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Infecto > Abseso Hepatico > Flashcards

Abseso Hepatico Flashcards

1
Q

Tipos

A

Pyogeno

Amebiano

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2
Q

Etiología del amebiano

A

Entamoeba

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3
Q

Causa de pyogeno

A

Vías biliares e Coli, kliebsella, prótesis anaeróbicos, b. Frágilis, traumatismo.

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4
Q

Cuadro clínico

A 
Fiebres vespertina
Dolor HD
Hepatomegalia
Ictericia
Pérdida de peso, náusea, vomito, etc.
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5
Q

Signo patognomico

A

Dolor ala dígito presión en la parrilla costal derecha.

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6
Q

Se presenta en diabéticos inmunosuprimidos

A

Pyogeno

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7
Q

Se presenta en jóvenes con bajos recursos y empieza como disenteria.

A

Amebiano

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8
Q

Más común

A

Amebiano

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9
Q

Kliebsella

A

Neoplasia coló rectales

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10
Q

Abscesos únicos

A

Amebiano

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11
Q

Laboratorio

A 
Fosfatos a alcalina
Leucitosis
Anemia
Hipoalbuminemia 
Aumento de la eritrosedimentacion.
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12
Q

Órgano con más frecuencia de abscesos

A

Hígado

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13
Q

Complicaciones

A

Ruptura al pericardio, abdomen agudo, fístula.

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14
Q

Yersrnia Absesos

A

Hemocromatosis

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15
Q

Menor a 2 semanas

A

Amebiano

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16
Q

Gold estándar

A

TAC

17
Q

Indicacion para cirugía

A 
Alto riesgo de ruptura
> 5 cm
Lóbulo izquierdo 
Falla de antibioterapia
> 55 a,
Múltiples absesos
18
Q

Tratamiento amebiano

A

Metronidazol + paromicina

19
Q

Resistentess a metronidazol se utiliza en el amebiano

A

Nitaxosanida

20
Q

Tratamiento en pyogeno

A

Monoterapia : ticarcilina ácido clavulanico o piper tazobactam o carbapenemicos .
Combinada : Cefalosporina 3 o 4 + metronidazol.
O quinolonas + metro

21
Q

95 %

A

Amebiano

Infecto (18 decks)

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