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Lawrence > Infectii > Flashcards

Infectii Flashcards

(40 cards)

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1
Q

Factori de risc locali care cresc incidenta infectiilor

A
  1. Hematom
  2. Necroza
  3. Corp strain
  4. Obezitate
  5. Contaminare
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2
Q

Cine se adm cu 1-2h inaintea interventiei

A
  1. Fluorochinolone

2. Vanco

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3
Q

Atb care se da profilactic in toate procedurile

A

Cefazolina

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4
Q

In care proceduri se da profilactic metronidazol

A
  1. Intestin subtire

2. Colo-rectal

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5
Q

In care proceduri se da profilactic ampicilina-sulbactam

A
  1. Tract biliar
  2. Colo-rectal
  3. Histerectomie
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6
Q

In care proceduri NU se da profilactic vanco la alergie la b lactamine

A
  1. Intestin subtire

2. Colo-rectal

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7
Q

In care proceduri se da profilactic DOAR cefazolina

A
  1. Ortopedic

2. GD

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8
Q

Ce se da prolifactic cu alergie la b lactamine in proceduri GD, tract biliar si histerectomie

A

Clindamicina / vanco + aminoglicozid / aztreonam / fluororchinolona

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9
Q

Ce nivel de contaminare are tiroidectomia

A

Curat

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10
Q

Ce nivel de contaminare are rezectia gastrica

A

Curat contaminata

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11
Q

Ce nivel de contaminare are ulcerul perforat

A

Contaminat

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12
Q

Ce nivel de contaminare are drenarea abcesului intraabd

A

Murdar

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13
Q

Tratamentul IPC superficiale

A

Atb oral -> G poz - celulita

Chir -> inf purulente

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14
Q

Exemple infectii intracavitare si intraparenchimatoase

A
  1. Peritonita secundara
  2. Abces intraabd
  3. Empiem
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15
Q

Indicatori ai necesitatii reinterventiei la inf abd

A
  1. Durere abd difuza
  2. Aparare musculara
  3. Leucocitoza
  4. Stare toxico-septica
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16
Q

Cel mai util test dg pt abcesul intraabd

A

CT cu contrast enteric si intravenos

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17
Q

Transudatul

Study These Flashcards
A
  • Forte hidrostatice crescute

- Proteine scazute

18
Q

Exsudatul

Study These Flashcards
A
  • Permeabilitate crescuta
  • Prot crescute
  • pH < 7,2
  • glucoza < 60 mg/dl
  • LDH > 3x nivelul seric
19
Q

Cele mai frecv infectii nosocomiale

Study These Flashcards
A
  1. Pneumonia asociata spitalizarii

2. PAV

20
Q

Semne clinice in PAV

Study These Flashcards
A
  1. Febra
  2. Leucocitoza / penie
  3. Secretii purulente
  4. Af schimbului gazos
21
Q

Cate zile are tratamentul in PAV cu atb specifice

22
Q

Cel mai caracteristic simptom in INTM

Study These Flashcards
A

Durerea disproportionata fata de aspectul leziunii

23
Q

Manif precoce in INTM

Study These Flashcards
A
  1. Edem > eritem
  2. Desensibilizare teg
  3. Epidermoliza
  4. Decolorarea pielii
24
Q

Manif tardive ascoiate cu sepsis in INTM

Study These Flashcards
A
  1. Bule
  2. Crepitatii
  3. Drenaj cu miros neplacut
  4. Gangrena
25
Gangrena Furnier
INTM al organelor genitale si perineului
26
Inf cu SAG si mionecroza clostridiana - clinic, trat
1. Eritem care nu dispare la digitopresiune | 2. Penicilina + clinda
27
INTM - unde e streptococ
1. Celulita 2. Limfangita 3. Gangrena
28
INTM - unde e stafilococ
1. Furuncul, carbuncul 2. Hidrosadenita 3. Gangrena
29
Simptome prodromale in tetanos
1. Cefalee | 2. Neliniste
30
In cat timp apar spasmele tonice generalizate in tetanos
24 h
31
Plagi cu predispozitie la tetanos
1. Zdrobire 2. Avulsie 3. Abraziune extinsa 4. Arsuri / degeraturi
32
Confirmarea dg in abcesul mamar
Ecografie si aspiratie lichidului purulent
33
Trat initial in abcesul mamar
1. Atb antistaf | 2. Aspiratie seriata ghidata eco
34
Bact impicate frecv in inf tractului biliar
1. E.coli 2. Klebsiella 3. Enterococ
35
Triada Charcot
1. Febra 2. Icter 3. Durere HD
36
Pentada Reynold
1. Triada Charcot 2. hTA 3. Alterarea statusului mental
37
Rx toracica in peritonita
Pneumoperitoneu sub-diafragmatic
38
Atb in peritonita purulenta sau abcese
> 24 h
39
Cel mai virulent tip de peritonita
Perforatia colonica cu peritonita difuza
40
CT in perforatia colonica
1. Ingrosare perete int 2. Densificare grasime mezentaerica 3. Pneumatoza int 4. Colectii lichidiene pericolonice 5. Pneumoperitoneu

Lawrence (9 decks)

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