EPI Flashcards

1
Q

Definición de EPI

A

Afección de tracto genital superior consecuencia de un proceso infeccioso ascendente de vagina y cérvix

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2
Q

Patogenia de EPI

A
  • Disrupción del ecosistema vaginal

- Modificación de ambiente hormonal local

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3
Q

Factores hormonales que modifican en EPI

A
  • Embarazo
  • ACO
  • Obesidad
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4
Q

Etiologia de EPI

A
  • 85% se asocia a ITS (Chlamydia, Gonococo)
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5
Q

Síntomas de EPI

A
  • Dolor abdominal 95%
  • Dispareunia 90%
  • Leucorrea fétida
  • Disuria
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6
Q

Gold standar de EPI

A

No hay

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7
Q

Grado 1 de EPI

A
  • No complicada
  • Sin masa anexial
  • No datos de abdomen agudo
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8
Q

Grado 2 EPI

A
  • Complicada
  • Masa anexial o absceso que involucra trompa y ovarios
  • Datos de irritación peritoneal
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9
Q

Grado 3 EPI

A
  • Diseminada a estructuras extra-pélvicas
  • Absceso tubo-ovárico roto
  • Datos de respuesta sistémica
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10
Q

Indicaciones de hospitalización en EPI

A
  • Enfermedad clínica grave
  • EPI complicada con absceso pélvico
  • Embarazo
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11
Q

Tratamiento EPI leve

A
  • Ambulatorio

- Cefalosporina + Doxiciclina

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