diff --git a/Microservicios/MsUsuarios/Context/ModelContext.cs b/Microservicios/MsUsuarios/Context/ModelContext.cs
index f9f9b50..8e5decb 100644
--- a/Microservicios/MsUsuarios/Context/ModelContext.cs
+++ b/Microservicios/MsUsuarios/Context/ModelContext.cs
@@ -76,6 +76,8 @@ namespace MSAdminUsuarios.Context
                     .HasName("PERFILESMS_PK");
 
                 entity.ToTable("PERFILESMS");
+                
+                entity.Property(e => e.TX_UUID_PFL).HasMaxLength(40);
 
             });
 
@@ -86,7 +88,7 @@ namespace MSAdminUsuarios.Context
 
                 entity.ToTable("PERFILESPORUSUARIO");
 
-                entity.Property(e => e.TX_UUID_PFLXUSU).HasMaxLength(40);
+                entity.Property(e => e.TX_UUID_USUMS).HasMaxLength(40);
 
             });
 
diff --git a/Microservicios/MsUsuarios/Context/PERFIL.cs b/Microservicios/MsUsuarios/Context/PERFIL.cs
index a002578..2491aed 100644
--- a/Microservicios/MsUsuarios/Context/PERFIL.cs
+++ b/Microservicios/MsUsuarios/Context/PERFIL.cs
@@ -10,6 +10,7 @@ namespace MSAdminUsuarios.Context
         public string? TX_PERFIL_PFL { get; set; }
         public int? BL_ESTADO_PFL { get; set; } = 1;
         public int? NU_ROL_PFL { get; set; }
+        public string? TX_UUID_PFL { get; set; }
 
     }
 }
diff --git a/Microservicios/MsUsuarios/Context/PERFILPORUSUARIO.cs b/Microservicios/MsUsuarios/Context/PERFILPORUSUARIO.cs
index f13dbfd..f4cf927 100644
--- a/Microservicios/MsUsuarios/Context/PERFILPORUSUARIO.cs
+++ b/Microservicios/MsUsuarios/Context/PERFILPORUSUARIO.cs
@@ -9,7 +9,7 @@ namespace MSAdminUsuarios.Context
         public string? TX_FKDOC_USUMS { get; set; }
         public int? NU_FK_PFL { get; set; }
         public int? BL_ESTADO_PFLXUSU { get; set; } = 1;
-        public string? TX_UUID_PFLXUSU { get; set; }
+        public string? TX_UUID_USUMS { get; set; }
 
     }
 }
diff --git a/Microservicios/MsUsuarios/Controllers/PerfilesController.cs b/Microservicios/MsUsuarios/Controllers/PerfilesController.cs
index 9e1a6a4..b86f9b0 100644
--- a/Microservicios/MsUsuarios/Controllers/PerfilesController.cs
+++ b/Microservicios/MsUsuarios/Controllers/PerfilesController.cs
@@ -39,6 +39,13 @@ namespace MSAdminUsuarios.Controllers
 
                 if (guardado == null) return ValidationProblem();
 
+                if (guardado.TX_UUID_PFL == null)
+                {
+                    Guid uuid = Guid.NewGuid();
+                    var UUID = uuid.ToString();
+                    guardado.TX_UUID_PFL = UUID;
+                }
+
                 _context.PERFILESMs.Add(guardado);
                 await _context.SaveChangesAsync();
                 return Ok();
diff --git a/Microservicios/MsUsuarios/Controllers/PerfilesPorUsuarioController.cs b/Microservicios/MsUsuarios/Controllers/PerfilesPorUsuarioController.cs
index 98e1a3b..0f1cff8 100644
--- a/Microservicios/MsUsuarios/Controllers/PerfilesPorUsuarioController.cs
+++ b/Microservicios/MsUsuarios/Controllers/PerfilesPorUsuarioController.cs
@@ -53,7 +53,7 @@ namespace MSAdminUsuarios.Controllers
                     var count = 0;
 
