PATOLOGIA PERIANAL Flashcards

1
Q

CLINIA DE HEMORROIDES

A

RECTORRAGIA, PRURITO Y DOLOR SI TROMBSIS

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2
Q

CLASI DE GRADOS DE HEMORROIDES

A

1 INTERNAS, SOLO RESCTORRAGIA 2 PROLAPSO AL DEFECCAR SE REDUCEN SOLAS 3 PROLAPSOESPONTANO O ALDEFECAR NECESITA REDUCCION MANUAL 4 O SE PUEDEN REDUCIR , DOLR Y TROMBOSIS

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3
Q

TX DE HEMORROIDES SEGUN GRADOS

A

1…CONSERVADOR( SI SANGRAN ESCLEROSIS)…2 LIGADURA CON BANDA, ESCLEROSIS O FOTOCOAG….3 LIGADURA CON BANDA O QX 4 HEMORROIDECTOMIA

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4
Q

ESCALA QUE APLICAS PREVIO A UNA FISTULOTOMIA

A

ESCALA DE WEXNER VALORA INCONTINENCIA FECAL…SI ES MAS DE 1 HACER MANOMETRIA

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5
Q

CUANDO QX HEMORROIDECTOMIA EN 72 HR

A

CUANDO ROMBOSAA CON NECROSIS DE PIEL

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6
Q

DX DE HEMORROIDES INTERNAS

A

SIGMOIDOSCOPIA FLEXIBLE

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7
Q

ABSESOS MAS FREC

A

PERIANALES….ISQUIRECTALES

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8
Q

TX DE ABSCESOS PERIANALES

A

SIEMPRE QX CON DRENAJE …ANTIBIO SOLO EN DM, INMUNOSP O CARDIOPA

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9
Q

LOCAL MAS FREC DE LAS FISURAS

A

POSTERIORES

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10
Q

TX DE LAS FISUAS ANALES

A

INICAL CONSERVADOR….SI HIPERTONICO Y SIN COLGAJO…..DILTIAZEM…TOXINA…FISUROTOMIA….CON COLGAGO FISUROTOMIA DE ENTRADA

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11
Q

TRIADA DE BRODIE

A

ES EN FISURA ANAL……POLIPO HIPERTROFICO, COLGAJO Y ULCERA O FISURA

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12
Q

EDAD Y SEXO MAS FREC DE FISTULA PERIANAL

A

MAS 30-50AÑOS

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13
Q

LOCAL MAS FREC DE LAS FISTULAS

A

INTERESFINTERIANA …..TRANSESF BAJA

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14
Q

TX DE FISTULA SIMPLE

A

FISTULOTOMIA CON MARSUPIALIZACION

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15
Q

TX DE FISTULACOMLEJA CON INCONTINENCIA

A

SETON CON FISTULOTOMIA EN INTEVALOS

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16
Q

TX DE FISTULA COMPLEJA SIN INCONTINENCIA

A

CIERRE PRIMIARIO, SELLADO Y COLGAJO

17
Q

DX DE ELECCION ENFISTULAS COMPLEJAS

A

ECO ENDOANAL

18
Q

REGLA DE GOOSAL

A

POST CURVAS ANTERIORES RECTAS