Sx de Fournier Flashcards

1
Q

Definición

A

Infección necrosante

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2
Q

Localización

A

Área perineal, perianal, genital

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3
Q

FR

A
DM
Obesidad
Esteroides
Neoplasias
VIH
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4
Q

Etiología

A

Infección
Trauma
Inmunidad
Malnutrición

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5
Q

Patogénesis

A

Resp. inflamatoria
Trombosis
Reducción de flujo
Isquemia tisuclar

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6
Q

SS

A
Dolor 
Hinchazón 
Eritema
Fiebre 
Taquic
Disuria
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7
Q

Desenlace

A

5-8 días

Necrosis y sepsis

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8
Q

Dx RX

A

Gas en tejidos subcutáneos
Edema
Inflamación de tejido escrotal

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9
Q

Dx ECO

A

Enfisema subcutáneo
Hiperemia
Focos escogénicos

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10
Q

DX CT

A

Aire fascial
Edema muscular
Enfisema subcutáneo

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11
Q

Dx dif

A

Balanitis gangrenosa
Linfogranulomatosis inguinal
Chancro blando
Úlceras

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12
Q

Tx

A
Cefalosporinas
Nitromidazol
Fluoroquinolonas
Aminoglucósidos
Carbapenémicos
Desbridamiento Qx
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