EVC hemorrágico Flashcards

1
Q

Factores de riesgo (4)

A

HTAS
Tabaquismo
Angiopatía amiloide
Anticoagulantes

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2
Q

Es el principal factor de riesgo.

A

HTAS

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3
Q

Puede ser (2)

A

Intraparenquimatosa
Intraventricular

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4
Q

Hemorragia primaria (2)

A

Hipertensiva
Amiloidea

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5
Q

Hemorragia secundaria (4)

A

Drogas
Malformaciones
TCE
Aneurismas

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6
Q

CLX: (3)

A

Súbito y rápidamente progresivo
Síntomas por aumento de PIC
Alteración del estado de despierto.

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7
Q

CLX de hemorragia supratentoriañ

A

Contralateral

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8
Q

CLX de hemorragia infratentorial (2)

A

Ataxia, nistagmo

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9
Q

Estudios dx (4)

A

TAC
RM a ver si hay MAVS
Angiotac
Angiofrafía

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10
Q

Es el gold standar para malformaciones vasculares.

A

Angiografía

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11
Q

Es de mal pronóstico.

A

Apertura ventricular

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12
Q

Px joven con hemorragia =

A

Malformaciones

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13
Q

> 75 años con HTAS=

A

Hemorragia amiloidea

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14
Q

Sitio más común de hemorragia porHTAS.

A

Nucleos vasales

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15
Q

El tx quirúrgico se indica en px con (4)

A

Deterioro del estado de despierto
Hemorragia cerebelos >3cm
Hemorragia lobar >30cc
Que sea accesible

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16
Q

Tx de HIC: (2)

A

Mantener la cabeza a 30 grados
Drenaje de hidrocefalia

17
Q

La PPC siempre debe mantenerse _____.

A

Mayor a 60

18
Q

La osmolaridad debe mantenerse

A

300-320 mOsm

19
Q

Fármaco que actúa como agente hiperosmolar.

A

Manitol Mortalidad del EVC hemorrágico

20
Q

Mortalidad del EVC hemorrágico

A

20-70%