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Neonatología > TORCH > Flashcards

TORCH Flashcards

1
Q

Toxoplasma: etiología

A

Toxoplasma gondii

Protozoario esporozoo

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2
Q

Toxoplasma: transmisión

A

III trimestre de embarazo

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3
Q

Toxoplasma: tetrada de SABIN

A

macro/hidrocefalia
calcificaciones intracraneales
convulsiones
corioretinitis

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4
Q

Toxoplasma: dx

A

TAC/RM
IgM, IgA especifico
ADN molecular en LCR

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5
Q

Toxoplasma: tratamiento

A

Pirimetamina + sulfadiacina/clindamicina + ácido fólinico

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6
Q

Sifilis: etiología

A

Treponema pallidum

bacteria espiroqueta

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7
Q

Sifilis: transmisión

A

Antes de primera evaluación/ s.secundaria

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8
Q

Sifilis: temprana

A

< 2 años
periostitis/osteocondritis
penfigo palmoplantar -> descamación
rinitis hemorragica

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9
Q

Sifilis: tardía

A 
> 2 años
Nariz en silla de montar
Maxilar superior corto, inferior prominente
hueso sable
gomas
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10
Q

Sifilis tardía: triada de Hutchison

A

Queratitis intersticial
Sordera
Dientes en tonel

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11
Q

Sifilis: pruebas

A

Treponémicas: FTA-ABS

No trep: RPR, VDRL

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12
Q

Sifilis: tratamiento

A

Penicilina 50 000 UI/kg/do

Acuosa es la mejor opción, la procainica tb

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13
Q

Rubeola: etiologia

A

virus (ARN) de la rubéola perteneciente a la familia Togaviridae

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14
Q

Rubeola: transmisión

A

I trimestre

Final de embarazo

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15
Q

Rubeola: tetrada de Gregg

A

Catarata central
PCA
Microcefalia
Sordera neurosensorial

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16
Q

Rubeola: dx

A

Clínica

IgM, PCR. IgG (enf. persistente)

17
Q

Rubeola: tratamiento

A

Sintomático

18
Q

CMV: etiología

A

Virus ADN: VHH5

19
Q

CMV

A

Causa más frecuente de sordera neurosensorial no heredada

20
Q

CMV: transmisión

A

más probable a < EG

21
Q

CMV: clínica

A

Madres asintomáticas

Calcificaciones periventriculares, micro/macrocefalia

22
Q

CMV: dx

A

Cultivo
PCR (saliva, orina)
TAC

23
Q

CMV: tratamiento

A

1° línea: ganciclovir EV /valganciclovir VO

2° línea: foscarnet/ ciclofovir

24
Q

Herpes: etiología

A

VH 1, 2 (VIRUS ADN, ALFA)

25
Q

Herpes: transmisión

A

Trabajo de parto

26
Q

Herpes: patrones clínicos

A

E. piel-ojos-bocas (45%)
E. del SNC (30%) encefalitis
E. diseminada (25%)

27
Q

Herpes: dx

A

Cultivo
PCR
IFD

28
Q

Herpes: tratamiento

A

Aciclovir EV

29
Q

Herpes: SEM

A

Conjuntivitis
Queratitis (úlcera dendritiforme)
Estomatitis

Neonatología (16 decks)

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