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Medicina Interna 2 > Misceláneas > Flashcards

Misceláneas Flashcards

1
Q

criterios de LUPUS

A
  1. fiebre
  2. ulceras orales
  3. lupus discoide o cutaneo agudo, eritema malar
  4. sinovitis o dolor en al menos 2 articulaciones
  5. manif neuropsiq como delirio, psicosis, conv
  6. derrame pleural o pericardico, pericarditis aguda
  7. leucopenia, trombocitopenia o hemolisis autoinmune
  8. daño renal, proteinuria
  9. ac anticardiolipina, antib2gp1 o anticoagulante lupico
  10. hipocomplementemia
  11. antidsDNA, anti Smith
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2
Q

SME ANTIFOSFOLIPIDICO manifestaciones

A

TVP
TEP
HTP
ACV
IRenal
abortos repetidos o muerte fetal intrautero
AIT
sarpullido
migrañas, demencia, convulsiones
enfermedad cv
trombosis arterial (cianosis mm distales)
livedo reticularis (trombosis capilares)
trombocitopenia por consumo

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3
Q

sme antifosfolipidico factores precipitantes

A

ser mujer fdr
otras enf autoinmunes es fdr
aco
embarazo
inmovilizacion
fumar
hiperlipidemia

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4
Q

dx antifosfolipidico, q pido en lab? q mas pido?

A

anticardiolipina
(analisis coagulacion)

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5
Q

enfermedad de whipple

A

enf por tropheryma whippeli
clinica: artralgias, fiebre o febricula intermitente, stmas snc como demencia y perdida de memoria, esteatorrea, pp)

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6
Q

tto sme antifosfolipidico:

A

anticoagulacion

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7
Q

q anticoagulante se usa para FA cronica no valvular?

A

DOACs

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8
Q

q anticoagulante se usa para FA cronica valvular?

A

WARFARINA

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9
Q

DIAGNOSTICO HIV AGUDO

A

PCR (VIREMIA EN CURSO)

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10
Q

ANTE ACV, CUANTO TIEMPO TENGO PARA PASAR TPA?

A

HASTA 4:30HS

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11
Q

soplos, q escala uso?

A

levine
1 apenas audible
5-6 lo escucho sin esteto o con esteto cerca de torax

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12
Q

px con contraindicacion TPA, que le doy ante ACV?

A

AAS + CLOPIDOGREL

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13
Q

ACV CLINICA

A

paresia (debilidad) o plejia (incapacidad de mover) miembro o cara de un lado o los dos
confusion, dificultad para hablar, disartria
problemas visuales uno o dos ojos
mareos, perdida de equilibrio, dificultad para caminar
cefalea intensa

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14
Q

CI fibrinoliticos (estreptoquinasa tpa)

A

RELATIVAS
HTA grave no controlada
alergia a estreptoquinasa (muy comun post)
embarazo lactancia
qx 3 sems previas
acv >3m
ABSOLUTAS
sangrado activo
acv ultimos 3 meses o menos
TEC
lesiones vasculares o tumorales cerebrales
ESTREPTOQUINASA: IAM SIN SUPRAST

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15
Q

ARTRITIS REUMATOIDE

A

se ve mas en muñeca, metacarpofalangicas y falanges proximales. coexiste con osteoartrosis, deformidad en cuello de cisnea (interfalanges proximales extendidas y flexion interfalangica distal. rx simple si hay sospecha: osteopenia yuxtaauricular, edema tejidos blandos, perdida simetrica espacio articular, erosiones subcondrales. metatarsofalangicas tmb se pueden afectar.
alta incidencia enf coronaria, osteoporosis, hipoandrogenismo.

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16
Q

sme de felty AR

A

neutropenia+esplenomegalia+ar nodular.

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17
Q

apenas llega paciente con sospecha de acv, q le pido?

