<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152016000100057</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Diagnóstico del paciente en situación de últimos días]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alpízar Rodríguez]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Murillo]]></surname>
<given-names><![CDATA[Juan Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,juanpa.8.mm@hotmail.com  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>57</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152016000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152016000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152016000100057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Se presenta una revisión sobre signos clínicos para el diagnóstico de situación de últimos días en pacientes con enfermedades terminales. Inicialmente se aclaran definiciones de conceptos básicos sobre la etapa final de la vida. Asimismo se habla tanto de estudios antiguos como recientes sobre signos clínicos aplicables para el diagnóstico de agonía. Finalmente se analizan los cambios en los signos vitales en los pacientes agónicos, con base en literatura médica actualizada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: It is presented a review of clinical signs for the diagnosis of the situation of final days in terminally ill patients. Initially definitions of basic concepts on the final stage of life are clarified. It also is reviewed both, ancient and recent Studies about clinical signs applicable for the diagnosis of agony. Finally we analyze changes in vital signs in the dying patients, based on current medical literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Muerte]]></kwd>
<kwd lng="es"><![CDATA[cuidado terminal]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Paliativos al Final de la Vida]]></kwd>
<kwd lng="es"><![CDATA[Ruidos Respiratorios]]></kwd>
<kwd lng="es"><![CDATA[Apnea.]]></kwd>
<kwd lng="en"><![CDATA[Death]]></kwd>
<kwd lng="en"><![CDATA[Terminal Care]]></kwd>
<kwd lng="en"><![CDATA[Hospice Care]]></kwd>
<kwd lng="en"><![CDATA[Respiratory Sounds]]></kwd>
<kwd lng="en"><![CDATA[Apnea]]></kwd>
</kwd-group>
</article-meta>
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