Abdome agudo Flashcards

1
Q

QC de diverticulite

A

Idoso, dor abdominal FIE e febre

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2
Q

Exame de escolha para diverticulite

A

TC de abdome com contraste

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3
Q

Classificação de Hinchey modificada 0

A

Diverticulite leve

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4
Q

Classificação de Hinchey modificada 1a

A

Fleimão

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5
Q

Classificação de Hinchey modificada 1b

A

Abscesso pericolico

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6
Q

Classificação de Hinchey modificada 2

A

Abscesso pélvico

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7
Q

Classificação de Hinchey modificada 3

A

Peritonite purulenta

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8
Q

Classificação de Hinchey modificada 4

A

Peritonite fecal

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9
Q

Conduta Hinchey 0 e 1a

A
  • Dieta líquida sem residuos
  • ATB VO
  • Colono 4-8 sem após
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10
Q

Conduta Hinchey 1b e 2

A
  • Dieta zero
  • ATB EV
  • Drenagem percutanea (se >4cm)
  • Cx eletiva 6-8 sem após
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11
Q

Conduta Hinchey 3 e 4

A
  • Dieta zero
  • ATB EV
  • Cx de urgência (ex: Hartman)
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12
Q

Quando solicitar TC em apendicite?

A
  • Dúvida diagnóstica
  • Idoso
  • Mulher (gravida: USG)
  • Tardia (>48h)
  • Complicação
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