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ANGIO 2 Flashcards

1
Q

TX ENFERMEDAD ARTARIAL PERIFERICA

A

ATORVASTATINA (disminuye mortalidad)

  • CILOSTAZOL (para claudicacion)
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2
Q

que es el SX ISQUEMICO AGUDO ARTERIAL

A

interrupcion subida de perfusion de un miembro distal al sitio de interrupcion

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3
Q

clinica SX ISQUEMICO AGUDO ARTERIAL

A

6 P’s =

Pain
Pulselessness
Pallor
Poikilothermia (frialdad)
Paresthesia
Paralysis
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4
Q

causa SX ISQUEMICO AGUDO ARTERIAL

A

TROMBOSIS

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5
Q

tx SX ISQUEMICO AGUDO ARTERIAL que aun presenta venas audibles

A

REVASCULARIZACION + COAGULACION UUUURRRGEEENTEEE (aun se puede salvar la extremidad)

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6
Q

tx SX ISQUEMICO AGUDO ARTERIAL que NO presenta ni arterias ni vasos audibles

A

AMPUTACION :(

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7
Q

CLASIFICACION ISQUEMIA ARTERIAL AGUDA

A

1) VIABLE = dolor intermitente, no hay alteraciones sensitivomotoras

II ) AMENAZADA
a) dolor continuo + defitit sensitivo ** SALVABLE **

b) dolor persistente +  deficit sensitivo y motor  ** SALVABLE **

III) cianosis, petequias ** AMPUTACION ***

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8
Q

CLINICA DE DISECCION AORTICA ASCENDENTE

A
  • DERRAME PERICARDICO SEROHEMATICO

(que se acumula y causa taponamiento cardiaco)

** DOLOR SEVERO SUBITO **

  • injurgitacion yugular
  • ruidos cardiacos apagados
  • PULSOS PARADOJICOS
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9
Q

DX IIIINIIICIAAAL de diseccion aortica

A

TELE TORAX + ECG

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10
Q

DX DEFINITIVO de diseccion aortica

A

ANGIO-TAC

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11
Q

patogenia de diseccion aortica

A

DESGARRO DE LA INTIMA AORTICA

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12
Q

PIEDRA ANGULAR DEL TX DISECCION AORTICA

A

B BLOQUEADORES

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13
Q

TRIADA DE VIRCHOW

patogenesis de TVP

A

1) ALTERACION DEL FLUJO SANGUINEO
2) LESION VASCULAR
3) HIPERCOAGULABILIDAD

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14
Q

TX TVP

A

HBPM

HNF

FONDAPARINUX

(todos son iguales)

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15
Q

1 COMPLICACION DE TVP

A

TEP

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16
Q

que es FLEGMASIA CERULEA DOLENS

A

Obliteracion de vias venosas profundas principales pero que NO afentan a las colaterales

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17
Q

clinica FLEGMASIA CERULEA DOLENS

A
  • dolor
  • edema

** PIERNA AFECTADA ERITEMATOSA

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18
Q

clinica FLEGMASIA ALBA DOLENS

A
  • dolor
  • MUCHO edema

** PIERNA AFECTADA PALIDA

19
Q

TX FLEGMASIA CERULEA DOLENS

A

1 TROMBECTOMIA QUIRURGICA

20
Q

clinica TROMBO FLEBITIS SUPERFICIAL

A
  • ERITEMA
  • CALOR
  • DOLOR

** PALPA CORDON INDURADO

  • puede haber FIEBRE
21
Q

DX TROMBO FLEBITIS SUPERFICIAL

A

USG DOPPLER

22
Q

tx TVP de LARGO PLAZO

23
Q

DX INICIAL ANEURISMA AORTICO ABDOMINAL

A

USG DOPPLER ABDOMINAL

24
Q

DX DEFINITIVO AAA

A

ANGIO- TAC

25
TX AAA
REPARACION ENDOVASCULAR + ESTATINAS
26
TRIADA RUPTURA AAA
1) DOLOR ABDOMINAL DIFUSO QUE SE IRRADA A LUMBROSACRO 2) INESTABILIDAD 3) MASA PULSATIL
27
DX CONFIRMATORIO RUPTURA AAA
TAC SIMPLE + CON CONTRASTE
28
TX AAA ROTO
REPARACION ENDOVASCULAR UUUURRRGEEEENTEEE
29
FACTOR QUE DETERMINA EL TIPO DE TRATAMIENTO EN AAA
SINTOMAS
30
RIESGO DE RUPTURA AAA POR TAMAÑO
< 4 cm = 0% 4- 5 cm = 0.5 - 5% 5 - 6 cm = 3 - 15 % 6 - 7 cm = 10 - 20 % 7 - 8 cm = 20 - 40 %
31
dx insuficiencia venosa cronica
USG DOPPLER
32
FR IVC
- EDAD - AHF DE VARICES - OBESIDAD - EMBARAZO * SEDENTARISMO *
33
TX IVC
FLEBOTONICOS = - CASTAÑA DE INDIAS - DIOSMINA - DOBESILATO CALCICO - RUSCUS ACULEATUS ** PENTOXIFILINA = ULCERA VENOSA **
34
TX CX IVC
FLEBOEXTRACCION DE VENA SAFENA IIIINTTEEEERRNAAAA + LIGADURA DE VENAS PERFORANTES INCOMPETETNES
35
CAUSAS DE ISQUEMIA MESENTERICA CRONICA
- edad avanzada - ICC - IAM - SEPTISEMIA - FA
36
CLINICA ISQUEMIA MESENTERICA CRONICA
****DOLOR ABDOMINAL POSPANDRIAL - temor a comer - adelgazamiento
37
#1 causa de ISQUEMIA MESENTERICA CRONICA
ATEROESCLEROSIS
38
DX ISQUEMIA MESENTERICA CRONICA
TAC HELICOIDAL
39
GOLD ISQUEMIA MESENTERICA CRONICA
ANGIOGRAFIA
40
TX ISQUEMIA MESENTERICA CRONICA
ANGIOPLASTICA CON STENT
41
DATOS EN TAC DE TROMBOSIS MESENTERICA VEEENOOOSAAA
ENGROSAMIENTO DE PARED DEL ASA AFECTADA ("EN DIANA")
42
TX TROMBOSIS MESENTERICA VEEENOOOSAAA
1) HBPM (en el 7-14 dia se agrega WARFARINA)
43
CATEGORIA DE ULCERA POR PRESION
I) ENROJECIMIENTO QUE NOOO PALIDECE II) AMPOLLA III) SE VE TEJIDO GRASO IV) SE VE MUSCULO / HUESO

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