Otorrino Flashcards

1
Q

Edad con mayor Incidencia de epistaxis

A

Infancia

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2
Q

Origen mas común de la epistaxis

A

Pliexo de Kiesselbach en el tabique anterior. Nota el adulto sangra mas frecuentemente en forma posterior

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3
Q

Causa mas común de epistaxis

A

PTI

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4
Q

Clasificacion de las epistaxis

A

Benigna o leve ( la mas frecuente, brusca, profusa, unilateral, cede con maniobras locales, edo hemodinamico normal) Severa o grave ( Repetitivas, Bilaterales, abundantes, edo general alterado, palidez)

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5
Q

Epistaxis del px no hipertenso

A

Compresion local y vasoconstrictor ( oximetazolina, fenilefrina, nafazolina)
Cauterizacion electrica o quimica ( nitrato de plata)

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6
Q

En quien se indica el taponamiento nasal

A

epistaxis que no cede a maniobas iniciales, taponamiento por 1-5 dias

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7
Q

Tx epistaxis grave

A

ligadura de la arteria esfenopalatina, ligadura de la carotida externa, ligadura transnasal, embolizacion percutanea

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