Estenosis Hipertrofica Congenita Piloro Flashcards

1
Q

Definición estenosis hipertrofia congénita piloro

A

Disminución luz intestinal a nivel piloto por hipertrofia e hiperplasia capa muscular porción antropilorica

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2
Q

Primera causa obstrucción neonato 2da semana vida

A

Estenosis pilorica congénita

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3
Q

1ra causa cx abdominal primeros 2 meses vida

A

Estenosis hipertrofica congénita piloro

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4
Q

Primera causa alcalosis metabólica pediatría

A

Estenosis hipertrofica congénita piloro

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5
Q

Clinica estenosis piloro

A

Vomito 3ra semana de vida, progresivo, no biliar, postprandial, profuso, retención, en proyectil
Llanto energico

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6
Q

Factores riesgo hipertrofia piloro

A

Antecedente familiar
Sexos masculino
Primogénito
Ingestión de macrolidos en las 2 primeras semanas de vida

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7
Q

Trastorno electrolítico en hipertrofia pilorica

A

Alcalosis metabólica hipocloremica

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8
Q

Signos en hipertrofia pilorica

A

Signo oliva pilorica (patognomonico)
Signo pelota golf
Prueba biberón positivo

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9
Q

Signo oliva pilorica

A

Palpación de piloro hipertrofiado, semeja a una aceituna

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10
Q

Signo de pelota de golf

A

Ondas perístalsis vigorosas, visibles en el abdomen, de izquierda a derecha, hasta la zona del piloro.
Estenosis Hipertrofia pilorica congénita

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11
Q

Diagnóstico de 1ra elección en estenosis hipertrofica congénita piloro

A

Usg abdomen

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12
Q

Imágenes estenosis congénita piloro

A

Imagen de ojo de bovino o dona.
Imagen de doble riel
Espesor dem músculo piloirco>3-4mm

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13
Q

Tratamiento definitivo de estenosis hipertrofica congénita piloro

A

Piloromiotomia de Fredet-Ramstedt

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