                     // Se cambia a estado 0 todos los perfiles por usuario existentes
-                    var existe_plfxusu = _context.PERFILESPORUSUARIOs.Where(x => x.BL_ESTADO_PFLXUSU == 1 && x.TX_FKDOC_USUMS == guardar[0].TX_FKDOC_USUMS).ToList();
+                    var existe_plfxusu = _context.PERFILESPORUSUARIOs.Where(x => x.BL_ESTADO_PFLXUSU == 1 && x.TX_UUID_USUMS == guardar[0].TX_UUID_USUMS).ToList();
 
                     foreach (var cu in existe_plfxusu)
                     {
@@ -68,7 +68,7 @@ namespace MSAdminUsuarios.Controllers
                         //Se comprueba existencia de cada pxu en base de datos
                         var existe_pxu = (from dm in _context.PERFILESPORUSUARIOs
                                           where dm.NU_FK_PFL == pxu.NU_FK_PFL
-                                          && dm.TX_FKDOC_USUMS == pxu.TX_FKDOC_USUMS
+                                          && dm.TX_UUID_USUMS == pxu.TX_UUID_USUMS
                                           select dm).ToList();
 
                         if (existe_pxu.Count() > 0)
diff --git a/Microservicios/MsUsuarios/Controllers/UsuariosController.cs b/Microservicios/MsUsuarios/Controllers/UsuariosController.cs
index 5814db8..6752448 100644
--- a/Microservicios/MsUsuarios/Controllers/UsuariosController.cs
+++ b/Microservicios/MsUsuarios/Controllers/UsuariosController.cs
@@ -8,6 +8,11 @@ using Microsoft.EntityFrameworkCore;
 using System.Linq;
 using Microsoft.IdentityModel.Tokens;
 using RabbitMQ.Client;
+using Newtonsoft.Json;
+using System.Threading.Channels;
+using MSAdminUsuarios.Dto.Externos.MsAgendaMedica;
+using static MSAdminUsuarios.Utils.RabbitMQService;
+using MSAdminUsuarios.Utils;
 
 namespace MSAdminUsuarios.Controllers
 {
@@ -17,11 +22,12 @@ namespace MSAdminUsuarios.Controllers
     {
         private readonly ModelContext _context;
         private readonly Encripter _encript = new();
-        //private readonly IModel _channel;
+        private readonly IModel _channel;
 
-        public UsuariosController(ModelContext context)
+        public UsuariosController(ModelContext context, IModel channel)
         {
             _context = context;
+            _channel = channel;
         }
         //public UsuariosController(ModelContext context, IModel channel)
         //{
@@ -208,7 +214,7 @@ namespace MSAdminUsuarios.Controllers
                         Guid uuid = Guid.NewGuid();
                         var UUID = uuid.ToString();
                         usuario.TX_UUID_USUMS = UUID;
-                    }
+                    } 
 
                     _context.USUARIOSMs.Add(usuario);
                     await _context.SaveChangesAsync();
@@ -284,6 +290,41 @@ namespace MSAdminUsuarios.Controllers
                     _context.USUARIOSMs.Update(existe);
                     _context.SaveChanges();
 
