7) Neuropatias Perifericas Flashcards

1
Q

características de Sd de primera neurona o motoroneurona superior

A
Polimuscular
Hipertonia
No hay atrofia
ROT aumentados
Baninsky (+)
Reflejos superficiales abolido
Mov Asociados
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2
Q

características de Sd de segunda neurona

motoneurona inferior

A
Musculos aislados
Hipo/atonia muscular
atrofia
ROT ausentes
Babinsky (-)
Reflejos superficiales NORMALES
Fasciculaciones
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3
Q
poliradiculopatia, desmielinizante AGUDA
simétrica progresiva ASCENDENTE
4 semanas
paralisis flacida
precedida de cuadro infeccioso
A

Sd Guillan Barre

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4
Q

Patogenos asociados a Sd Guillan Barre

A

C. jejuni
VHS
CMV
VEB

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5
Q
parestesias distales en MMII o MMSS
Debilidad muscular progresiva simétrica ascendente
ROT disminuidos o ausentes
hipotonia
Disautonimia
A

SD Guillan Barre

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6
Q

Debilidad simétrica
Arreflexia
Progresía en 4 semans

A

Sd Guillan-Barre

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7
Q

LCR Sd GB

A

disociación albunico citologica

Prot >0.45 gl y Cels <10mm3

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8
Q

EMG SD GB

A

lentificacion de velocidades de conducción
LATENCIAS
BLOQUEOS DE CONDUCCION
AUSENCIA DE ONDAS F

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9
Q

MARCADORES DE SEVERIDAD DE SD GB

A

compromiso de músculos respiratorios

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10
Q

Tto SD GB

A

1 med generales sosteniendo
2IG 2gr/K 5 dias dentro de 2 semanas iniciados

plasmaferesis

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11
Q

oftalmoplejia
ataxia
arreflexia

A

Sd MILLER FISHER

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12
Q

PDIC

A

Simil SDGB pero de instaurazione cronica

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13
Q
  • Debilidad músculos proximales de instauración LENTA Y PROGRESIVA
  • PARESTESIAS
  • COMPROMISO DE PARES CRANEALES BAJOS E INTERCOSTALES
A

pdic

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14
Q

tto pdic

A

corticoides

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15
Q

STC

A

mononeuropatia del nervio mediano

3 primeros dedos y mitad del cuarto

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16
Q

factores predisponenetes a STC

A
DBT
AR
EMB
OBS
Enf Tiroidea
17
Q

clinica STC

A

parestesias y dolor
Sintomas que empeoras por la noche y agudizan por la vida diaria
atrofia tenar

18
Q

Pruebas de STC

A

Phalen y Tinel

EMG
RMN Muñeca

19
Q

CAUSA MAS FRECUENTE DE COMPROMISO NEUROPATICO

A

dbt

20
Q

Polineuropatia distal en MMII

en medias y guantes🧤🧦

A

PNP DBT

21
Q

Px Dbt CON DOLOR LUMBAR EN CADERA O MUSLO CON ATROFIA Y DEBILIDAD PELVIFEMORAL

A

Amiotrofia DBT

22
Q

parestesias dolorosas simétricas a nivel distal de MMII

en paciente VIH (+)

A

nEUROPATIA SIMETRICA DISTA