poa), training in family therapy and sexuality at Elo (Passo fundo RS) and training in Humanist Psychology ACP (AGAPH), and acting in the public and private sphere as autonomous in her company Clínica Agein Family with Humanist Psychology- Person-Centered Approach. She worked as a professor in the disciplines of postgraduate studies (psychopedagogy) and graduation (disciplines of Humanism and Existentialism, supervising internship, guiding TCCs, researching in the area of human aging - and in disciplines of Biological Bases of behavior); coordination of the Psychology course and the Multiprofessional Residency in Elderly Health (disciplines of Care for the Caring Family and Intergenerational Relations).

Hellany Karolliny Pinho Ribeiro, Universidade Federal do Piauí (UFPI)

Nursing degree from the Federal University of Piauí (UFPI). Worked as a nurse in the Municipal Health Department of Passo Fundo- RS. She currently works as a nurse at the Clinical Hospital of the Federal University of Uberlândia/ EBSERH (HC- UFU). Specialization in oncology nursing from The German Hospital Oswaldo Cruz, HAOC, Brazil.

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