+                    /*
+                     * 1. Perfiles del usuario
+                     * 2. Buscar el perfil de medico
+                     * 3. Si existe la relacion
+                     * 3.1. Se hace la actualizacion de datos
+                     * 
+                     */
+
+                    List<PERFILPORUSUARIO> perfilesUsuario = this._context.PERFILESPORUSUARIOs.Where(pxu => pxu.TX_UUID_USUMS == existe.TX_UUID_USUMS).ToList();
+
+                    if (perfilesUsuario.Count > 0 && perfilesUsuario.Exists(pxu => pxu.NU_FK_PFL == 1)) 
+                    {
+                        using (_channel)
+                        {
+                            var medico = new MedicoDto()
+                            {
+                                TX_UUID_MDC = existe.TX_UUID_USUMS,
+                                TX_LUGARESATEN_MDC = existe.TX_SEDES_USUMS
+                            };
+
+                            string jsonMedico = JsonConvert.SerializeObject(medico);
+
+                            string exchange = MQExchanges.AgendaMedica;
+
+                            // Publish Usuario
+                            RabbitMQMessages.PublishToMessageQueue(
+                                channel: _channel,
+                                exchange: exchange,
+                                routingKey: $"{exchange}.{MQueues.medico}.patch",
+                                message: jsonMedico
+                            );
+                        }
+
+                    }
+
                     _errorModel.error = false;
                     _errorModel.cuerpo.Add("Usuario actualizado.");
                     dbContextTransaction.Commit();
diff --git a/Microservicios/MsUsuarios/Dto/Externos/MsAgendaMedica/MedicoDto.cs b/Microservicios/MsUsuarios/Dto/Externos/MsAgendaMedica/MedicoDto.cs
new file mode 100644
index 0000000..3e83a29
--- /dev/null
+++ b/Microservicios/MsUsuarios/Dto/Externos/MsAgendaMedica/MedicoDto.cs
@@ -0,0 +1,31 @@
+namespace MSAdminUsuarios.Dto.Externos.MsAgendaMedica
+{
+    public class MedicoDto
+    {
+        public int? NU_TIPOID_MDC { get; set; }
+        public string TX_DOCUMENTO_MDC { get; set; } = null!;
+        public string? TX_REGPROF_MDC { get; set; }
+        public string? TX_CODIGO_MDC { get; set; }
+        public int? NU_CARGO_MDC { get; set; }
+        public int? NU_TIPOPROF_MDC { get; set; }
+        public string? TX_PRINOMBRE_MDC { get; set; }
+        public string? TX_SEGNOMBRE_MDC { get; set; }
+        public string? TX_PRIAPELLIDO_MDC { get; set; }
+        public string? TX_SEGAPELLIDO_MDC { get; set; }
+        public string? TX_DIRECCION_MDC { get; set; }
+        public string? TX_EMAIL_MDC { get; set; }
+        public string? TX_TELEFONO_MDC { get; set; }
+        public string? NU_CELULAR_MDC { get; set; }
+        public int? NU_MODCONTRATACION_MDC { get; set; }
+        public string? TX_ESPECIALIDAD_MDC { get; set; }
+        public int? BL_ADSCRITO_MDC { get; set; }
+        public int? BL_PERCITAWEB_MDC { get; set; }
+        public int? BL_ESTADO_MDC { get; set; }
+        public int? NU_MAXCITASEXTRA_MDC { get; set; }
+        public string? TX_GRUPOSCUPS_MDC { get; set; }
+        public string? CL_AGENDA_MDC { get; set; }
+        public string? TX_LUGARESATEN_MDC { get; set; }
+        public string? TX_UUID_MDC { get; set; }
+
+    }
+}
diff --git a/Microservicios/MsUsuarios/Utils/GenericTools.cs b/Microservicios/MsUsuarios/Utils/GenericTools.cs
new file mode 100644
index 0000000..6a55256
--- /dev/null
+++ b/Microservicios/MsUsuarios/Utils/GenericTools.cs
@@ -0,0 +1,87 @@
+using System.Linq.Expressions;
+
+namespace MSAdminUsuarios.Utils
+{
+    public static class GenericTools
+    {
+        /// <summary>
+        /// Permite clonar los valores de un objeto recorriendo cada parámetro
+        /// (<paramref name="Origin"/>,<paramref name="Destiny"/>,<paramref name="exceptions"/>).
+        /// </summary>
+        /// <param name="Origin"> Objeto el cual se va a leer sus propiedades y valores</param>
+        /// <param name="Destiny"> Objeto el cual se va a ESCRIBIR los valores del origen basado en el nombre de la propiedad.</param>
+        /// <param name="exceptions"> Lista con nombres de propiedades a excluir de la copia</param>
+        public static void CloneObj<T>(T origin, T destiny, params Expression<Func<T, object>>[] exceptions) where T : class
+        {
+            var destinyProps = typeof(T).GetProperties();
+            var exceptionProps = new HashSet<string>();
+            if (exceptions != null)
+            {
+                foreach (var exception in exceptions)
+                {
+                    if (exception.Body is MemberExpression memberExpression)
+                    {
+                        exceptionProps.Add(memberExpression.Member.Name);
+                    }
+                }
+            }
+
+            foreach (var prop in typeof(T).GetProperties())
+            {
+                var originName = prop.Name;
+                if (exceptionProps.Contains(originName))
+                    continue;
+
+                for (int i = 0; i < destinyProps.Length; i++)
+                {
+                    if (destinyProps[i].Name == originName)
+                    {
+                        destinyProps[i].SetValue(destiny, prop.GetValue(origin, null));
+                        i = destinyProps.Length + 1;
+                    }
+                }
+            }
+        }
+    
+        /// <summary>
+        /// Permite tomar parcialmente la información de un obejto Origen, validar si existe en el destino y si es diferente de nulo, para setearle el valor asignado
+        /// (<paramref name="Origin"/>,<paramref name="Destiny"/>,<paramref name="exceptions"/>).
+        /// </summary>
+        /// <param name="Origin"> Objeto el cual se va a leer sus propiedades y valores</param>
+        /// <param name="Destiny"> Objeto el cual se va a ESCRIBIR los valores del origen basado en el nombre de la propiedad.</param>
+        /// <param name="exceptions"> Lista con nombres de propiedades a excluir de la copia</param>
+        public static void ClonePartialObj<TFrom, TTo>(TFrom origin, TTo destiny, params Expression<Func<TTo, object>>[] exceptions) where TTo : class
+        {
+            var destinyProps = typeof(TTo).GetProperties();
+            var exceptionProps = new HashSet<string>();
+            if (exceptions != null)
+            {
+                foreach (var exception in exceptions)
+                {
+                    if (exception.Body is MemberExpression memberExpression)
+                    {
+                        exceptionProps.Add(memberExpression.Member.Name);
+                    }
+                }
+            }
+            
+            foreach (var prop in typeof(TFrom).GetProperties())
+            {
+                var originName = prop.Name;
+                var originValue = prop.GetValue(origin, null);
+                if (exceptionProps.Contains(originName))
+                    continue;
+
+                for (int i = 0; i < destinyProps.Length; i++)
+                {
+                    if (destinyProps[i].Name == originName && originValue != null)
+                    {
+                        destinyProps[i].SetValue(destiny, originValue);
+                        i = destinyProps.Length + 1;
+                    }
+                }
+            }
+        }
+    
+    }
+}
diff --git a/Microservicios/MsUsuarios/Utils/RabbitMQMessages.cs b/Microservicios/MsUsuarios/Utils/RabbitMQMessages.cs
new file mode 100644
index 0000000..0a00645
--- /dev/null
+++ b/Microservicios/MsUsuarios/Utils/RabbitMQMessages.cs
@@ -0,0 +1,20 @@
+using RabbitMQ.Client;
+using System.Text;
+
+namespace MSAdminUsuarios.Utils
+{
+    public static class RabbitMQMessages
+    {
+        public static void PublishToMessageQueue(IModel channel, string exchange, string routingKey, string message)
+        {
+            var body = Encoding.UTF8.GetBytes(message);
+
+            channel.BasicPublish(
+                exchange: exchange,
+                routingKey: routingKey,
+                basicProperties: null,
+                body: body
+            );
+        }
+    }
+}
diff --git a/Microservicios/MsUsuarios/Utils/RabbitMQService.cs b/Microservicios/MsUsuarios/Utils/RabbitMQService.cs
index 4ccd70e..947c61e 100644
--- a/Microservicios/MsUsuarios/Utils/RabbitMQService.cs
+++ b/Microservicios/MsUsuarios/Utils/RabbitMQService.cs
@@ -12,17 +12,53 @@ using System.Text;
 
