APENDICITIS Flashcards

1
Q

DEFINICION DE APENDICITIS

A

INFLAMACION DEL APENDICE VERMIFORME

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2
Q

TIPOS DE APENDICITIS

A

AGUDA
CRONICA
REACTIVA

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3
Q

CAUSA MAS FRECUENTE DE APENDICITIS EN NIÑOS

A

HIPERPLASIA DE TEJIDO LINFOIDE

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4
Q

CAUSA MAS FRECUENTE DE APENDICITIS EN ADULTOS

A

FECALITO

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5
Q

PRINCIPALES PATÓGENOS

A

B. FRAGILIS
E. COLI

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6
Q

MANIFESTACIONES CLINICAS

A

DOLOR ABDOMINAL EN REGION PERIUMBILICAL QUE SE IRRADIA A FOSA ILIACA DERECHA, SE EXACERBA CON MOVIMIENTOS
NAUSEA
ANOREXIA
FIEBRE
SIGNOS PERITONEALES
LEUCOCITOS >10 MIL
NEUTROFILOS CON DESVIACION A LA IZQ CON/SIN BANDEMIA

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7
Q

SIGNOS QUE ENCUENTRAS EN EXPLORACIÓN FÍSICA

A

SENSIBILIDAD EN FID
PUNTO DE MCBURNEY
SIGNO DE ROVSING
SIGNO DE BLUMBERG
SIGNO DE ILIPSOAS
SIGNO DE OBTURADOR

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8
Q

¿QUÉ ENCUENTRAS EN UNA RX DE ABDOMEN?

A

ASA CENTINELA
NIVELES HIDROAEREOS
FECALITO
BORRAMIENTO DEL PSOAS
POSICIÓN ANTALGICA

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9
Q

ESTUDIO DE ELECCIÓN EN EMBARAZADAS Y NIÑOS

A

US

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10
Q

ESCALA QUE SE UTILIZA

A

ESCALA DE ALVARADO

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11
Q

TRATAMIENTO DE ELECCIÓN

A

APENDICECTOMÍA LAPAROSCÓPICA

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12
Q

COMPLICACIÓN MAS FRECUENTE A CORTO PLAZO

A

INFECCIÓN EN HERIDA QX

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13
Q

COMPLICACIÓN MAS FRECUENTE A LARGO PLAZO

A

ABCESO RESIDUAL

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14
Q

PROFILAXIS ANTIBIÓTICA

A

CEFOXITINA/CEFOTAXIMA IV + METRONIDAZOL IV

ALERGIA CEFALOSPORINAS –> AMIKACINA

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