A

TOMOGRAFIA COMPUTADA
(RESO, ANGIO CEREBRAL)

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18
Q

VN LEUCOCITOS

A

4000 A 11000 /ul

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19
Q

GR VN

A

38.000.000-48.000.000 ul mujeres
4,5-5,5 millones x microlitro hombres

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20
Q

HB VN

A

mujeres 12-15g%
hombres 13,5 a 17,5 g%

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21
Q

HTO VN

A

36-46% mujeres
42-52% hombres

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22
Q

VCM VN

A

83-101 FL

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23
Q

reticulocitos % VN

A

0,5 a 2%

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24
Q

HCM

A

27-32pg

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25
Q

CHCM VN

A

31-377g%

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26
Q

plaquetas vn

A

150.000-450.000 x microlitro

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27
Q

eritrosedimentacion por VSG

A

0-20mm/h en hombres, hasta 30 mujeresz

28
Q

UREA VN

A

HASTA 40mg%

29
Q

colesterol vn

A

hasta 200mg%

30
Q

bilirrucina

A

0,2-1mg%
>2 ictericia

31
Q

cianosis

A

> 5mg% hb descarboxilada

32
Q

GOT y GPT VN

A

hasta 40 aprox
GOT 34
GPT 55
en alcoholicos aumenta mas got y lo normal es un indice al reves

33
Q

albuminemia

A

3,4 a 5,4 g%

34
Q

proteinemia

A

6,4 a 8,3 g%

35
Q

FAL

A

40-150U/L

36
Q

LDL vn

A

hasta 140mg%

37
Q

TAG VN

A

hasta 150mg%

38
Q

calcio vn

A

total 8,5 a 10,5 mg%
ionizado 4,5 a 5,5mg%

39
Q

sodio vn

A

140 mas menos 5 meq/l

40
Q

potasio vn

A

3,5 a 5,5 meq/l

41
Q

cloro vn

A

95-105 meq/l (100-108)

42
Q

TSH VN

A

0,35 a 5 mU/l

43
Q

TIROXINA T3 VN

A

0,7 a 1,5 NG/DL

44
Q

CALCIFEROL VN

A

desable 30-40 ng/ml

45
Q

CKMB VN

A

MENOR DE 5 ng/ml

46
Q

TROPONINA I VN

A

15,6 en mujeres, 2 en hombres, picogramos/ml

47
Q

LIPASA VN

A

0-160U/L

48
Q

AMILASA VN

A

30-110U/L

49
Q

creatinina vn

A

0,6 a 1,2 mg%

50
Q

FG VN

A

100-120ml/min/1,73m2

51
Q

anion gap urinario vn

A

menos 20

52
Q

sme uremico valor

A

mas de 200mg%

53
Q

RIN VN

A

1

54
Q

glucemia vn

A

70-110 mg%

55
Q

anion gap vn

A

10mas menos 2 meq/l

56
Q

ph vn

A

7,36-7,42

57
Q

bicarbonato vn

A

24 mas menos 2 meq/l

58
Q

eb vn

A

menos 3 a 3

59
Q

pco2 vn

A

35,45mmhg

60
Q

po2 vn

A

95 a 100mmhg

61
Q

so2%optima

A

96%

62
Q

ldh vn

A

140 a 280 U/L

63
Q

OLD CRAB MM

A

ancianos
Calcemia alta
R problemas renales
Anemia
Bone, mas resorcion

64
Q

Vn magnesio

A

1,5 a 2mg%

65
Q

Mnemotecnia hiperpth 1rio

A

Stones
Thrones
Bones
Groans
Psychatric overtones

66
Q

Ganglios ca gastrico

A

Virchow supraclavicular
Periumbilical de maria jose
Axilar izq irlandes
Krukenberg bilat ovario
Fondo de saco de douglas blumer
Disemina a hig y pulmon

67
Q

Pack years calculo

A

Cigarrillos x dia x numeros de años q fuma / 20

Medicina Interna 2 (6 decks)

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