 namespace MSAdminUsuarios.Utils
 {
+    public readonly struct MQExchanges
+    {
+        public static readonly string AgendaMedica = "MsAgendaMedica";
+        public static readonly string Usuarios = "MSAdminUsuarios";
+    }
+
+    public readonly struct MQueues
+    {
+        public static readonly string medico = "UsuarioMedico";
+        public static readonly string PerfilesPorUsuario = "PerfilesPorUsuario";
+        public static readonly string Usuarios = "Usuarios";
+        public static readonly string FirmaUsuario = $"{Usuarios}.Firma";
+
+    }
+    public class MsComunicadoresModel
+    {
+        public string exchange { get; set; } = "";
+        public List<string> queues { get; set; } = new();
+    }
     public static class RabbitMQService
     {
         private static string[] _queues = Array.Empty<string>();
         private static string _exchange = "MSAdminUsuarios";
+        private static string Exchange
+        {
+            get { return _exchange; }
+            set { _exchange = value; }
+        }
+
+        private static readonly MsComunicadoresModel ExchangePrincipal = new()
+        {
+            exchange = Exchange,
+            queues = { MQueues.PerfilesPorUsuario, MQueues.Usuarios }
+            
+        };
+
+        private static readonly List<MsComunicadoresModel> ListaExchanges = new() {
+            ExchangePrincipal,
+            new() {
+                exchange = MQExchanges.AgendaMedica,
+                queues = { MQueues.medico }
+            }
+        };
 
 
         public static IModel GetRabbitMQChannel(IServiceProvider serviceProvider, string projectName)
         {
-            //var loggerFactory = LoggerFactory.Create(builder => builder.AddConsole().AddEventLog());
-            //var logger = loggerFactory.CreateLogger("Rabbit1");
-
             var connection = serviceProvider.GetService<IConnection>();
 
             if (connection == null)
@@ -32,45 +68,35 @@ namespace MSAdminUsuarios.Utils
 
             //Declare exchange if it doesnt already exist
             var exchangeName = projectName;
-            _exchange = exchangeName;
+            Exchange = exchangeName;
 
