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mi > Abdomen agudo NO QX > Flashcards

Abdomen agudo NO QX Flashcards

1
Q

Peritonitis bacteriana

CXCX

5

A
  • Ascitis
  • Fiebre
  • Dolor abdominal
  • Encefalopatía
  • Astenia y adinamia
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2
Q

Citología líquido peritoneal

Peritonitis bacteriana

A

+250 PMN

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3
Q

TX

Peritonitis bacteriana

A

ATB
- Cefaloesporinas: cefotaxima 8g/8h
- Ceftriaxona 2g/24h

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4
Q

Peritonitis 2º a dialisis peritoneal

Definición

A

Líquido permanece mínimo 2h

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5
Q

Peritonitis 2º dialisis peritoneal

cxcx

A
  • Dolor difuso
  • Datos de irritación peritoneal y diarrea
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6
Q

Labs

Peritonitis 2º dialisis peritoneal

A

Líquido turbio
+100 leucos/ml
**+50 neutros **

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7
Q

Etiología

Peritonitis 2º dialisis peritoneal

A

S. aureus
S. coagulasa
Bacilos G (-)

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8
Q

TX

Peritonitis 2º dialisis peritoneal

A

G+ => Cefalotina
G - => Ceftazidima, amikacina

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9
Q

Pancreatitis aguda

Definición

A

Dolor abdominal intenso en epigastrio que irradia a espalda

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10
Q

Signos pancreáticos

A
  • Cullen: equimosis periumbilical
  • Grey Turner: equimosis flancos
  • Fox: equimosis lig inguinal
  • Bryant: escroto azul
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11
Q

Pancreatitis aguda

PX se presenta

A
  • Antecedentes de ingesta de alimentos irritantes abundante
  • Alcohol
  • Antecedentes de colecistitis
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12
Q

EF
“puntos pancreaticos”

Pancreatitis aguda

3-4

A
  1. Chaufarrd… linea entre ombligo
  2. Orlowski… linea de clavicula a sinfisis del pubis
  3. Prioni… dedos por encima del ombligo
  4. Desjardins… 5-7cm del ombligo en linea axilar drc
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13
Q

DX

Pancreatitis

A
  1. Amilasa sérica: 3x su valor (72h)
  2. Lipasa sérica: 2x valor (5-7 días)
  3. USG: etiología biliar
  4. TC abdomen: Baltazar
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14
Q

TX

Pancreatitis aguda

A

Ayuno
Hidratar
Enoxaparina + opiaceos + antiespasmódico

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15
Q

CXCX

Pancreatitis aguda

3

A
  • Dolor epigastrio que irradia a espalda
  • Nauseas + vómito
  • Signos de hemorragia (cullen= periumbilical o Grey= flancos)
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16
Q

Gravedad

Pancreatitis aguda

A

Leve: sin falla org o complicaciones
Mod: -48h falla org
Severa: +48h falla org

17
Q

Cuando se debe de realizar la nutrición de Pancreatitis aguda

A

Enteral temprana
Oral a las 72h o cuando tolere

18
Q

Complicaciones

Pancreatitis aguda

3

A
  • Pseudoquiste
  • Acumulación de líquido
  • Necrosis

mi (12 decks)

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