33. (Para)Typhus/Analvenenthrombose Flashcards by Ian Paglione

Q

(Para/Typhus)

Epidemiologie

A

in Gebieten des globalen Südens

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Q

(Para/Typhus)

Erreger

A

Salmonella enterica serovar (para)thyphi

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Q

(Para/Typhus)

Infektionsweg (2)

A

Mensch zu Mensch
fäkal-oral

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Q

(Para/Typhus)

Infektiosität

A

niedrig (100K)

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Q

(Para/Typhus)

Komplikationen

A

Darmblutung o. -Perforation
Typhus-Dauerausscheider

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Q

(Para/Typhus)

Typhus-Dauerausscheider

A

> 10 Wochen nach Infektion

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Q

(Para/Typhus)

Typhus-Dauerausscheider: Therapie (Dauer)

A

Fluorchinolone (für 4 Wochen)

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Q

(Para/Typhus)

Prävention

A

„Cook it, peel it or forget it”

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Q

(Para/Typhus)

V.a.

A

Reiseanamnese + Fieber über Tage

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Q

(Para/Typhus)

Leitsymptome

A

Kontinua-Fieber
relative Bradykardie
Roseolen

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Q

(Para/Typhus)

Labordiagnostik (2)

A

Sorologie
Blut- und Stuhlkulturen

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Q

(Para/Typhus)

Therapie der Wahl

A

Antibiotika-

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Q

(Para/Typhus)

Antibiotikatherapie der 1. Wahl (Dauer)

A

Fluorchinolone (für 14d)

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Q

(Para/Typhus)

Antibiotikatherapie der 2. Wahl (Dauer)

A

Cephalosporine der 3. Generation (für 14d)

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Q

(Analvenenthrombose)

Pathophysiologie

A

Thrombus im Plexus haemorrhoidalis inferior

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Q

(Analvenenthrombose)

Differenzialdiagnosen (2)

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A

Mariske
perianaler Abszess

Q

(Analvenenthrombose)

Leitsymptom

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A

akute starke stechende perianale Schmerzen

mit Verstärkung während und nach der Defäkation

Q

(Analvenenthrombose)

Palpation

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A

kein Repositionsversuch!

Q

(Analvenenthrombose)

Therapieplanung (2)

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A

konservative
ggf. operative

Q

(Analvenenthrombose)

konservative Therapien der Wahl (2)

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A

lokale
systemische

Q

(Analvenenthrombose)

lokale Therapie der Wahl

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A

analgetische / corticosteroidhaltige Salben

Q

(Analvenenthrombose)

analgetische / corticosteroidhaltige Salben der Wahl

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A

Lidocain-Basis / Hydrocortison

Q

(Analvenenthrombose)

systemische Therapie (Mittel der Wahl)

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A

antiphogistika (NSAR)

Q

(Analvenenthrombose)

OP: Indikation

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A

bei Versagen der konservativen Therapie

(Analvenenthrombose) OP-Verfahren: Möglichkeiten (2)

- Stichinzision - Exzision der gesamten Thrombose