-
-            channel.ExchangeDeclare(
-                exchange: exchangeName,
-                type: ExchangeType.Topic,
-                durable: true,
-                autoDelete: false,
-                arguments: null
-            );
-
-            _queues = new string[] 
-            {
-                 $"{exchangeName}.PerfilesPorUsuario",
-                 $"{exchangeName}.Usuarios"
-            };
-
-            foreach (var queue in _queues)
-            {
-                channel.QueueDeclare(
-                    queue: queue,
+            ListaExchanges.ForEach(ex => {
+                channel.ExchangeDeclare(
+                    exchange: ex.exchange,
+                    type: ExchangeType.Topic,
                     durable: true,
-                    exclusive: false,
                     autoDelete: false,
                     arguments: null
                 );
 
-                channel.QueueBind(
-                    queue: queue,
-                    exchange: exchangeName,
-                    routingKey: $"{queue}.*"
-                );
-            }
+                ex.queues.ForEach(q => {
+                    string queue = $"{ex.exchange}.{q}";
 
-            channel.QueueBind(
-                queue: $"{exchangeName}.Usuarios",
-                exchange: exchangeName,
-                routingKey: $"{exchangeName}.Usuarios.*.*"
-            );
+                    channel.QueueDeclare(
+                        queue: queue,
+                        durable: true,
+                        exclusive: false,
+                        autoDelete: false,
+                        arguments: null
+                    );
+
+                    channel.QueueBind(
+                        queue: queue,
+                        exchange: ex.exchange,
+                        routingKey: $"{queue}.*"
+                    );
+                });
+            });
 
             return channel;
         }
@@ -80,46 +106,32 @@ namespace MSAdminUsuarios.Utils
             RabbitMQConfig mqConfig = builder.Configuration.GetSection("RabbitMQConfig").Get<RabbitMQConfig>();
 
             var loggerFactory = LoggerFactory.Create(builder => builder.AddConsole().AddEventLog());
-            try
+            //var logger = loggerFactory.CreateLogger("Rabbit2");
+            //logger.LogInformation("Inicia Rabbitmq con");
+
+            ConnectionFactory factory = new()
             {
-                //var logger = loggerFactory.CreateLogger("Rabbit2");
-                //logger.LogInformation("Inicia Rabbitmq con");
-
-                ConnectionFactory factory = new()
-                {
-                    HostName = mqConfig.HostName,
-                    UserName = mqConfig.UserName,
-                    Password = mqConfig.Password,
-                };
-
-                IConnection connection = factory.CreateConnection();
-                IModel channel = connection.CreateModel();
-
-                EventingBasicConsumer consumer = new(channel);
-
-                consumer.Received += RabbitMQService.ConsumeRabbitMQEvent;
-
-                List<string> queues = new()
-            {
-                $"{projectName}.PerfilesPorUsuario",
-                $"{projectName}.Usuarios",
+                HostName = mqConfig.HostName,
+                UserName = mqConfig.UserName,
+                Password = mqConfig.Password,
             };
 
-                foreach (var queue in queues)
-                {
-                    channel.BasicConsume(
-                        queue: queue,
-                        autoAck: false,
-                        consumer: consumer
-                        );
-                }
-            }
-            catch (Exception ex)
-            {
+            IConnection connection = factory.CreateConnection();
+            IModel channelReceptor = connection.CreateModel();
 
-                Console.WriteLine(ex.Message);
+            EventingBasicConsumer consumer = new(channelReceptor);
+
+            consumer.Received += RabbitMQService.ConsumeRabbitMQEvent;
+
+
+            foreach (var queue in ExchangePrincipal.queues)
+            {
+                channelReceptor.BasicConsume(
+                    queue: $"{ExchangePrincipal.exchange}.{queue}",
+                    autoAck: false,
+                    consumer: consumer
+                );
             }
-            
         }
 
 
@@ -191,7 +203,7 @@ namespace MSAdminUsuarios.Utils
                 try
                 {
                     
-                    var UsuariosCtrl = new UsuariosController(context);
+                    var UsuariosCtrl = new UsuariosController(context, model);
                     if (controller[2] == "post")
                     {
                         var data = JsonConvert.DeserializeObject<USUARIO>(message);