Neoplasias endocrinas multiples Flashcards

1
Q

MEN 1

A

sx de werner

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2
Q

MEN1 manifestacion principal

A

hiperparatiroidismo primario (adenoma)

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3
Q

MEN1 + comun en pancrea

A

gastrinoma

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4
Q

Gastrinoma- sx de Zollinger - Ellison

A
  • ↑acido gastrico = ↓pH intestinal
  • deficiencia de vit liposolubles (vit E)
  • diarrea secretora
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5
Q

tx de gastrinoma

A

IBP + antagonista H2 (ranitidina)

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6
Q

tx refractario de gastrinoma

A

analogo de somatostatina (octreotida)

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7
Q

deficiencia de vit E

A

neuromuscular: ATAXIA

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8
Q

hiperparatiroidismo 90% de

A

MEN 1 - hiperparatiroidismo + HIPERCALCEMIA

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9
Q

MEN 1 las 3 P

A

Paratiroides
pancreas - insulinoma, glucagonoma
pituitaria - prolactinoma

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10
Q

TX MEN 1

A

paratiroidectoma, escision tumos pancreatico

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11
Q

MEN 2A - sx de sipple y MEN 2B

A

carcinoma medular de tiroides

o 40% FEOCROMOCITOMA

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12
Q

MEN2A

A

hiperparatiroidismo primario

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13
Q

MEN2B

A

nerimas multiples o hábito marfanoide

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14
Q

tx MEN2A/B

A

turoidectomia,

feocromocitoma: adrenalectomia

Hiperpara - paraidectomia

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15
Q

causa subadyacente de calculos renales

A

hiperparatiroidismo MEN1

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16
Q

hiperparatiroidismo primario

A

hipercalcemia + nefrolitiasis + dolor en huesos y articulaciones + falta de apetito + nausea + estreñimiento