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Ciru E N A R M > enfermedad hemorroidal > Flashcards

enfermedad hemorroidal Flashcards

(25 cards)

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1
Q

es la dilatacion de

A

plexos venosos hemorroidales de recto y ano

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2
Q

es la enfermedad mas comun del recto

A

hemorroides

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3
Q

etiologia

A

multifactorial

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4
Q

fp

A

aumento de congestion venosa

hipertrofia de cojinetes

prolapso

disminuye retorno venoso

disrupcion de angulo de treitz

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5
Q

drena a vena mesenterica inferior

A

vena hemorroidal superior

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6
Q

vena hemorroidal inferior y media drenan a

A

iliaca interna y vena cava inferior

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7
Q

musculos que participan en la enfermedad

A

esfinter interno del ano

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8
Q

factores predisponentes

A

herencia
profesion
embarazo

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9
Q

factoress desencadenantes

A

estreñimiento cronico
malos habitos higienico dieteticos

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10
Q

clasificacion

A

externas o internas

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11
Q

caracteristicas de hrrides externas

A

dilatacion de venas hemorroidales o rectales inferiores debajo del tercio inferior del cnal anal

frecuntes

DEBAJO DE LA LINEA PECTINEA

MUY MUY DOLOROSAS

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12
Q

TRIADA CLINICA DE HRRIDES EXTERNAS

A

DOLOR
TUMORACION
PRURITO ANAL

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13
Q

caracteristicas de las internas

A

encima de la inea pectinea o dentada
no duelen
sangrado rojo brillante
rectorragia esporadica y progresiva, es el sintoma mas frecuente

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14
Q

tx de grado 1

A

hemorroides en recto que no pasan el ano
conservador

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15
Q

tx de grado 2

A

prolapso al defecar pero reduce espontaneamente
LIGADURA CON BANDA DE CAUCHO

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16
Q

tx de grado 3

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A

prolapso con valsalva y necesita reduccion manual

LIGADURA CON BANDA ELASTICA

17
Q

tx de grado IV

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A

Prolapso persistente que no se puede reducir
HEMORROIDECTOMIA

18
Q

SOSPECHAR DE ENFERMEDAD HEMORROIDAL CUANDO

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A

DOLOR
PROLAPSO
SANGRADO POSTDEFECACION

19
Q

DX

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A

POSICION DE SIMS O GENOPECTORAL IZQUIERDA
EN VALSALVA OY SIN VALSALVA

ANOSCOPIA SOLO PARA GRADO UNO

RECTOSIGMOIDOSCOPIA EN TENESMO. MOCO EN EVACUACIONES PARA DESCARTAR CCR O EII

20
Q

TX MODIFICADOR DE ESTILO DE VIDA

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A

FIBRA EN DIETA
AGUA
EVITAR SEDENTARISMO Y ESFUEZO AL DEFECAR

21
Q

TX CONSERVADOR

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A

FLEBOTONICOS
BAÑOS CON ASIENTO DE AGUA
ANESTESICOS TOOPICOS
ABLANDADORES DE HECES
MUCHA AGUA

22
Q

TX PARA G2 Y 3 O 1 CON FALLO AL TX

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A

LIGADURA CON BANDA ELASTICA O ESCLEROTERAIA

23
Q

TX QX

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A

HEMORREIDOCTOMIA
CON TECNICA DE FERGUSON, ES UNA TECNICA CERRADA, SE QUITA EL PLEXO DE PIEL Y CIERRE

TECNICA DE MILLIGAN Y MORGAN TECNICA ABIERTA, SE QUITA EL PLEXO Y SE DEJA ABIERTA

24
Q

MANEJO DE HRRIDES RECTALES

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A

ESCLEROTERAPIA

25

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